Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE DCP 2.0MM 6H

Facility

$612.00

Hospital Charge Code	270604353
Hospital Revenue Code	278
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$306.00
Rate for Payer: Aetna Commercial	$183.60
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.10
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

PLATE DCP 2.0MM 7H

Facility

$638.45

Hospital Charge Code	270604354
Hospital Revenue Code	278
Min. Negotiated Rate	$95.77
Max. Negotiated Rate	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$95.77

PLATE DCP 2.0MM 7H

Facility

$638.45

Hospital Charge Code	270604354
Hospital Revenue Code	278
Min. Negotiated Rate	$95.77
Max. Negotiated Rate	$319.23
Rate for Payer: Aetna Commercial	$191.53
Rate for Payer: Aetna Medicare Advantage	$191.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.80
Rate for Payer: Cigna Commercial	$319.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$95.77

PLATE DCP 2.0MM 8H

Facility

$657.65

Hospital Charge Code	270604355
Hospital Revenue Code	278
Min. Negotiated Rate	$98.65
Max. Negotiated Rate	$159.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.15
Rate for Payer: Qualcare PPO/HMO/WC	$98.65

PLATE DCP 2.0MM 8H

Facility

$657.65

Hospital Charge Code	270604355
Hospital Revenue Code	278
Min. Negotiated Rate	$98.65
Max. Negotiated Rate	$328.82
Rate for Payer: Aetna Commercial	$197.29
Rate for Payer: Aetna Medicare Advantage	$197.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.70
Rate for Payer: Cigna Commercial	$328.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.15
Rate for Payer: Qualcare PPO/HMO/WC	$98.65

PLATE DCP 2.7MM 10H 20MM

Facility

$797.65

Hospital Charge Code	270604365
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

PLATE DCP 2.7MM 10H 20MM

Facility

$797.65

Hospital Charge Code	270604365
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$398.82
Rate for Payer: Aetna Commercial	$239.29
Rate for Payer: Aetna Medicare Advantage	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.40
Rate for Payer: Cigna Commercial	$398.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

PLATE DCP 2.7MM 12H 20MM

Facility

$905.65

Hospital Charge Code	270604366
Hospital Revenue Code	278
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$219.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.17
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

PLATE DCP 2.7MM 12H 20MM

Facility

$905.65

Hospital Charge Code	270604366
Hospital Revenue Code	278
Min. Negotiated Rate	$135.85
Max. Negotiated Rate	$452.82
Rate for Payer: Aetna Commercial	$271.69
Rate for Payer: Aetna Medicare Advantage	$271.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.94
Rate for Payer: Cigna Commercial	$452.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.17
Rate for Payer: Qualcare PPO/HMO/WC	$135.85

PLATE DCP 2.7MM 2H 20MM

Facility

$511.25

Hospital Charge Code	270604358
Hospital Revenue Code	278
Min. Negotiated Rate	$76.69
Max. Negotiated Rate	$123.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.69

PLATE DCP 2.7MM 2H 20MM

Facility

$511.25

Hospital Charge Code	270604358
Hospital Revenue Code	278
Min. Negotiated Rate	$76.69
Max. Negotiated Rate	$255.62
Rate for Payer: Aetna Commercial	$153.38
Rate for Payer: Aetna Medicare Advantage	$153.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.37
Rate for Payer: Cigna Commercial	$255.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.69

PLATE DCP 2.7MM 2H 26MM

Facility

$681.65

Hospital Charge Code	270604367
Hospital Revenue Code	278
Min. Negotiated Rate	$102.25
Max. Negotiated Rate	$340.82
Rate for Payer: Aetna Commercial	$204.50
Rate for Payer: Aetna Medicare Advantage	$204.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.82
Rate for Payer: Cigna Commercial	$340.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.96
Rate for Payer: Qualcare PPO/HMO/WC	$102.25

PLATE DCP 2.7MM 2H 26MM

Facility

$681.65

Hospital Charge Code	270604367
Hospital Revenue Code	278
Min. Negotiated Rate	$102.25
Max. Negotiated Rate	$164.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.96
Rate for Payer: Qualcare PPO/HMO/WC	$102.25

PLATE DCP 2.7MM 4H 20MM

Facility

$442.45

Hospital Charge Code	270604359
Hospital Revenue Code	278
Min. Negotiated Rate	$66.37
Max. Negotiated Rate	$107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$66.37

PLATE DCP 2.7MM 4H 20MM

Facility

$442.45

Hospital Charge Code	270604359
Hospital Revenue Code	278
Min. Negotiated Rate	$66.37
Max. Negotiated Rate	$221.22
Rate for Payer: Aetna Commercial	$132.74
Rate for Payer: Aetna Medicare Advantage	$132.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.82
Rate for Payer: Cigna Commercial	$221.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.07
Rate for Payer: Qualcare PPO/HMO/WC	$66.37

PLATE DCP 2.7MM 5H 20MM

Facility

$508.00

Hospital Charge Code	270604360
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$122.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

PLATE DCP 2.7MM 5H 20MM

Facility

$508.00

Hospital Charge Code	270604360
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$152.40
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

PLATE DCP 2.7MM 6HOLE 52MM

Facility

$707.60

Service Code	HCPCS C1713
Hospital Charge Code	270604361
Hospital Revenue Code	278
Min. Negotiated Rate	$106.14
Max. Negotiated Rate	$353.80
Rate for Payer: Aetna Commercial	$212.28
Rate for Payer: Aetna Medicare Advantage	$212.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.44
Rate for Payer: Cigna Commercial	$353.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.24
Rate for Payer: Qualcare PPO/HMO/WC	$106.14

PLATE DCP 2.7MM 6HOLE 52MM

Facility

$707.60

Service Code	HCPCS C1713
Hospital Charge Code	270604361
Hospital Revenue Code	278
Min. Negotiated Rate	$106.14
Max. Negotiated Rate	$171.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.24
Rate for Payer: Qualcare PPO/HMO/WC	$106.14

PLATE DCP 2.7MM 7H

Facility

$621.65

Hospital Charge Code	270604362
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

PLATE DCP 2.7MM 7H

Facility

$621.65

Hospital Charge Code	270604362
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

PLATE DCP 2.7MM 8H 20MM

Facility

$683.25

Hospital Charge Code	270604363
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$204.97
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

PLATE DCP 2.7MM 8H 20MM

Facility

$683.25

Hospital Charge Code	270604363
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$165.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

PLATE DCP 2.7MM 9H 20MM

Facility

$729.65

Hospital Charge Code	270604364
Hospital Revenue Code	278
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$176.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.58
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

PLATE DCP 2.7MM 9H 20MM

Facility

$729.65

Hospital Charge Code	270604364
Hospital Revenue Code	278
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$218.90
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.58
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

Know your out-of-pocket cost for care.

All Charges