Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$72.45
Max. Negotiated Rate	$72.45
Rate for Payer: Qualcare PPO/HMO/WC	$72.45

PIN BENDING 2.4MM LCKNG PLATE

Facility

$483.00

Hospital Charge Code	270676856
Hospital Revenue Code	272
Min. Negotiated Rate	$62.79
Max. Negotiated Rate	$241.50
Rate for Payer: Aetna Commercial	$144.90
Rate for Payer: Aetna Medicare Advantage	$144.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.17
Rate for Payer: Cigna Commercial	$241.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.79
Rate for Payer: Oxford Commercial	$241.50
Rate for Payer: Qualcare PPO/HMO/WC	$72.45
Rate for Payer: UnitedHealthcare Commercial	$241.50

PIN BMT GUIDE 3.2 35.5 471132

Facility

$299.25

Hospital Charge Code	270617179
Hospital Revenue Code	278
Min. Negotiated Rate	$44.89
Max. Negotiated Rate	$149.62
Rate for Payer: Aetna Commercial	$89.78
Rate for Payer: Aetna Medicare Advantage	$89.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.31
Rate for Payer: Cigna Commercial	$149.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: Qualcare PPO/HMO/WC	$44.89

PIN BMT GUIDE 3.2 35.5 471132

Facility

$299.25

Hospital Charge Code	270617179
Hospital Revenue Code	278
Min. Negotiated Rate	$44.89
Max. Negotiated Rate	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: Qualcare PPO/HMO/WC	$44.89

PIN BMT GUIDE BALLTIP CP500543

Facility

$460.85

Hospital Charge Code	270610795
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE BALLTIP CP500543

Facility

$460.85

Hospital Charge Code	270610795
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE BALLTIP CP500544

Facility

$460.85

Hospital Charge Code	270610796
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE BALLTIP CP500544

Facility

$460.85

Hospital Charge Code	270610796
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN BMT GUIDE THREADED 328010

Facility

$300.00

Hospital Charge Code	270612177
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

PIN BMT GUIDE THREADED 328010

Facility

$300.00

Hospital Charge Code	270612177
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

PIN BMT STEINMAN 12 1/8 361681

Facility

$231.25

Hospital Charge Code	270621701
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$69.38
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

PIN BMT STEINMAN 12 1/8 361681

Facility

$231.25

Hospital Charge Code	270621701
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MM X 140MM

Facility

$340.00

Hospital Charge Code	270669172
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 3.2MMX80MM

Facility

$340.00

Hospital Charge Code	270669173
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$303.00
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x140MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270676364
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 4X140MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668481
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

PIN BONE 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$303.00
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x170MM

Facility

$1,010.00

Service Code	HCPCS C1713
Hospital Charge Code	270668611
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$505.00
Rate for Payer: Aetna Commercial	$303.00
Rate for Payer: Aetna Medicare Advantage	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.55
Rate for Payer: Cigna Commercial	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4x80MM

Facility

$1,010.00

Hospital Charge Code	270676363
Hospital Revenue Code	278
Min. Negotiated Rate	$151.50
Max. Negotiated Rate	$244.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Qualcare PPO/HMO/WC	$151.50

PIN BONE 4X80MM

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	270668480
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

Know your out-of-pocket cost for care.

All Charges