Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PIN UNIPLATE MARKING

Facility

$575.00

Hospital Charge Code	270670922
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x10MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270678117
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x12MM

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270678116
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x14MM

Facility

$577.85

Hospital Charge Code	270678115
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x14MM

Facility

$577.85

Hospital Charge Code	270678115
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x16MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677573
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x16MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677573
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x18MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677572
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x18MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677572
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677130
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x20MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270677130
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

PIN VA LCKG BUTTRESS 1.8x22MM

Facility

$577.85

Hospital Charge Code	270677801
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x22MM

Facility

$577.85

Hospital Charge Code	270677801
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x24MM

Facility

$577.85

Hospital Charge Code	270677802
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x24MM

Facility

$577.85

Hospital Charge Code	270677802
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x26MM

Facility

$577.85

Hospital Charge Code	270677803
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x26MM

Facility

$577.85

Hospital Charge Code	270677803
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x28mm

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270680388
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x28mm

Facility

$577.85

Service Code	HCPCS C1713
Hospital Charge Code	270680388
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x30MM

Facility

$577.85

Hospital Charge Code	270676422
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$139.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

PIN VA LCKG BUTTRESS 1.8x30MM

Facility

$577.85

Hospital Charge Code	270676422
Hospital Revenue Code	278
Min. Negotiated Rate	$86.68
Max. Negotiated Rate	$288.93
Rate for Payer: Aetna Commercial	$173.35
Rate for Payer: Aetna Medicare Advantage	$173.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.35
Rate for Payer: Cigna Commercial	$288.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.84
Rate for Payer: Qualcare PPO/HMO/WC	$86.68

Know your out-of-pocket cost for care.

All Charges