Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE 6HOLE 2.7X3 5MM LCP LEFT

Facility

$6,740.00

Hospital Charge Code	270648927
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

PLATE 6 HOLE 4.5 LCP MEDIAL

Facility

$9,191.10

Hospital Charge Code	270663319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,378.66
Max. Negotiated Rate	$2,224.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,838.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,224.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,378.66

PLATE 6 HOLE 4.5 LCP MEDIAL

Facility

$9,191.10

Hospital Charge Code	270663319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,378.66
Max. Negotiated Rate	$4,595.55
Rate for Payer: Aetna Commercial	$2,757.33
Rate for Payer: Aetna Medicare Advantage	$2,757.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,343.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,343.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,838.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,343.73
Rate for Payer: Cigna Commercial	$4,595.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,224.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,378.66

PLATE 6HOLE CURV ORBITL 017126

Facility

$590.25

Hospital Charge Code	270630556
Hospital Revenue Code	278
Min. Negotiated Rate	$88.54
Max. Negotiated Rate	$142.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.84
Rate for Payer: Qualcare PPO/HMO/WC	$88.54

PLATE 6HOLE CURV ORBITL 017126

Facility

$590.25

Hospital Charge Code	270630556
Hospital Revenue Code	278
Min. Negotiated Rate	$88.54
Max. Negotiated Rate	$295.12
Rate for Payer: Aetna Commercial	$177.07
Rate for Payer: Aetna Medicare Advantage	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.51
Rate for Payer: Cigna Commercial	$295.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.84
Rate for Payer: Qualcare PPO/HMO/WC	$88.54

PLATE 6 HOLE LATERAL LF

Facility

$7,500.00

Hospital Charge Code	270667386
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PLATE 6 HOLE LATERAL LF

Facility

$7,500.00

Hospital Charge Code	270667386
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PLATE 6HOLE LT LCP CONR 222657

Facility

$4,523.60

Hospital Charge Code	270630783
Hospital Revenue Code	278
Min. Negotiated Rate	$678.54
Max. Negotiated Rate	$2,261.80
Rate for Payer: Aetna Commercial	$1,357.08
Rate for Payer: Aetna Medicare Advantage	$1,357.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,153.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,153.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$904.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,153.52
Rate for Payer: Cigna Commercial	$2,261.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,094.71
Rate for Payer: Qualcare PPO/HMO/WC	$678.54

PLATE 6HOLE LT LCP CONR 222657

Facility

$4,523.60

Hospital Charge Code	270630783
Hospital Revenue Code	278
Min. Negotiated Rate	$678.54
Max. Negotiated Rate	$1,094.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$904.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,094.71
Rate for Payer: Qualcare PPO/HMO/WC	$678.54

PLATE 6 HOLES 2.0 MM X 36MM

Facility

$1,152.00

Hospital Charge Code	270667565
Hospital Revenue Code	278
Min. Negotiated Rate	$172.80
Max. Negotiated Rate	$278.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.80

PLATE 6 HOLES 2.0 MM X 36MM

Facility

$1,152.00

Hospital Charge Code	270667565
Hospital Revenue Code	278
Min. Negotiated Rate	$172.80
Max. Negotiated Rate	$576.00
Rate for Payer: Aetna Commercial	$345.60
Rate for Payer: Aetna Medicare Advantage	$345.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.76
Rate for Payer: Cigna Commercial	$576.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.80

PLATE 6 HOLES TUBULAR WITH

Facility

$396.00

Service Code	HCPCS C1713
Hospital Charge Code	270656910
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$118.80
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

PLATE 6 HOLES TUBULAR WITH

Facility

$396.00

Service Code	HCPCS C1713
Hospital Charge Code	270656910
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

PLATE 6 HOLE Utility pole

Facility

$8,100.00

Hospital Charge Code	270669408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.00
Max. Negotiated Rate	$1,960.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00

PLATE 6 HOLE Utility pole

Facility

$8,100.00

Hospital Charge Code	270669408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.00
Max. Negotiated Rate	$4,050.00
Rate for Payer: Aetna Commercial	$2,430.00
Rate for Payer: Aetna Medicare Advantage	$2,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,065.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,065.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,065.50
Rate for Payer: Cigna Commercial	$4,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00

PLATE 6 HOLE VOLAR 80MM

Facility

$4,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694034
Hospital Revenue Code	278
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,492.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,203.95
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

PLATE 6 HOLE VOLAR 80MM

Facility

$4,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694034
Hospital Revenue Code	278
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$1,203.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,203.95
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

PLATE 6H RT LCP CONDYLR 222656

Facility

$5,862.75

Hospital Charge Code	270633659
Hospital Revenue Code	278
Min. Negotiated Rate	$879.41
Max. Negotiated Rate	$2,931.38
Rate for Payer: Aetna Commercial	$1,758.83
Rate for Payer: Aetna Medicare Advantage	$1,758.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,495.00
Rate for Payer: Cigna Commercial	$2,931.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.79
Rate for Payer: Qualcare PPO/HMO/WC	$879.41

PLATE 6H RT LCP CONDYLR 222656

Facility

$5,862.75

Hospital Charge Code	270633659
Hospital Revenue Code	278
Min. Negotiated Rate	$879.41
Max. Negotiated Rate	$1,418.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.79
Rate for Payer: Qualcare PPO/HMO/WC	$879.41

PLATE 72MM 4 LEVEL

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705762
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

PLATE 72MM 4 LEVEL

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705762
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

PLATE 7 HOLE

Facility

$1,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270685167
Hospital Revenue Code	278
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$637.50
Rate for Payer: Aetna Commercial	$382.50
Rate for Payer: Aetna Medicare Advantage	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.12
Rate for Payer: Cigna Commercial	$637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.55
Rate for Payer: Qualcare PPO/HMO/WC	$191.25

PLATE 7 HOLE

Facility

$1,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270685167
Hospital Revenue Code	278
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$308.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.55
Rate for Payer: Qualcare PPO/HMO/WC	$191.25

PLATE 7HOLE CABLE PLATE 350817

Facility

$3,820.00

Hospital Charge Code	270640545
Hospital Revenue Code	278
Min. Negotiated Rate	$573.00
Max. Negotiated Rate	$1,910.00
Rate for Payer: Aetna Commercial	$1,146.00
Rate for Payer: Aetna Medicare Advantage	$1,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$974.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$974.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$974.10
Rate for Payer: Cigna Commercial	$1,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$924.44
Rate for Payer: Qualcare PPO/HMO/WC	$573.00

PLATE 7HOLE CABLE PLATE 350817

Facility

$3,820.00

Hospital Charge Code	270640545
Hospital Revenue Code	278
Min. Negotiated Rate	$573.00
Max. Negotiated Rate	$924.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$924.44
Rate for Payer: Qualcare PPO/HMO/WC	$573.00

Know your out-of-pocket cost for care.

All Charges