Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

PLATE DHS 38MM 6 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603820
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 6 HL 140 DEG

Facility

$1,932.00

Hospital Charge Code	270603820
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 6 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603823
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 6 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603823
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 6 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603827
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 6 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603827
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 8 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603810
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 8 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603810
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 8 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603828
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 8 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603828
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 4 HL 135 DEG

Facility

$2,000.85

Hospital Charge Code	270607094
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 4 HL 135 DEG

Facility

$2,000.85

Hospital Charge Code	270607094
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 ST BAR 2 HL 135 DEG

Facility

$2,576.00

Hospital Charge Code	270603806
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 ST BAR 2 HL 135 DEG

Facility

$2,576.00

Hospital Charge Code	270603806
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 ST BAR 4 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603803
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 ST BAR 4 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603803
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 ST BAR 5 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603804
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 ST BAR 5 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603804
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 ST BAR 6 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603805
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 ST BAR 6 HL 130 DEG

Facility

$1,932.00

Hospital Charge Code	270603805
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 DIS RAD 3 HOLE RIGHT

Facility

$12,550.00

Hospital Charge Code	270703505
Hospital Revenue Code	278
Min. Negotiated Rate	$1,882.50
Max. Negotiated Rate	$6,275.00
Rate for Payer: Aetna Commercial	$3,765.00
Rate for Payer: Aetna Medicare Advantage	$3,765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,200.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,200.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,200.25
Rate for Payer: Cigna Commercial	$6,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,037.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,882.50

PLATE DIS RAD 3 HOLE RIGHT

Facility

$12,550.00

Hospital Charge Code	270703505
Hospital Revenue Code	278
Min. Negotiated Rate	$1,882.50
Max. Negotiated Rate	$3,037.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,037.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,882.50

PLATE DISTAL 2.7/3 5MM RT 8 HO

Facility

$6,804.60

Service Code	HCPCS C1713
Hospital Charge Code	270685244
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.69
Max. Negotiated Rate	$1,646.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.69

PLATE DISTAL 2.7/3 5MM RT 8 HO

Facility

$6,804.60

Service Code	HCPCS C1713
Hospital Charge Code	270685244
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.69
Max. Negotiated Rate	$3,402.30
Rate for Payer: Aetna Commercial	$2,041.38
Rate for Payer: Aetna Medicare Advantage	$2,041.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,735.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,735.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,735.17
Rate for Payer: Cigna Commercial	$3,402.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.69

Know your out-of-pocket cost for care.

All Charges