Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE DHS 38MM 12 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603812
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 12 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603812
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 12 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603830
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 12 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603830
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 14 HL 135 DEG

Facility

$3,456.85

Hospital Charge Code	270603813
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$1,728.42
Rate for Payer: Aetna Commercial	$1,037.06
Rate for Payer: Aetna Medicare Advantage	$1,037.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.50
Rate for Payer: Cigna Commercial	$1,728.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 14 HL 135 DEG

Facility

$3,456.85

Hospital Charge Code	270603813
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$836.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 16 HL

Facility

$3,456.85

Hospital Charge Code	270603814
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$836.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 16 HL

Facility

$3,456.85

Hospital Charge Code	270603814
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$1,728.42
Rate for Payer: Aetna Commercial	$1,037.06
Rate for Payer: Aetna Medicare Advantage	$1,037.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.50
Rate for Payer: Cigna Commercial	$1,728.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 2 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603824
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 38MM 2 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603824
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 38MM 4 HL 140 DEG

Facility

$2,000.85

Hospital Charge Code	270603819
Hospital Revenue Code	278
Min. Negotiated Rate	$300.13
Max. Negotiated Rate	$484.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.21
Rate for Payer: Qualcare PPO/HMO/WC	$300.13

PLATE DHS 38MM 4 HL 140 DEG

Facility

$2,000.85

Hospital Charge Code	270603819
Hospital Revenue Code	278
Min. Negotiated Rate	$300.13
Max. Negotiated Rate	$1,000.42
Rate for Payer: Aetna Commercial	$600.25
Rate for Payer: Aetna Medicare Advantage	$600.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.22
Rate for Payer: Cigna Commercial	$1,000.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.21
Rate for Payer: Qualcare PPO/HMO/WC	$300.13

PLATE DHS 38MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603821
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 38MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603821
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 38MM 4 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603825
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 38MM 4 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603825
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 38mm 4HOLE 135

Facility

$2,208.00

Hospital Charge Code	270603807
Hospital Revenue Code	278
Min. Negotiated Rate	$331.20
Max. Negotiated Rate	$534.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.34
Rate for Payer: Qualcare PPO/HMO/WC	$331.20

PLATE DHS 38mm 4HOLE 135

Facility

$2,208.00

Hospital Charge Code	270603807
Hospital Revenue Code	278
Min. Negotiated Rate	$331.20
Max. Negotiated Rate	$1,104.00
Rate for Payer: Aetna Commercial	$662.40
Rate for Payer: Aetna Medicare Advantage	$662.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.04
Rate for Payer: Cigna Commercial	$1,104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.34
Rate for Payer: Qualcare PPO/HMO/WC	$331.20

PLATE DHS 38MM 5H 140 DEG****

Facility

$2,300.00

Hospital Charge Code	27060318
Hospital Revenue Code	274
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

PLATE DHS 38MM 5H 140 DEG****

Facility

$2,300.00

Hospital Charge Code	27060318
Hospital Revenue Code	274
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$1,150.00
Rate for Payer: Aetna Commercial	$690.00
Rate for Payer: Aetna Medicare Advantage	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.50
Rate for Payer: Cigna Commercial	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

PLATE DHS 38MM 5 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603808
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 38MM 5 HL 135 DEG

Facility

$1,932.00

Hospital Charge Code	270603808
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 38MM 5 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603822
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 38MM 5 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603822
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 38MM 5 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603826
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