Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 10 HOLE RIGHT DISTAL TIB

Facility

$11,065.00

Hospital Charge Code	270671354
Hospital Revenue Code	278
Min. Negotiated Rate	$1,659.75
Max. Negotiated Rate	$2,677.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,677.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,659.75

PLATE 10 HOLE RIGHT DISTAL TIB

Facility

$11,065.00

Hospital Charge Code	270671354
Hospital Revenue Code	278
Min. Negotiated Rate	$1,659.75
Max. Negotiated Rate	$5,532.50
Rate for Payer: Aetna Commercial	$3,319.50
Rate for Payer: Aetna Medicare Advantage	$3,319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,821.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,821.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,821.57
Rate for Payer: Cigna Commercial	$5,532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,677.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,659.75

PLATE 10 HOLE RT CLAV SUP 110M

Facility

$9,801.05

Service Code	HCPCS C1713
Hospital Charge Code	270703717
Hospital Revenue Code	278
Min. Negotiated Rate	$1,470.16
Max. Negotiated Rate	$4,900.52
Rate for Payer: Aetna Commercial	$2,940.32
Rate for Payer: Aetna Medicare Advantage	$2,940.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,499.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,499.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,960.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,499.27
Rate for Payer: Cigna Commercial	$4,900.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,371.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.16

PLATE 10 HOLE RT CLAV SUP 110M

Facility

$9,801.05

Service Code	HCPCS C1713
Hospital Charge Code	270703717
Hospital Revenue Code	278
Min. Negotiated Rate	$1,470.16
Max. Negotiated Rate	$2,371.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,960.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,371.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.16

PLATE 10MM

Facility

$12,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270688570
Hospital Revenue Code	278
Min. Negotiated Rate	$1,841.25
Max. Negotiated Rate	$6,137.50
Rate for Payer: Aetna Commercial	$3,682.50
Rate for Payer: Aetna Medicare Advantage	$3,682.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,130.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,130.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,130.12
Rate for Payer: Cigna Commercial	$6,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,970.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,841.25

PLATE 10MM

Facility

$12,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270688570
Hospital Revenue Code	278
Min. Negotiated Rate	$1,841.25
Max. Negotiated Rate	$2,970.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,970.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,841.25

PLATE 10MM DOGBONE

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

PLATE 10MM DOGBONE

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270690341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

PLATE 12HOLE 1.5mm

Facility

$1,023.00

Hospital Charge Code	270656590
Hospital Revenue Code	278
Min. Negotiated Rate	$153.45
Max. Negotiated Rate	$247.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.57
Rate for Payer: Qualcare PPO/HMO/WC	$153.45

PLATE 12HOLE 1.5mm

Facility

$1,023.00

Hospital Charge Code	270656590
Hospital Revenue Code	278
Min. Negotiated Rate	$153.45
Max. Negotiated Rate	$511.50
Rate for Payer: Aetna Commercial	$306.90
Rate for Payer: Aetna Medicare Advantage	$306.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.87
Rate for Payer: Cigna Commercial	$511.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.57
Rate for Payer: Qualcare PPO/HMO/WC	$153.45

PLATE 12 HOLE STR 2.0MM

Facility

$2,542.95

Service Code	HCPCS C1713
Hospital Charge Code	270686760
Hospital Revenue Code	278
Min. Negotiated Rate	$381.44
Max. Negotiated Rate	$1,271.47
Rate for Payer: Aetna Commercial	$762.88
Rate for Payer: Aetna Medicare Advantage	$762.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$648.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$648.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$648.45
Rate for Payer: Cigna Commercial	$1,271.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.39
Rate for Payer: Qualcare PPO/HMO/WC	$381.44

PLATE 12 HOLE STR 2.0MM

Facility

$2,542.95

Service Code	HCPCS C1713
Hospital Charge Code	270686760
Hospital Revenue Code	278
Min. Negotiated Rate	$381.44
Max. Negotiated Rate	$615.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$508.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.39
Rate for Payer: Qualcare PPO/HMO/WC	$381.44

PLATE 12MM

Facility

$4,750.00

Hospital Charge Code	270703037
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

PLATE 12MM

Facility

$4,750.00

Hospital Charge Code	270703037
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

PLATE 12 MM

Facility

$5,000.00

Service Code	HCPCS C1716
Hospital Charge Code	270701785
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PLATE 12 MM

Facility

$5,000.00

Service Code	HCPCS C1716
Hospital Charge Code	270701785
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PLATE 1/3 TUB 10 HOLES/121MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655690
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$77.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 10 HOLES/121MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655690
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$95.47
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 2HOLES/25MM

Facility

$245.65

Service Code	HCPCS C1713
Hospital Charge Code	270655674
Hospital Revenue Code	278
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$122.83
Rate for Payer: Aetna Commercial	$73.69
Rate for Payer: Aetna Medicare Advantage	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.64
Rate for Payer: Cigna Commercial	$122.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.45
Rate for Payer: Qualcare PPO/HMO/WC	$36.85

PLATE 1/3 TUB 2HOLES/25MM

Facility

$245.65

Service Code	HCPCS C1713
Hospital Charge Code	270655674
Hospital Revenue Code	278
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$59.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.45
Rate for Payer: Qualcare PPO/HMO/WC	$36.85

PLATE 1/3 TUB 3HOLES/37MM

Facility

$251.85

Service Code	HCPCS C1713
Hospital Charge Code	270655676
Hospital Revenue Code	278
Min. Negotiated Rate	$37.78
Max. Negotiated Rate	$60.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.78

PLATE 1/3 TUB 3HOLES/37MM

Facility

$251.85

Service Code	HCPCS C1713
Hospital Charge Code	270655676
Hospital Revenue Code	278
Min. Negotiated Rate	$37.78
Max. Negotiated Rate	$125.92
Rate for Payer: Aetna Commercial	$75.56
Rate for Payer: Aetna Medicare Advantage	$75.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.22
Rate for Payer: Cigna Commercial	$125.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.78

PLATE 1/3 TUB 4HOLES/49MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655678
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$95.47
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 4HOLES/49MM

Facility

$318.25

Service Code	HCPCS C1713
Hospital Charge Code	270655678
Hospital Revenue Code	278
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$77.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.02
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

PLATE 1/3 TUB 6 HOLES/73MM

Facility

$307.45

Service Code	HCPCS C1713
Hospital Charge Code	270655682
Hospital Revenue Code	278
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

Know your out-of-pocket cost for care.

All Charges