Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE BROAD 6 HOLE ALTA

Facility

$713.00

Hospital Charge Code	270335170
Hospital Revenue Code	278
Min. Negotiated Rate	$106.95
Max. Negotiated Rate	$172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.55
Rate for Payer: Qualcare PPO/HMO/WC	$106.95

PLATE BROAD 8 HOLE ALTA

Facility

$911.00

Hospital Charge Code	270335171
Hospital Revenue Code	278
Min. Negotiated Rate	$136.65
Max. Negotiated Rate	$220.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.46
Rate for Payer: Qualcare PPO/HMO/WC	$136.65

PLATE BROAD 8 HOLE ALTA

Facility

$911.00

Hospital Charge Code	270335171
Hospital Revenue Code	278
Min. Negotiated Rate	$136.65
Max. Negotiated Rate	$455.50
Rate for Payer: Aetna Commercial	$273.30
Rate for Payer: Aetna Medicare Advantage	$273.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.31
Rate for Payer: Cigna Commercial	$455.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.46
Rate for Payer: Qualcare PPO/HMO/WC	$136.65

PLATE BROAD DCP 14H 4.5x286MM

Facility

$1,581.00

Hospital Charge Code	270675502
Hospital Revenue Code	278
Min. Negotiated Rate	$237.15
Max. Negotiated Rate	$790.50
Rate for Payer: Aetna Commercial	$474.30
Rate for Payer: Aetna Medicare Advantage	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$403.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$403.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$403.15
Rate for Payer: Cigna Commercial	$790.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.60
Rate for Payer: Qualcare PPO/HMO/WC	$237.15

PLATE BROAD DCP 14H 4.5x286MM

Facility

$1,581.00

Hospital Charge Code	270675502
Hospital Revenue Code	278
Min. Negotiated Rate	$237.15
Max. Negotiated Rate	$382.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$316.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.60
Rate for Payer: Qualcare PPO/HMO/WC	$237.15

PLATE BROAD LKG 4H 39MM

Facility

$6,115.55

Service Code	HCPCS C1713
Hospital Charge Code	270699827
Hospital Revenue Code	278
Min. Negotiated Rate	$917.33
Max. Negotiated Rate	$1,479.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,223.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$917.33

PLATE BROAD LKG 4H 39MM

Facility

$6,115.55

Service Code	HCPCS C1713
Hospital Charge Code	270699827
Hospital Revenue Code	278
Min. Negotiated Rate	$917.33
Max. Negotiated Rate	$3,057.78
Rate for Payer: Aetna Commercial	$1,834.66
Rate for Payer: Aetna Medicare Advantage	$1,834.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,559.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,559.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,559.47
Rate for Payer: Cigna Commercial	$3,057.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$917.33

PLATE BUT L 4HOLE LT 244908514

Facility

$715.00

Hospital Charge Code	270610439
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$357.50
Rate for Payer: Aetna Commercial	$214.50
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.32
Rate for Payer: Cigna Commercial	$357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

PLATE BUT L 4HOLE LT 244908514

Facility

$715.00

Hospital Charge Code	270610439
Hospital Revenue Code	278
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$173.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.03
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

PLATE BUTRES T 4-HOL 244908404

Facility

$790.00

Hospital Charge Code	270610436
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$237.00
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

PLATE BUTRES T 4-HOL 244908404

Facility

$790.00

Hospital Charge Code	270610436
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

PLATE BUTTON DISTAL CLAVICLE

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687594
Hospital Revenue Code	278
Min. Negotiated Rate	$738.75
Max. Negotiated Rate	$2,462.50
Rate for Payer: Aetna Commercial	$1,477.50
Rate for Payer: Aetna Medicare Advantage	$1,477.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,255.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,255.88
Rate for Payer: Cigna Commercial	$2,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75

PLATE BUTTON DISTAL CLAVICLE

Facility

$4,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270687594
Hospital Revenue Code	278
Min. Negotiated Rate	$738.75
Max. Negotiated Rate	$1,191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$985.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,191.85
Rate for Payer: Qualcare PPO/HMO/WC	$738.75

PLATE BUTTRESS 4 HOLES RIGHT

Facility

$1,710.00

Hospital Charge Code	270656207
Hospital Revenue Code	278
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$413.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$342.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.82
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

PLATE BUTTRESS 4 HOLES RIGHT

Facility

$1,710.00

Hospital Charge Code	270656207
Hospital Revenue Code	278
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.82
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

PLATE CALCANEAL

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690198
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$1,642.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690198
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$337.89
Max. Negotiated Rate	$1,126.30
Rate for Payer: Aetna Commercial	$675.78
Rate for Payer: Aetna Medicare Advantage	$675.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$574.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$574.41
Rate for Payer: Cigna Commercial	$1,126.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: Qualcare PPO/HMO/WC	$337.89

PLATE CALCANEAL 70MM

Facility

$2,252.60

Service Code	HCPCS C1713
Hospital Charge Code	270651712
Hospital Revenue Code	278
Min. Negotiated Rate	$337.89
Max. Negotiated Rate	$545.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.13
Rate for Payer: Qualcare PPO/HMO/WC	$337.89

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$2,737.50
Rate for Payer: Aetna Commercial	$1,642.50
Rate for Payer: Aetna Medicare Advantage	$1,642.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,396.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,396.12
Rate for Payer: Cigna Commercial	$2,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL 8 HOLE LONG L

Facility

$5,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688013
Hospital Revenue Code	278
Min. Negotiated Rate	$821.25
Max. Negotiated Rate	$1,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,324.95
Rate for Payer: Qualcare PPO/HMO/WC	$821.25

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,364.95
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG R

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270681405
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$1,101.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

PLATE CALCANEAL 8 HOLE LONG S

Facility

$4,549.85

Service Code	HCPCS C1713
Hospital Charge Code	270688023
Hospital Revenue Code	278
Min. Negotiated Rate	$682.48
Max. Negotiated Rate	$2,274.93
Rate for Payer: Aetna Commercial	$1,364.95
Rate for Payer: Aetna Medicare Advantage	$1,364.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$909.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.21
Rate for Payer: Cigna Commercial	$2,274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.06
Rate for Payer: Qualcare PPO/HMO/WC	$682.48

Know your out-of-pocket cost for care.

All Charges