Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN TO BAR CLAMP 4922-1-020

Facility

$4,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270648625
Hospital Revenue Code	278
Min. Negotiated Rate	$684.75
Max. Negotiated Rate	$2,282.50
Rate for Payer: Aetna Commercial	$1,369.50
Rate for Payer: Aetna Medicare Advantage	$1,369.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,164.08
Rate for Payer: Cigna Commercial	$2,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.73
Rate for Payer: Qualcare PPO/HMO/WC	$684.75

PIN TO BAR CLAMP 4922-1-020

Facility

$4,565.00

Service Code	HCPCS C1713
Hospital Charge Code	270648625
Hospital Revenue Code	278
Min. Negotiated Rate	$684.75
Max. Negotiated Rate	$1,104.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.73
Rate for Payer: Qualcare PPO/HMO/WC	$684.75

PIN TRANSFIX 4x250 APEX

Facility

$885.00

Hospital Charge Code	270647998
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN TRANSFIX 4x250 APEX

Facility

$885.00

Hospital Charge Code	270647998
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$265.50
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN TRANSFIX 50mm FF1125050

Facility

$669.65

Hospital Charge Code	270632395
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$334.82
Rate for Payer: Aetna Commercial	$200.90
Rate for Payer: Aetna Medicare Advantage	$200.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.76
Rate for Payer: Cigna Commercial	$334.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

PIN TRANSFIX 50mm FF1125050

Facility

$669.65

Hospital Charge Code	270632395
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$162.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

PIN TRANSFIX 6.0X300MM SS

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270699320
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

PIN TRANSFIX 6.0X300MM SS

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270699320
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$95.00
Max. Negotiated Rate	$316.68
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.50
Rate for Payer: Cigna Commercial	$316.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: Qualcare PPO/HMO/WC	$95.00

PIN TRANSFIXATION 6x225MM

Facility

$633.35

Service Code	HCPCS C1713
Hospital Charge Code	270635606
Hospital Revenue Code	278
Min. Negotiated Rate	$95.00
Max. Negotiated Rate	$153.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.27
Rate for Payer: Qualcare PPO/HMO/WC	$95.00

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PIN TRANSFIXING 4/5x250MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270648630
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$159.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

PIN TRANSFIXING 4x300MM TIN

Facility

$1,060.00

Hospital Charge Code	270656799
Hospital Revenue Code	272
Min. Negotiated Rate	$137.80
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$318.00
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.80
Rate for Payer: Oxford Commercial	$530.00
Rate for Payer: Qualcare PPO/HMO/WC	$159.00
Rate for Payer: UnitedHealthcare Commercial	$530.00

PIN TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$279.00
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN TRANSFIXING 50X300MM

Facility

$930.00

Hospital Charge Code	270669875
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

PIN TRANSFIXING 5/4X200MM 50MM

Facility

$1,050.00

Hospital Charge Code	270669004
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$133.16
Max. Negotiated Rate	$443.88
Rate for Payer: Aetna Commercial	$266.32
Rate for Payer: Aetna Medicare Advantage	$266.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.38
Rate for Payer: Cigna Commercial	$443.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: Qualcare PPO/HMO/WC	$133.16

PIN TRANSFIXING 5MM X 275MM

Facility

$887.75

Service Code	HCPCS C1713
Hospital Charge Code	270668715
Hospital Revenue Code	278
Min. Negotiated Rate	$133.16
Max. Negotiated Rate	$214.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.84
Rate for Payer: Qualcare PPO/HMO/WC	$133.16

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

PIN TRANSFIXING 5x300MM

Facility

$1,035.00

Hospital Charge Code	270656833
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$112.86
Max. Negotiated Rate	$182.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: Qualcare PPO/HMO/WC	$112.86

PIN TRANSFIXING APEX 60x250MM

Facility

$752.40

Hospital Charge Code	270673990
Hospital Revenue Code	278
Min. Negotiated Rate	$112.86
Max. Negotiated Rate	$376.20
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare Advantage	$225.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.86
Rate for Payer: Cigna Commercial	$376.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.08
Rate for Payer: Qualcare PPO/HMO/WC	$112.86

PIN ULNAR STYLOID FX

Facility

$24,060.80

Service Code	HCPCS 25651
Hospital Charge Code	16000694
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$7,218.24
Rate for Payer: Aetna Medicare Advantage	$7,218.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,135.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,135.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,135.50
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,127.90
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,609.12
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges