Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN PRECISION TM 3.9X450MM

Facility

$1,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270698905
Hospital Revenue Code	278
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$418.50
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.59
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

PIN RFS 1.5 x 50mm RFS-P015

Facility

$875.00

Hospital Charge Code	270645091
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PIN RFS 1.5 x 50mm RFS-P015

Facility

$875.00

Hospital Charge Code	270645091
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PIN ROD CLMP 8/4-5 4921-1-020

Facility

$880.00

Hospital Charge Code	270648716
Hospital Revenue Code	278
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$212.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

PIN ROD CLMP 8/4-5 4921-1-020

Facility

$880.00

Hospital Charge Code	270648716
Hospital Revenue Code	278
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$264.00
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.96
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

PIN ROD TO SCREW 14600

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270637345
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$907.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

PIN ROD TO SCREW 14600

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270637345
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

PIN ROD TO SCREW 14605

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270637346
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$940.00
Rate for Payer: Aetna Commercial	$564.00
Rate for Payer: Aetna Medicare Advantage	$564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.40
Rate for Payer: Cigna Commercial	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

PIN ROD TO SCREW 14605

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270637346
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$454.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

PIN RUSH MED LG SZ A-I****

Facility

$160.00

Hospital Charge Code	1602101
Hospital Revenue Code	274
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

PIN RUSH MED LG SZ A-I****

Facility

$160.00

Hospital Charge Code	1602101
Hospital Revenue Code	274
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$48.00
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

PIN RUSH MEDLY SZJ 1/8 8030111

Facility

$262.95

Hospital Charge Code	270632091
Hospital Revenue Code	278
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$63.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.63
Rate for Payer: Qualcare PPO/HMO/WC	$39.44

PIN RUSH MEDLY SZJ 1/8 8030111

Facility

$262.95

Hospital Charge Code	270632091
Hospital Revenue Code	278
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$131.47
Rate for Payer: Aetna Commercial	$78.89
Rate for Payer: Aetna Medicare Advantage	$78.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.05
Rate for Payer: Cigna Commercial	$131.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.63
Rate for Payer: Qualcare PPO/HMO/WC	$39.44

PIN RUSH MEDLY SZK 1/8 8030112

Facility

$262.95

Hospital Charge Code	270632092
Hospital Revenue Code	278
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$131.47
Rate for Payer: Aetna Commercial	$78.89
Rate for Payer: Aetna Medicare Advantage	$78.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.05
Rate for Payer: Cigna Commercial	$131.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.63
Rate for Payer: Qualcare PPO/HMO/WC	$39.44

PIN RUSH MEDLY SZK 1/8 8030112

Facility

$262.95

Hospital Charge Code	270632092
Hospital Revenue Code	278
Min. Negotiated Rate	$39.44
Max. Negotiated Rate	$63.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.63
Rate for Payer: Qualcare PPO/HMO/WC	$39.44

PIN RUSH MED MED A-M***

Facility

$117.00

Hospital Charge Code	1602119
Hospital Revenue Code	274
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$35.10
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

PIN RUSH MED MED A-M***

Facility

$117.00

Hospital Charge Code	1602119
Hospital Revenue Code	274
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$28.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

PIN RUSH MED SM A-M****

Facility

$105.00

Hospital Charge Code	1602127
Hospital Revenue Code	274
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

PIN RUSH MED SM A-M****

Facility

$105.00

Hospital Charge Code	1602127
Hospital Revenue Code	274
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$25.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

PIN RUSH MED SM N-T****

Facility

$107.00

Hospital Charge Code	1602135
Hospital Revenue Code	274
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$32.10
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

PIN RUSH MED SM N-T****

Facility

$107.00

Hospital Charge Code	1602135
Hospital Revenue Code	274
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$25.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

PIN RUSH MED SM U-Y****

Facility

$88.00

Hospital Charge Code	1602143
Hospital Revenue Code	274
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

PIN RUSH MED SM U-Y****

Facility

$88.00

Hospital Charge Code	1602143
Hospital Revenue Code	274
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

PIN RUSH MEDULLARY 1/8 8030108

Facility

$281.65

Hospital Charge Code	270635390
Hospital Revenue Code	278
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$68.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.16
Rate for Payer: Qualcare PPO/HMO/WC	$42.25

PIN RUSH MEDULLARY 1/8 8030108

Facility

$281.65

Hospital Charge Code	270635390
Hospital Revenue Code	278
Min. Negotiated Rate	$42.25
Max. Negotiated Rate	$140.82
Rate for Payer: Aetna Commercial	$84.50
Rate for Payer: Aetna Medicare Advantage	$84.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.82
Rate for Payer: Cigna Commercial	$140.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.16
Rate for Payer: Qualcare PPO/HMO/WC	$42.25

Know your out-of-pocket cost for care.

All Charges