Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$192.66
Max. Negotiated Rate	$642.20
Rate for Payer: Aetna Commercial	$385.32
Rate for Payer: Aetna Medicare Advantage	$385.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.52
Rate for Payer: Cigna Commercial	$642.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: Qualcare PPO/HMO/WC	$192.66

PIN BONE FIXAT HEX 2.7X70MM

Facility

$1,284.40

Service Code	HCPCS C1713
Hospital Charge Code	270700198
Hospital Revenue Code	278
Min. Negotiated Rate	$192.66
Max. Negotiated Rate	$310.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.82
Rate for Payer: Qualcare PPO/HMO/WC	$192.66

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

PIN BUTTRESS 1.8x18MM

Facility

$181.25

Hospital Charge Code	270654795
Hospital Revenue Code	272
Min. Negotiated Rate	$23.56
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$54.38
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.56
Rate for Payer: Oxford Commercial	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$90.62

PIN CABLE-READY 35MM

Facility

$2,725.65

Hospital Charge Code	270627297
Hospital Revenue Code	278
Min. Negotiated Rate	$408.85
Max. Negotiated Rate	$659.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.61
Rate for Payer: Qualcare PPO/HMO/WC	$408.85

PIN CABLE-READY 35MM

Facility

$2,725.65

Hospital Charge Code	270627297
Hospital Revenue Code	278
Min. Negotiated Rate	$408.85
Max. Negotiated Rate	$1,362.83
Rate for Payer: Aetna Commercial	$817.70
Rate for Payer: Aetna Medicare Advantage	$817.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$695.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$695.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$695.04
Rate for Payer: Cigna Commercial	$1,362.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.61
Rate for Payer: Qualcare PPO/HMO/WC	$408.85

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$169.16
Max. Negotiated Rate	$272.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: Qualcare PPO/HMO/WC	$169.16

PIN CALCANEUS

Facility

$1,127.75

Service Code	HCPCS C1713
Hospital Charge Code	270677299
Hospital Revenue Code	278
Min. Negotiated Rate	$169.16
Max. Negotiated Rate	$563.88
Rate for Payer: Aetna Commercial	$338.32
Rate for Payer: Aetna Medicare Advantage	$338.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.58
Rate for Payer: Cigna Commercial	$563.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.92
Rate for Payer: Qualcare PPO/HMO/WC	$169.16

PIN CALIBRATED GUIDE***

Facility

$23.00

Hospital Charge Code	1601533
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

PIN CALIBRATED GUIDE***

Facility

$23.00

Hospital Charge Code	1601533
Hospital Revenue Code	279
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

PIN CALIBRATED GUIDE THRD TI**

Facility

$21.05

Hospital Charge Code	1601541
Hospital Revenue Code	279
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$10.53
Rate for Payer: Aetna Commercial	$6.32
Rate for Payer: Aetna Medicare Advantage	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.37
Rate for Payer: Cigna Commercial	$10.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.74
Rate for Payer: Oxford Commercial	$10.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.16
Rate for Payer: UnitedHealthcare Commercial	$10.53

PIN CALIBRATED GUIDE THRD TI**

Facility

$21.05

Hospital Charge Code	1601541
Hospital Revenue Code	279
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.16

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

PIN CERCLAGE 3.5MM STER

Facility

$756.00

Hospital Charge Code	270676773
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$226.80
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$389.35
Rate for Payer: Aetna Commercial	$233.61
Rate for Payer: Aetna Medicare Advantage	$233.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.57
Rate for Payer: Cigna Commercial	$389.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

PIN CERCLAGE 4.5MM

Facility

$778.70

Service Code	HCPCS C1713
Hospital Charge Code	270645546
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.45
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

PIN CERV RETAIN CASPAR 14MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697849
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PIN CERV RETAIN CASPAR 14MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697849
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PIN CUTTER DIAMON

Facility

$610.00

Hospital Charge Code	270667640
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

PIN CUTTER DIAMON

Facility

$610.00

Hospital Charge Code	270667640
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

PIN DISTRACTION SCREW 12MM

Facility

$128.24

Hospital Charge Code	270688300
Hospital Revenue Code	272
Min. Negotiated Rate	$16.67
Max. Negotiated Rate	$64.12
Rate for Payer: Aetna Commercial	$38.47
Rate for Payer: Aetna Medicare Advantage	$38.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.70
Rate for Payer: Cigna Commercial	$64.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.67
Rate for Payer: Oxford Commercial	$64.12
Rate for Payer: Qualcare PPO/HMO/WC	$19.24
Rate for Payer: UnitedHealthcare Commercial	$64.12

PIN DISTRACTION SCREW 12MM

Facility

$128.24

Hospital Charge Code	270688300
Hospital Revenue Code	272
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$19.24
Rate for Payer: Qualcare PPO/HMO/WC	$19.24

PIN DISTRACTOR 14 MM

Facility

$2,500.00

Hospital Charge Code	270692225
Hospital Revenue Code	272
Min. Negotiated Rate	$325.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$1,250.00

PIN DISTRACTOR 14 MM

Facility

$2,500.00

Hospital Charge Code	270692225
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

Know your out-of-pocket cost for care.

All Charges