Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN RUSH MEDULLARY 3.2x254MM

Facility

$281.65

Hospital Charge Code	270614876
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

PIN RUSH MEDULLARY 3.2x254MM

Facility

$281.65

Hospital Charge Code	270614876
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 MED XLG A***

Facility

$192.00

Hospital Charge Code	1602093
Hospital Revenue Code	274
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.46
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PIN RUSH MED XLG A***

Facility

$192.00

Hospital Charge Code	1602093
Hospital Revenue Code	274
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$57.60
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.46
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PINS 3.2 X 110 MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691008
Hospital Revenue Code	278
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

PINS 3.2 X 110 MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691008
Hospital Revenue Code	278
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

PINS 5.0MM FIXATION CAPS

Facility

$176.65

Service Code	HCPCS C1713
Hospital Charge Code	270638105
Hospital Revenue Code	278
Min. Negotiated Rate	$26.50
Max. Negotiated Rate	$42.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.50

PINS 5.0MM FIXATION CAPS

Facility

$176.65

Service Code	HCPCS C1713
Hospital Charge Code	270638105
Hospital Revenue Code	278
Min. Negotiated Rate	$26.50
Max. Negotiated Rate	$88.33
Rate for Payer: Aetna Commercial	$52.99
Rate for Payer: Aetna Medicare Advantage	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.05
Rate for Payer: Cigna Commercial	$88.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.50

PIN SACHANZ 4.0MM AO CONNECT

Facility

$536.25

Service Code	HCPCS C1713
Hospital Charge Code	270701296
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$268.12
Rate for Payer: Aetna Commercial	$160.88
Rate for Payer: Aetna Medicare Advantage	$160.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.74
Rate for Payer: Cigna Commercial	$268.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SACHANZ 4.0MM AO CONNECT

Facility

$536.25

Service Code	HCPCS C1713
Hospital Charge Code	270701296
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$129.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SACHANZ 6.0MM AO CONNECT

Facility

$536.25

Hospital Charge Code	270701709
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$268.12
Rate for Payer: Aetna Commercial	$160.88
Rate for Payer: Aetna Medicare Advantage	$160.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.74
Rate for Payer: Cigna Commercial	$268.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SACHANZ 6.0MM AO CONNECT

Facility

$536.25

Hospital Charge Code	270701709
Hospital Revenue Code	278
Min. Negotiated Rate	$80.44
Max. Negotiated Rate	$129.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.44

PIN SAFETY #3 STERILE

Facility

$4.85

Hospital Charge Code	270609405
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

PIN SAFETY #3 STERILE

Facility

$4.85

Hospital Charge Code	270609405
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

PIN SAFETY STERILE 2 PK

Facility

$3.70

Hospital Charge Code	270649680
Hospital Revenue Code	270
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.56

PIN SAFETY STERILE 2 PK

Facility

$3.70

Hospital Charge Code	270649680
Hospital Revenue Code	270
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$1.85
Rate for Payer: Aetna Commercial	$1.11
Rate for Payer: Aetna Medicare Advantage	$1.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.94
Rate for Payer: Cigna Commercial	$1.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.48
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.56
Rate for Payer: UnitedHealthcare Commercial	$1.85

PIN SAFETY STERILE #3

Facility

$3.86

Hospital Charge Code	270649478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$1.93

PIN SAFETY STERILE #3

Facility

$3.86

Hospital Charge Code	270649478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$214.14
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x100mm

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270644911
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$172.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x20MM SELF DRILL

Facility

$713.80

Service Code	HCPCS C1713
Hospital Charge Code	270679425
Hospital Revenue Code	278
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$214.14
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.74
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$107.07
Max. Negotiated Rate	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$107.07

PIN SCHANZ 4.0x80mm SELF DRIL-

Facility

$713.80

Hospital Charge Code	270644915
Hospital Revenue Code	272
Min. Negotiated Rate	$92.79
Max. Negotiated Rate	$356.90
Rate for Payer: Aetna Commercial	$214.14
Rate for Payer: Aetna Medicare Advantage	$214.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.02
Rate for Payer: Cigna Commercial	$356.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.79
Rate for Payer: Oxford Commercial	$356.90
Rate for Payer: Qualcare PPO/HMO/WC	$107.07
Rate for Payer: UnitedHealthcare Commercial	$356.90

PIN SCHANZ 5 MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270681317
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

Know your out-of-pocket cost for care.

All Charges