Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE COMPRS 2 HOLE 130-150DEG

Facility

$1,111.00

Hospital Charge Code	1605799
Hospital Revenue Code	274
Min. Negotiated Rate	$166.65
Max. Negotiated Rate	$555.50
Rate for Payer: Aetna Commercial	$333.30
Rate for Payer: Aetna Medicare Advantage	$333.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.31
Rate for Payer: Cigna Commercial	$555.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.86
Rate for Payer: Qualcare PPO/HMO/WC	$166.65

PLATE COMPRS 3 HOLE 130-150DEG

Facility

$1,171.00

Hospital Charge Code	1605781
Hospital Revenue Code	274
Min. Negotiated Rate	$175.65
Max. Negotiated Rate	$585.50
Rate for Payer: Aetna Commercial	$351.30
Rate for Payer: Aetna Medicare Advantage	$351.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.61
Rate for Payer: Cigna Commercial	$585.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.38
Rate for Payer: Qualcare PPO/HMO/WC	$175.65

PLATE COMPRS 3 HOLE 130-150DEG

Facility

$1,171.00

Hospital Charge Code	1605781
Hospital Revenue Code	274
Min. Negotiated Rate	$175.65
Max. Negotiated Rate	$283.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.38
Rate for Payer: Qualcare PPO/HMO/WC	$175.65

PLATE COMPRS 4 HOLE 130-150DEG

Facility

$1,206.00

Hospital Charge Code	1605773
Hospital Revenue Code	274
Min. Negotiated Rate	$180.90
Max. Negotiated Rate	$291.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.85
Rate for Payer: Qualcare PPO/HMO/WC	$180.90

PLATE COMPRS 4 HOLE 130-150DEG

Facility

$1,206.00

Hospital Charge Code	1605773
Hospital Revenue Code	274
Min. Negotiated Rate	$180.90
Max. Negotiated Rate	$603.00
Rate for Payer: Aetna Commercial	$361.80
Rate for Payer: Aetna Medicare Advantage	$361.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.53
Rate for Payer: Cigna Commercial	$603.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.85
Rate for Payer: Qualcare PPO/HMO/WC	$180.90

PLATE COMPRS 5 HOLE 130-150DEG

Facility

$1,246.00

Hospital Charge Code	1605765
Hospital Revenue Code	274
Min. Negotiated Rate	$186.90
Max. Negotiated Rate	$623.00
Rate for Payer: Aetna Commercial	$373.80
Rate for Payer: Aetna Medicare Advantage	$373.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.73
Rate for Payer: Cigna Commercial	$623.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.53
Rate for Payer: Qualcare PPO/HMO/WC	$186.90

PLATE COMPRS 5 HOLE 130-150DEG

Facility

$1,246.00

Hospital Charge Code	1605765
Hospital Revenue Code	274
Min. Negotiated Rate	$186.90
Max. Negotiated Rate	$301.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.53
Rate for Payer: Qualcare PPO/HMO/WC	$186.90

PLATE COMPRS 6 HOLE 130-150DEG

Facility

$1,281.00

Hospital Charge Code	1605757
Hospital Revenue Code	274
Min. Negotiated Rate	$192.15
Max. Negotiated Rate	$310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.15

PLATE COMPRS 6 HOLE 130-150DEG

Facility

$1,281.00

Hospital Charge Code	1605757
Hospital Revenue Code	274
Min. Negotiated Rate	$192.15
Max. Negotiated Rate	$640.50
Rate for Payer: Aetna Commercial	$384.30
Rate for Payer: Aetna Medicare Advantage	$384.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.65
Rate for Payer: Cigna Commercial	$640.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$192.15

PLATE COMPRS 8 HOLE 130-150DEG

Facility

$1,595.00

Hospital Charge Code	1605740
Hospital Revenue Code	274
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$385.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.99
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

PLATE COMPRS 8 HOLE 130-150DEG

Facility

$1,595.00

Hospital Charge Code	1605740
Hospital Revenue Code	274
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$797.50
Rate for Payer: Aetna Commercial	$478.50
Rate for Payer: Aetna Medicare Advantage	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.73
Rate for Payer: Cigna Commercial	$797.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.99
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

PLATECOMPVALCP2.8/3.5X169MM8H

Facility

$5,896.20

Service Code	HCPCS C1713
Hospital Charge Code	270698571
Hospital Revenue Code	278
Min. Negotiated Rate	$884.43
Max. Negotiated Rate	$2,948.10
Rate for Payer: Aetna Commercial	$1,768.86
Rate for Payer: Aetna Medicare Advantage	$1,768.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,503.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,503.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,179.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,503.53
Rate for Payer: Cigna Commercial	$2,948.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.88
Rate for Payer: Qualcare PPO/HMO/WC	$884.43

PLATECOMPVALCP2.8/3.5X169MM8H

Facility

$5,896.20

Service Code	HCPCS C1713
Hospital Charge Code	270698571
Hospital Revenue Code	278
Min. Negotiated Rate	$884.43
Max. Negotiated Rate	$1,426.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,179.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,426.88
Rate for Payer: Qualcare PPO/HMO/WC	$884.43

PLATE CONDYLAR 10H 230MM RT S

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270675713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,131.75
Max. Negotiated Rate	$3,772.50
Rate for Payer: Aetna Commercial	$2,263.50
Rate for Payer: Aetna Medicare Advantage	$2,263.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,923.97
Rate for Payer: Cigna Commercial	$3,772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75

PLATE CONDYLAR 10H 230MM RT S

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270675713
Hospital Revenue Code	278
Min. Negotiated Rate	$1,131.75
Max. Negotiated Rate	$1,825.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75

PLATE CONDYLAR 159MM 6H LT STR

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270675839
Hospital Revenue Code	278
Min. Negotiated Rate	$1,062.45
Max. Negotiated Rate	$3,541.50
Rate for Payer: Aetna Commercial	$2,124.90
Rate for Payer: Aetna Medicare Advantage	$2,124.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,806.16
Rate for Payer: Cigna Commercial	$3,541.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45

PLATE CONDYLAR 159MM 6H LT STR

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270675839
Hospital Revenue Code	278
Min. Negotiated Rate	$1,062.45
Max. Negotiated Rate	$1,714.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45

PLATE CONDYLAR 1.5MM 7H LT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654821
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$290.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 1.5MM 7H LT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654821
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$601.00
Rate for Payer: Aetna Commercial	$360.60
Rate for Payer: Aetna Medicare Advantage	$360.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.51
Rate for Payer: Cigna Commercial	$601.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 1.5MM 7H RT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654823
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$601.00
Rate for Payer: Aetna Commercial	$360.60
Rate for Payer: Aetna Medicare Advantage	$360.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.51
Rate for Payer: Cigna Commercial	$601.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 1.5MM 7H RT

Facility

$1,202.00

Service Code	HCPCS C1713
Hospital Charge Code	270654823
Hospital Revenue Code	278
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$290.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.88
Rate for Payer: Qualcare PPO/HMO/WC	$180.30

PLATE CONDYLAR 2.0MM 7H L

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654835
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

PLATE CONDYLAR 2.0MM 7H L

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654835
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$330.94
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

PLATE CONDYLAR 2.0MM 7HOLE R

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654839
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$330.94
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

PLATE CONDYLAR 2.0MM 7HOLE R

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270654839
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

Know your out-of-pocket cost for care.

All Charges