Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE ISP-T FLARED PC 10X36MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270694895
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$10,040.00
Rate for Payer: Aetna Commercial	$6,024.00
Rate for Payer: Aetna Medicare Advantage	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,120.40
Rate for Payer: Cigna Commercial	$10,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

PLATE ISP-T FLARED PC 12X38MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270694897
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$10,040.00
Rate for Payer: Aetna Commercial	$6,024.00
Rate for Payer: Aetna Medicare Advantage	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,120.40
Rate for Payer: Cigna Commercial	$10,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

PLATE ISP-T FLARED PC 12X38MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270694897
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$4,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

PLATE ISP-T FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270694896
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$10,040.00
Rate for Payer: Aetna Commercial	$6,024.00
Rate for Payer: Aetna Medicare Advantage	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,120.40
Rate for Payer: Cigna Commercial	$10,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

PLATE ISP-T FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270694896
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$4,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

PLATE KIT MSP SHORT LT 36.5MM

Facility

$5,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270696759
Hospital Revenue Code	278
Min. Negotiated Rate	$870.00
Max. Negotiated Rate	$2,900.00
Rate for Payer: Aetna Commercial	$1,740.00
Rate for Payer: Aetna Medicare Advantage	$1,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,479.00
Rate for Payer: Cigna Commercial	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,403.60
Rate for Payer: Qualcare PPO/HMO/WC	$870.00

PLATE KIT MSP SHORT LT 36.5MM

Facility

$5,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270696759
Hospital Revenue Code	278
Min. Negotiated Rate	$870.00
Max. Negotiated Rate	$1,403.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,403.60
Rate for Payer: Qualcare PPO/HMO/WC	$870.00

PLATE LAG XL 3.0 MM TI

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691749
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PLATE LAG XL 3.0 MM TI

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691749
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PLATE LAPIDUS

Facility

$9,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270679879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,494.75
Max. Negotiated Rate	$4,982.50
Rate for Payer: Aetna Commercial	$2,989.50
Rate for Payer: Aetna Medicare Advantage	$2,989.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,993.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,541.07
Rate for Payer: Cigna Commercial	$4,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,411.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,494.75

PLATE LAPIDUS

Facility

$9,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270679879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,494.75
Max. Negotiated Rate	$2,411.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,993.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,411.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,494.75

PLATE LAPIDUS 0MM

Facility

$9,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270683199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,494.75
Max. Negotiated Rate	$2,411.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,993.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,411.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,494.75

PLATE LAPIDUS 0MM

Facility

$9,965.00

Service Code	HCPCS C1713
Hospital Charge Code	270683199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,494.75
Max. Negotiated Rate	$4,982.50
Rate for Payer: Aetna Commercial	$2,989.50
Rate for Payer: Aetna Medicare Advantage	$2,989.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,541.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,993.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,541.07
Rate for Payer: Cigna Commercial	$4,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,411.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,494.75

PLATE LAPIDUS 0MM STEP

Facility

$5,300.00

Hospital Charge Code	270676763
Hospital Revenue Code	278
Min. Negotiated Rate	$795.00
Max. Negotiated Rate	$1,282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.60
Rate for Payer: Qualcare PPO/HMO/WC	$795.00

PLATE LAPIDUS 0MM STEP

Facility

$5,300.00

Hospital Charge Code	270676763
Hospital Revenue Code	278
Min. Negotiated Rate	$795.00
Max. Negotiated Rate	$2,650.00
Rate for Payer: Aetna Commercial	$1,590.00
Rate for Payer: Aetna Medicare Advantage	$1,590.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,351.50
Rate for Payer: Cigna Commercial	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.60
Rate for Payer: Qualcare PPO/HMO/WC	$795.00

PLATE LAPIDUS 1MM

Facility

$7,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270675123
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$1,858.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

PLATE LAPIDUS 1MM

Facility

$7,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270675123
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$3,840.00
Rate for Payer: Aetna Commercial	$2,304.00
Rate for Payer: Aetna Medicare Advantage	$2,304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.40
Rate for Payer: Cigna Commercial	$3,840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

PLATE LAPIDUS 4H MED WALL LT

Facility

$7,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270700173
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.44
Max. Negotiated Rate	$3,568.12
Rate for Payer: Aetna Commercial	$2,140.88
Rate for Payer: Aetna Medicare Advantage	$2,140.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,819.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,819.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,819.74
Rate for Payer: Cigna Commercial	$3,568.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.44

PLATE LAPIDUS 4H MED WALL LT

Facility

$7,136.25

Service Code	HCPCS C1713
Hospital Charge Code	270700173
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.44
Max. Negotiated Rate	$1,726.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.44

PLATE LAPIDUS CP 1MM LEFT

Facility

$6,771.25

Hospital Charge Code	270676860
Hospital Revenue Code	278
Min. Negotiated Rate	$1,015.69
Max. Negotiated Rate	$1,638.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,354.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,638.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,015.69

PLATE LAPIDUS CP 1MM LEFT

Facility

$6,771.25

Hospital Charge Code	270676860
Hospital Revenue Code	278
Min. Negotiated Rate	$1,015.69
Max. Negotiated Rate	$3,385.62
Rate for Payer: Aetna Commercial	$2,031.38
Rate for Payer: Aetna Medicare Advantage	$2,031.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,726.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,726.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,354.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,726.67
Rate for Payer: Cigna Commercial	$3,385.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,638.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,015.69

PLATE LAPIDUS CROSSCHECK

Facility

$9,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270685334
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.75
Max. Negotiated Rate	$2,387.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75

PLATE LAPIDUS CROSSCHECK

Facility

$9,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270685334
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.75
Max. Negotiated Rate	$4,932.50
Rate for Payer: Aetna Commercial	$2,959.50
Rate for Payer: Aetna Medicare Advantage	$2,959.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,973.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.57
Rate for Payer: Cigna Commercial	$4,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,387.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.75

PLATE LAPIDUS FLAT

Facility

$7,680.00

Hospital Charge Code	270662453
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$3,840.00
Rate for Payer: Aetna Commercial	$2,304.00
Rate for Payer: Aetna Medicare Advantage	$2,304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,958.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,958.40
Rate for Payer: Cigna Commercial	$3,840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

PLATE LAPIDUS FLAT

Facility

$7,680.00

Hospital Charge Code	270662453
Hospital Revenue Code	278
Min. Negotiated Rate	$1,152.00
Max. Negotiated Rate	$1,858.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,536.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,152.00

Know your out-of-pocket cost for care.

All Charges