Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN GUIDE - RICHARDS *****

Facility

$80.00

Hospital Charge Code	1605666
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

PIN GUIDE - RICHARDS *****

Facility

$80.00

Hospital Charge Code	1605666
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

PIN GUIDE THREAD 3.2mmx444mm

Facility

$895.00

Hospital Charge Code	270650499
Hospital Revenue Code	271
Min. Negotiated Rate	$116.35
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$268.50
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.35
Rate for Payer: Oxford Commercial	$447.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$447.50

PIN GUIDE THREAD 3.2mmx444mm

Facility

$895.00

Hospital Charge Code	270650499
Hospital Revenue Code	271
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

PIN HALF 3MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270685124
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PIN HALF 3MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270685124
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PIN HALF 3MM X 100MM X 25MM

Facility

$653.25

Hospital Charge Code	270668711
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$326.62
Rate for Payer: Aetna Commercial	$195.97
Rate for Payer: Aetna Medicare Advantage	$195.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.58
Rate for Payer: Cigna Commercial	$326.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 3MM X 100MM X 25MM

Facility

$653.25

Hospital Charge Code	270668711
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$158.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 4MM X 100MM X 35MM

Facility

$653.25

Hospital Charge Code	270668712
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$158.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 4MM X 100MM X 35MM

Facility

$653.25

Hospital Charge Code	270668712
Hospital Revenue Code	278
Min. Negotiated Rate	$97.99
Max. Negotiated Rate	$326.62
Rate for Payer: Aetna Commercial	$195.97
Rate for Payer: Aetna Medicare Advantage	$195.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.58
Rate for Payer: Cigna Commercial	$326.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.09
Rate for Payer: Qualcare PPO/HMO/WC	$97.99

PIN HALF 5MM X 160MM X35MM

Facility

$960.00

Hospital Charge Code	270668713
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$232.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

PIN HALF 5MM X 160MM X35MM

Facility

$960.00

Hospital Charge Code	270668713
Hospital Revenue Code	278
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$480.00
Rate for Payer: Aetna Commercial	$288.00
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.32
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

PIN HALF 5MM X 160MM X 55MM

Facility

$720.25

Hospital Charge Code	270668714
Hospital Revenue Code	278
Min. Negotiated Rate	$108.04
Max. Negotiated Rate	$360.12
Rate for Payer: Aetna Commercial	$216.07
Rate for Payer: Aetna Medicare Advantage	$216.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.66
Rate for Payer: Cigna Commercial	$360.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$108.04

PIN HALF 5MM X 160MM X 55MM

Facility

$720.25

Hospital Charge Code	270668714
Hospital Revenue Code	278
Min. Negotiated Rate	$108.04
Max. Negotiated Rate	$174.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$108.04

PIN HALF 5x155x20THD FF1015515

Facility

$545.65

Hospital Charge Code	270632628
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$272.82
Rate for Payer: Aetna Commercial	$163.69
Rate for Payer: Aetna Medicare Advantage	$163.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.14
Rate for Payer: Cigna Commercial	$272.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

PIN HALF 5x155x20THD FF1015515

Facility

$545.65

Hospital Charge Code	270632628
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$132.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

PIN HALF 5x170x30 FF1017030

Facility

$545.65

Hospital Charge Code	270612448
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$132.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

PIN HALF 5x170x30 FF1017030

Facility

$545.65

Hospital Charge Code	270612448
Hospital Revenue Code	278
Min. Negotiated Rate	$81.85
Max. Negotiated Rate	$272.82
Rate for Payer: Aetna Commercial	$163.69
Rate for Payer: Aetna Medicare Advantage	$163.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.14
Rate for Payer: Cigna Commercial	$272.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.05
Rate for Payer: Qualcare PPO/HMO/WC	$81.85

PIN HALF 5x180MM 40MM THD

Facility

$600.00

Hospital Charge Code	270671028
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

PIN HALF 5x180MM 40MM THD

Facility

$600.00

Hospital Charge Code	270671028
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

PIN HMD GAMMA 4.0 38015-8920

Facility

$307.25

Hospital Charge Code	270613085
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PIN HMD GAMMA 4.0 38015-8920

Facility

$307.25

Hospital Charge Code	270613085
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PIN HMD MOD 4 150 5023-5-150

Facility

$430.45

Hospital Charge Code	270621587
Hospital Revenue Code	278
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.17
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PIN HMD MOD 4 150 5023-5-150

Facility

$430.45

Hospital Charge Code	270621587
Hospital Revenue Code	278
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$215.22
Rate for Payer: Aetna Commercial	$129.13
Rate for Payer: Aetna Medicare Advantage	$129.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$86.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.76
Rate for Payer: Cigna Commercial	$215.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.17
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PIN HMD MOD 5 150 5018-6-150

Facility

$522.45

Hospital Charge Code	270621588
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

Know your out-of-pocket cost for care.

All Charges