Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE LAPIDUS LONG

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679306
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

PLATE LAPIDUS LONG

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270679306
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

PLATE LAPIDUS STD LAPIFUSE5HRT

Facility

$12,985.00

Service Code	HCPCS C1713
Hospital Charge Code	270700665
Hospital Revenue Code	278
Min. Negotiated Rate	$1,947.75
Max. Negotiated Rate	$6,492.50
Rate for Payer: Aetna Commercial	$3,895.50
Rate for Payer: Aetna Medicare Advantage	$3,895.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,311.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,311.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,311.18
Rate for Payer: Cigna Commercial	$6,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,947.75

PLATE LAPIDUS STD LAPIFUSE5HRT

Facility

$12,985.00

Service Code	HCPCS C1713
Hospital Charge Code	270700665
Hospital Revenue Code	278
Min. Negotiated Rate	$1,947.75
Max. Negotiated Rate	$3,142.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,947.75

PLATE LAPIDUS W/O STEP

Facility

$8,347.60

Hospital Charge Code	270667922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,252.14
Max. Negotiated Rate	$2,020.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,669.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.14

PLATE LAPIDUS W/O STEP

Facility

$8,347.60

Hospital Charge Code	270667922
Hospital Revenue Code	278
Min. Negotiated Rate	$1,252.14
Max. Negotiated Rate	$4,173.80
Rate for Payer: Aetna Commercial	$2,504.28
Rate for Payer: Aetna Medicare Advantage	$2,504.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,128.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,128.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,669.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,128.64
Rate for Payer: Cigna Commercial	$4,173.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,020.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,252.14

PLATE LAPIPLASTY 28 SYST 4H

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696747
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

PLATE LAPIPLASTY 28 SYST 4H

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270696747
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

PLATE LARGE

Facility

$6,385.00

Hospital Charge Code	270661796
Hospital Revenue Code	272
Min. Negotiated Rate	$957.75
Max. Negotiated Rate	$957.75
Rate for Payer: Qualcare PPO/HMO/WC	$957.75

PLATE LARGE

Facility

$6,385.00

Hospital Charge Code	270661796
Hospital Revenue Code	272
Min. Negotiated Rate	$830.05
Max. Negotiated Rate	$3,192.50
Rate for Payer: Aetna Commercial	$1,915.50
Rate for Payer: Aetna Medicare Advantage	$1,915.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,628.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,628.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,628.17
Rate for Payer: Cigna Commercial	$3,192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.05
Rate for Payer: Oxford Commercial	$3,192.50
Rate for Payer: Qualcare PPO/HMO/WC	$957.75
Rate for Payer: UnitedHealthcare Commercial	$3,192.50

PLATE LARGE 0 DEGREEE MTP

Facility

$6,503.75

Service Code	HCPCS C1713
Hospital Charge Code	270701523
Hospital Revenue Code	278
Min. Negotiated Rate	$975.56
Max. Negotiated Rate	$3,251.88
Rate for Payer: Aetna Commercial	$1,951.12
Rate for Payer: Aetna Medicare Advantage	$1,951.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,658.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,658.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,658.46
Rate for Payer: Cigna Commercial	$3,251.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.91
Rate for Payer: Qualcare PPO/HMO/WC	$975.56

PLATE LARGE 0 DEGREEE MTP

Facility

$6,503.75

Service Code	HCPCS C1713
Hospital Charge Code	270701523
Hospital Revenue Code	278
Min. Negotiated Rate	$975.56
Max. Negotiated Rate	$1,573.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.91
Rate for Payer: Qualcare PPO/HMO/WC	$975.56

PLATE LAT 10HOLE RIGHT LOCKING

Facility

$3,170.00

Hospital Charge Code	270638092
Hospital Revenue Code	278
Min. Negotiated Rate	$475.50
Max. Negotiated Rate	$1,585.00
Rate for Payer: Aetna Commercial	$951.00
Rate for Payer: Aetna Medicare Advantage	$951.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.35
Rate for Payer: Cigna Commercial	$1,585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.14
Rate for Payer: Qualcare PPO/HMO/WC	$475.50

PLATE LAT 10HOLE RIGHT LOCKING

Facility

$3,170.00

Hospital Charge Code	270638092
Hospital Revenue Code	278
Min. Negotiated Rate	$475.50
Max. Negotiated Rate	$767.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$767.14
Rate for Payer: Qualcare PPO/HMO/WC	$475.50

PLATE LAT 17.25X33.5MM 2HS Z14

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693847
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 17.25X33.5MM 2HS Z14

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693847
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 2H SZ12 17.25X31.5MM

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694488
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 2H SZ12 17.25X31.5MM

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694488
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 2HSZ16 17.X25X35.5MM

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694456
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 2HSZ16 17.X25X35.5MM

Facility

$19,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270694456
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

PLATE LAT 2SCREW OFFSET 15MM

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696342
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

PLATE LAT 2SCREW OFFSET 15MM

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696342
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$6,225.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

PLATE LAT DIATAL FEMR 9H-227MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670423
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PLATE LAT DIATAL FEMR 9H-227MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670423
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PLATE LAT DISTAL FEMR 12H-281m

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270671594
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

Know your out-of-pocket cost for care.

All Charges