Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PLATE DHS 25MM 5 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603834
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 5 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603834
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 5 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603837
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 5 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603837
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 5 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603840
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 5 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603840
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 5 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603843
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 5 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603843
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 6 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603835
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 6 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603835
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 6 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603838
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 6 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603838
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 6 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603841
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 6 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603841
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 6 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603844
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 6 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603844
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 2H/46mm 130 DEG

Facility

$2,409.00

Hospital Charge Code	270671816
Hospital Revenue Code	278
Min. Negotiated Rate	$361.35
Max. Negotiated Rate	$582.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.98
Rate for Payer: Qualcare PPO/HMO/WC	$361.35

PLATE DHS 2H/46mm 130 DEG

Facility

$2,409.00

Hospital Charge Code	270671816
Hospital Revenue Code	278
Min. Negotiated Rate	$361.35
Max. Negotiated Rate	$1,204.50
Rate for Payer: Aetna Commercial	$722.70
Rate for Payer: Aetna Medicare Advantage	$722.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$614.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$614.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$614.29
Rate for Payer: Cigna Commercial	$1,204.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.98
Rate for Payer: Qualcare PPO/HMO/WC	$361.35

PLATE DHS 38 6H 135DEG 281.16

Facility

$2,576.00

Hospital Charge Code	270603809
Hospital Revenue Code	278
Min. Negotiated Rate	$386.40
Max. Negotiated Rate	$623.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.39
Rate for Payer: Qualcare PPO/HMO/WC	$386.40

PLATE DHS 38 6H 135DEG 281.16

Facility

$2,576.00

Hospital Charge Code	270603809
Hospital Revenue Code	278
Min. Negotiated Rate	$386.40
Max. Negotiated Rate	$1,288.00
Rate for Payer: Aetna Commercial	$772.80
Rate for Payer: Aetna Medicare Advantage	$772.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.88
Rate for Payer: Cigna Commercial	$1,288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.39
Rate for Payer: Qualcare PPO/HMO/WC	$386.40

PLATE DHS 38MM 10 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603811
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 10 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603811
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$777.38
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 10 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603829
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$777.38
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 10 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603829
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

Know your out-of-pocket cost for care.

All Charges