Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE CONDYLAR 4.5MM 6H RT

Facility

$7,088.45

Hospital Charge Code	270677607
Hospital Revenue Code	278
Min. Negotiated Rate	$1,063.27
Max. Negotiated Rate	$3,544.22
Rate for Payer: Aetna Commercial	$2,126.53
Rate for Payer: Aetna Medicare Advantage	$2,126.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,417.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,807.55
Rate for Payer: Cigna Commercial	$3,544.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,715.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,063.27

PLATE CONDYLAR 4.5MM 6H RT ST

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270676982
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 4.5MM 6H RT ST

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270676982
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 4.5MM 8H LT

Facility

$7,227.50

Hospital Charge Code	270677610
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$3,613.75
Rate for Payer: Aetna Commercial	$2,168.25
Rate for Payer: Aetna Medicare Advantage	$2,168.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,843.01
Rate for Payer: Cigna Commercial	$3,613.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H LT

Facility

$7,227.50

Hospital Charge Code	270677610
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$1,749.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H LT ST

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270677413
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 4.5MM 8H LT ST

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270677413
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 4.5MM 8H RT

Facility

$7,227.50

Service Code	HCPCS C1713
Hospital Charge Code	270677609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$1,749.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H RT

Facility

$7,227.50

Service Code	HCPCS C1713
Hospital Charge Code	270677609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$3,613.75
Rate for Payer: Aetna Commercial	$2,168.25
Rate for Payer: Aetna Medicare Advantage	$2,168.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,843.01
Rate for Payer: Cigna Commercial	$3,613.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H RT ST

Facility

$7,218.00

Service Code	HCPCS C1713
Hospital Charge Code	270677136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,082.70
Max. Negotiated Rate	$1,746.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,443.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.70

PLATE CONDYLAR 4.5MM 8H RT ST

Facility

$7,218.00

Service Code	HCPCS C1713
Hospital Charge Code	270677136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,082.70
Max. Negotiated Rate	$3,609.00
Rate for Payer: Aetna Commercial	$2,165.40
Rate for Payer: Aetna Medicare Advantage	$2,165.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,840.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,840.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,443.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,840.59
Rate for Payer: Cigna Commercial	$3,609.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.70

PLATE CONDYLAR LCP 7H 2x54MM

Facility

$3,373.65

Service Code	HCPCS C1713
Hospital Charge Code	270672176
Hospital Revenue Code	278
Min. Negotiated Rate	$506.05
Max. Negotiated Rate	$1,686.83
Rate for Payer: Aetna Commercial	$1,012.10
Rate for Payer: Aetna Medicare Advantage	$1,012.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$674.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.28
Rate for Payer: Cigna Commercial	$1,686.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.42
Rate for Payer: Qualcare PPO/HMO/WC	$506.05

PLATE CONDYLAR LCP 7H 2x54MM

Facility

$3,373.65

Service Code	HCPCS C1713
Hospital Charge Code	270672176
Hospital Revenue Code	278
Min. Negotiated Rate	$506.05
Max. Negotiated Rate	$816.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$674.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.42
Rate for Payer: Qualcare PPO/HMO/WC	$506.05

PLATE CONDY LCP 10H 230MM LT

Facility

$7,545.00

Hospital Charge Code	270676149
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 CONDY LCP 10H 230MM LT

Facility

$7,545.00

Hospital Charge Code	270676149
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 CONNECTING 3 HOLE

Facility

$456.25

Hospital Charge Code	270693747
Hospital Revenue Code	272
Min. Negotiated Rate	$59.31
Max. Negotiated Rate	$228.12
Rate for Payer: Aetna Commercial	$136.88
Rate for Payer: Aetna Medicare Advantage	$136.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.34
Rate for Payer: Cigna Commercial	$228.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.31
Rate for Payer: Oxford Commercial	$228.12
Rate for Payer: Qualcare PPO/HMO/WC	$68.44
Rate for Payer: UnitedHealthcare Commercial	$228.12

PLATE CONNECTING 3 HOLE

Facility

$456.25

Hospital Charge Code	270693747
Hospital Revenue Code	272
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$68.44
Rate for Payer: Qualcare PPO/HMO/WC	$68.44

PLATE CONTOUR 17 HOLE

Facility

$11,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270684922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,662.75
Max. Negotiated Rate	$2,682.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,682.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,662.75

PLATE CONTOUR 17 HOLE

Facility

$11,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270684922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,662.75
Max. Negotiated Rate	$5,542.50
Rate for Payer: Aetna Commercial	$3,325.50
Rate for Payer: Aetna Medicare Advantage	$3,325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,826.68
Rate for Payer: Cigna Commercial	$5,542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,682.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,662.75

PLATE COTTON 4MM

Facility

$3,975.00

Hospital Charge Code	270668302
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

PLATE COTTON 4MM

Facility

$3,975.00

Hospital Charge Code	270668302
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

PLATE CRANIAL OSSDSIGN PSI

Facility

$65,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270698500
Hospital Revenue Code	278
Min. Negotiated Rate	$9,750.00
Max. Negotiated Rate	$15,730.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,730.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,750.00

PLATE CRANIAL OSSDSIGN PSI

Facility

$65,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270698500
Hospital Revenue Code	278
Min. Negotiated Rate	$9,750.00
Max. Negotiated Rate	$32,500.00
Rate for Payer: Aetna Commercial	$19,500.00
Rate for Payer: Aetna Medicare Advantage	$19,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,575.00
Rate for Payer: Cigna Commercial	$32,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,730.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,750.00

PLATE CRANIAL STR 2H 12MM

Facility

$560.00

Service Code	HCPCS C1713
Hospital Charge Code	270695276
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$168.00
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

PLATE CRANIAL STR 2H 12MM

Facility

$560.00

Service Code	HCPCS C1713
Hospital Charge Code	270695276
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

Know your out-of-pocket cost for care.

All Charges