Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE DCS 95 25MM 10H

Facility

$3,218.45

Hospital Charge Code	270603848
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$778.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 10H

Facility

$3,218.45

Hospital Charge Code	270603848
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$1,609.22
Rate for Payer: Aetna Commercial	$965.53
Rate for Payer: Aetna Medicare Advantage	$965.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$820.70
Rate for Payer: Cigna Commercial	$1,609.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 12H

Facility

$3,218.45

Hospital Charge Code	270603849
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$778.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 12H

Facility

$3,218.45

Hospital Charge Code	270603849
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$1,609.22
Rate for Payer: Aetna Commercial	$965.53
Rate for Payer: Aetna Medicare Advantage	$965.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$820.70
Rate for Payer: Cigna Commercial	$1,609.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 14H

Facility

$3,218.45

Hospital Charge Code	270603850
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$778.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 14H

Facility

$3,218.45

Hospital Charge Code	270603850
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$1,609.22
Rate for Payer: Aetna Commercial	$965.53
Rate for Payer: Aetna Medicare Advantage	$965.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$820.70
Rate for Payer: Cigna Commercial	$1,609.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 16H

Facility

$3,877.65

Hospital Charge Code	270603851
Hospital Revenue Code	278
Min. Negotiated Rate	$581.65
Max. Negotiated Rate	$938.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$775.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$938.39
Rate for Payer: Qualcare PPO/HMO/WC	$581.65

PLATE DCS 95 25MM 16H

Facility

$3,877.65

Hospital Charge Code	270603851
Hospital Revenue Code	278
Min. Negotiated Rate	$581.65
Max. Negotiated Rate	$1,938.83
Rate for Payer: Aetna Commercial	$1,163.30
Rate for Payer: Aetna Medicare Advantage	$1,163.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$988.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$988.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$775.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$988.80
Rate for Payer: Cigna Commercial	$1,938.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$938.39
Rate for Payer: Qualcare PPO/HMO/WC	$581.65

PLATE DCS 95 25MM 6H

Facility

$3,218.45

Hospital Charge Code	270603846
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$778.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 6H

Facility

$3,218.45

Hospital Charge Code	270603846
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$1,609.22
Rate for Payer: Aetna Commercial	$965.53
Rate for Payer: Aetna Medicare Advantage	$965.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$820.70
Rate for Payer: Cigna Commercial	$1,609.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 8H

Facility

$3,218.45

Hospital Charge Code	270603847
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$1,609.22
Rate for Payer: Aetna Commercial	$965.53
Rate for Payer: Aetna Medicare Advantage	$965.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$820.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$820.70
Rate for Payer: Cigna Commercial	$1,609.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DCS 95 25MM 8H

Facility

$3,218.45

Hospital Charge Code	270603847
Hospital Revenue Code	278
Min. Negotiated Rate	$482.77
Max. Negotiated Rate	$778.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$643.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.86
Rate for Payer: Qualcare PPO/HMO/WC	$482.77

PLATE DHS 135 DEG 10H/174MM

Facility

$3,229.05

Service Code	HCPCS C1713
Hospital Charge Code	270651718
Hospital Revenue Code	278
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$1,614.53
Rate for Payer: Aetna Commercial	$968.72
Rate for Payer: Aetna Medicare Advantage	$968.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$645.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.41
Rate for Payer: Cigna Commercial	$1,614.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.43
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

PLATE DHS 135 DEG 10H/174MM

Facility

$3,229.05

Service Code	HCPCS C1713
Hospital Charge Code	270651718
Hospital Revenue Code	278
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$781.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$645.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.43
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

PLATE DHS 135 DEG 4H/78MM

Facility

$2,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270603833
Hospital Revenue Code	278
Min. Negotiated Rate	$341.14
Max. Negotiated Rate	$1,137.12
Rate for Payer: Aetna Commercial	$682.27
Rate for Payer: Aetna Medicare Advantage	$682.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$579.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$579.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$579.93
Rate for Payer: Cigna Commercial	$1,137.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.37
Rate for Payer: Qualcare PPO/HMO/WC	$341.14

PLATE DHS 135 DEG 4H/78MM

Facility

$2,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270603833
Hospital Revenue Code	278
Min. Negotiated Rate	$341.14
Max. Negotiated Rate	$550.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.37
Rate for Payer: Qualcare PPO/HMO/WC	$341.14

PLATE DHS 135 DEG 5H/94MM

Facility

$2,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270651719
Hospital Revenue Code	278
Min. Negotiated Rate	$341.14
Max. Negotiated Rate	$1,137.12
Rate for Payer: Aetna Commercial	$682.27
Rate for Payer: Aetna Medicare Advantage	$682.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$579.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$579.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$579.93
Rate for Payer: Cigna Commercial	$1,137.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.37
Rate for Payer: Qualcare PPO/HMO/WC	$341.14

PLATE DHS 135 DEG 5H/94MM

Facility

$2,274.25

Service Code	HCPCS C1713
Hospital Charge Code	270651719
Hospital Revenue Code	278
Min. Negotiated Rate	$341.14
Max. Negotiated Rate	$550.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$454.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.37
Rate for Payer: Qualcare PPO/HMO/WC	$341.14

PLATE DHS 140 DEG 5H/94MM

Facility

$2,481.25

Service Code	HCPCS C1713
Hospital Charge Code	270603818
Hospital Revenue Code	278
Min. Negotiated Rate	$372.19
Max. Negotiated Rate	$1,240.62
Rate for Payer: Aetna Commercial	$744.38
Rate for Payer: Aetna Medicare Advantage	$744.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.72
Rate for Payer: Cigna Commercial	$1,240.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.46
Rate for Payer: Qualcare PPO/HMO/WC	$372.19

PLATE DHS 140 DEG 5H/94MM

Facility

$2,481.25

Service Code	HCPCS C1713
Hospital Charge Code	270603818
Hospital Revenue Code	278
Min. Negotiated Rate	$372.19
Max. Negotiated Rate	$600.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.46
Rate for Payer: Qualcare PPO/HMO/WC	$372.19

PLATE DHS 25MM 4 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603836
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 25MM 4 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603836
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$579.60
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 25MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603839
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 25MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603839
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$579.60
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 25MM 4 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603842
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$579.60
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

Know your out-of-pocket cost for care.

All Charges