Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE CROSSCHECK MTP RT

Facility

$12,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270699979
Hospital Revenue Code	278
Min. Negotiated Rate	$1,944.75
Max. Negotiated Rate	$6,482.50
Rate for Payer: Aetna Commercial	$3,889.50
Rate for Payer: Aetna Medicare Advantage	$3,889.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,306.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,306.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,593.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,306.07
Rate for Payer: Cigna Commercial	$6,482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,137.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.75

PLATE CROSSCHECK MTP RT

Facility

$12,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270699979
Hospital Revenue Code	278
Min. Negotiated Rate	$1,944.75
Max. Negotiated Rate	$3,137.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,593.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,137.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.75

PLATE CROSS CNR SZ3545 2230540

Facility

$2,207.25

Hospital Charge Code	270633070
Hospital Revenue Code	278
Min. Negotiated Rate	$331.09
Max. Negotiated Rate	$534.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.15
Rate for Payer: Qualcare PPO/HMO/WC	$331.09

PLATE CROSS CNR SZ3545 2230540

Facility

$2,207.25

Hospital Charge Code	270633070
Hospital Revenue Code	278
Min. Negotiated Rate	$331.09
Max. Negotiated Rate	$1,103.62
Rate for Payer: Aetna Commercial	$662.17
Rate for Payer: Aetna Medicare Advantage	$662.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.85
Rate for Payer: Cigna Commercial	$1,103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.15
Rate for Payer: Qualcare PPO/HMO/WC	$331.09

PLATE CRV 1LVL CONST OZRK 20MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699421
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PLATE CRV 1LVL CONST OZRK 20MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699421
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PLATE CRVD BROAD LCP 14H 265MM

Facility

$3,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270674380
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

PLATE CRVD BROAD LCP 14H 265MM

Facility

$3,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270674380
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,044.00
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

PLATE CS CONTOR SZ1530 2230530

Facility

$2,207.25

Hospital Charge Code	270633069
Hospital Revenue Code	278
Min. Negotiated Rate	$331.09
Max. Negotiated Rate	$534.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.15
Rate for Payer: Qualcare PPO/HMO/WC	$331.09

PLATE CS CONTOR SZ1530 2230530

Facility

$2,207.25

Hospital Charge Code	270633069
Hospital Revenue Code	278
Min. Negotiated Rate	$331.09
Max. Negotiated Rate	$1,103.62
Rate for Payer: Aetna Commercial	$662.17
Rate for Payer: Aetna Medicare Advantage	$662.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$562.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$562.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$562.85
Rate for Payer: Cigna Commercial	$1,103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.15
Rate for Payer: Qualcare PPO/HMO/WC	$331.09

PLATE C-SPINE UNI 16MM

Facility

$4,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270693655
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$1,197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

PLATE C-SPINE UNI 16MM

Facility

$4,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270693655
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$2,475.00
Rate for Payer: Aetna Commercial	$1,485.00
Rate for Payer: Aetna Medicare Advantage	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.25
Rate for Payer: Cigna Commercial	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

PLATE CURE ACP 5 LEVEL 84MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699248
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.12
Max. Negotiated Rate	$4,052.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12

PLATE CURE ACP 5 LEVEL 84MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699248
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.12
Max. Negotiated Rate	$8,373.75
Rate for Payer: Aetna Commercial	$5,024.25
Rate for Payer: Aetna Medicare Advantage	$5,024.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,270.61
Rate for Payer: Cigna Commercial	$8,373.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12

PLATE CURVE 36MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270668584
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

PLATE CURVE 36MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270668584
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

PLATE CUTTER LOCKING CALCANEAL

Facility

$6,590.95

Service Code	HCPCS C1713
Hospital Charge Code	270651714
Hospital Revenue Code	278
Min. Negotiated Rate	$988.64
Max. Negotiated Rate	$1,595.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,318.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,595.01
Rate for Payer: Qualcare PPO/HMO/WC	$988.64

PLATE CUTTER LOCKING CALCANEAL

Facility

$6,590.95

Service Code	HCPCS C1713
Hospital Charge Code	270651714
Hospital Revenue Code	278
Min. Negotiated Rate	$988.64
Max. Negotiated Rate	$3,295.47
Rate for Payer: Aetna Commercial	$1,977.29
Rate for Payer: Aetna Medicare Advantage	$1,977.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,680.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,680.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,318.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,680.69
Rate for Payer: Cigna Commercial	$3,295.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,595.01
Rate for Payer: Qualcare PPO/HMO/WC	$988.64

PLATE DCP 10 HOLE 3.5x121MM

Facility

$769.40

Service Code	HCPCS C1713
Hospital Charge Code	270604402
Hospital Revenue Code	278
Min. Negotiated Rate	$115.41
Max. Negotiated Rate	$384.70
Rate for Payer: Aetna Commercial	$230.82
Rate for Payer: Aetna Medicare Advantage	$230.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.20
Rate for Payer: Cigna Commercial	$384.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.19
Rate for Payer: Qualcare PPO/HMO/WC	$115.41

PLATE DCP 10 HOLE 3.5x121MM

Facility

$769.40

Service Code	HCPCS C1713
Hospital Charge Code	270604402
Hospital Revenue Code	278
Min. Negotiated Rate	$115.41
Max. Negotiated Rate	$186.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.19
Rate for Payer: Qualcare PPO/HMO/WC	$115.41

PLATE DCP 2.0MM 4H

Facility

$564.85

Hospital Charge Code	270604351
Hospital Revenue Code	278
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$169.46
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

PLATE DCP 2.0MM 4H

Facility

$564.85

Hospital Charge Code	270604351
Hospital Revenue Code	278
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$136.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

PLATE DCP 2.0MM 5H

Facility

$581.65

Hospital Charge Code	270604352
Hospital Revenue Code	278
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$290.82
Rate for Payer: Aetna Commercial	$174.50
Rate for Payer: Aetna Medicare Advantage	$174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.32
Rate for Payer: Cigna Commercial	$290.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

PLATE DCP 2.0MM 5H

Facility

$581.65

Hospital Charge Code	270604352
Hospital Revenue Code	278
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

PLATE DCP 2.0MM 6H

Facility

$612.00

Hospital Charge Code	270604353
Hospital Revenue Code	278
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$148.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.10
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

Know your out-of-pocket cost for care.

All Charges