Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE LCP 3.5x98MM 7 HOLE

Facility

$1,378.15

Service Code	HCPCS C1713
Hospital Charge Code	270660908
Hospital Revenue Code	278
Min. Negotiated Rate	$206.72
Max. Negotiated Rate	$689.08
Rate for Payer: Aetna Commercial	$413.44
Rate for Payer: Aetna Medicare Advantage	$413.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.43
Rate for Payer: Cigna Commercial	$689.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.51
Rate for Payer: Qualcare PPO/HMO/WC	$206.72

PLATE LCP 3.5x98MM 7 HOLE

Facility

$1,378.15

Service Code	HCPCS C1713
Hospital Charge Code	270660908
Hospital Revenue Code	278
Min. Negotiated Rate	$206.72
Max. Negotiated Rate	$333.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.51
Rate for Payer: Qualcare PPO/HMO/WC	$206.72

PLATE LCP 4.5x224mm 12HOLE NRW

Facility

$2,607.00

Service Code	HCPCS C1713
Hospital Charge Code	270666919
Hospital Revenue Code	278
Min. Negotiated Rate	$391.05
Max. Negotiated Rate	$630.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.89
Rate for Payer: Qualcare PPO/HMO/WC	$391.05

PLATE LCP 4.5x224mm 12HOLE NRW

Facility

$2,607.00

Service Code	HCPCS C1713
Hospital Charge Code	270666919
Hospital Revenue Code	278
Min. Negotiated Rate	$391.05
Max. Negotiated Rate	$1,303.50
Rate for Payer: Aetna Commercial	$782.10
Rate for Payer: Aetna Medicare Advantage	$782.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$664.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$664.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$521.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$664.78
Rate for Payer: Cigna Commercial	$1,303.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.89
Rate for Payer: Qualcare PPO/HMO/WC	$391.05

PLATE LCP 4.5x282mm 15HOLE CRV

Facility

$3,751.25

Service Code	HCPCS C1713
Hospital Charge Code	270645542
Hospital Revenue Code	278
Min. Negotiated Rate	$562.69
Max. Negotiated Rate	$907.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.80
Rate for Payer: Qualcare PPO/HMO/WC	$562.69

PLATE LCP 4.5x282mm 15HOLE CRV

Facility

$3,751.25

Service Code	HCPCS C1713
Hospital Charge Code	270645542
Hospital Revenue Code	278
Min. Negotiated Rate	$562.69
Max. Negotiated Rate	$1,875.62
Rate for Payer: Aetna Commercial	$1,125.38
Rate for Payer: Aetna Medicare Advantage	$1,125.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.57
Rate for Payer: Cigna Commercial	$1,875.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.80
Rate for Payer: Qualcare PPO/HMO/WC	$562.69

PLATE LCP 4 HOLES 2.4x36MM

Facility

$1,617.00

Service Code	HCPCS C1713
Hospital Charge Code	270659766
Hospital Revenue Code	278
Min. Negotiated Rate	$242.55
Max. Negotiated Rate	$808.50
Rate for Payer: Aetna Commercial	$485.10
Rate for Payer: Aetna Medicare Advantage	$485.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$412.33
Rate for Payer: Cigna Commercial	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.31
Rate for Payer: Qualcare PPO/HMO/WC	$242.55

PLATE LCP 4 HOLES 2.4x36MM

Facility

$1,617.00

Service Code	HCPCS C1713
Hospital Charge Code	270659766
Hospital Revenue Code	278
Min. Negotiated Rate	$242.55
Max. Negotiated Rate	$391.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.31
Rate for Payer: Qualcare PPO/HMO/WC	$242.55

PLATE LCP 4 HOLES 2.7x40MM

Facility

$1,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270675319
Hospital Revenue Code	278
Min. Negotiated Rate	$256.05
Max. Negotiated Rate	$413.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.09
Rate for Payer: Qualcare PPO/HMO/WC	$256.05

PLATE LCP 4 HOLES 2.7x40MM

Facility

$1,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270675319
Hospital Revenue Code	278
Min. Negotiated Rate	$256.05
Max. Negotiated Rate	$853.50
Rate for Payer: Aetna Commercial	$512.10
Rate for Payer: Aetna Medicare Advantage	$512.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.29
Rate for Payer: Cigna Commercial	$853.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.09
Rate for Payer: Qualcare PPO/HMO/WC	$256.05

PLATE LCP 4 HOLES 2x31MM

Facility

$1,041.35

Service Code	HCPCS C1713
Hospital Charge Code	270674229
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$252.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.20

PLATE LCP 4 HOLES 2x31MM

Facility

$1,041.35

Service Code	HCPCS C1713
Hospital Charge Code	270674229
Hospital Revenue Code	278
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$520.67
Rate for Payer: Aetna Commercial	$312.40
Rate for Payer: Aetna Medicare Advantage	$312.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.54
Rate for Payer: Cigna Commercial	$520.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.20

PLATE LCP 5 HOLES 2.7x49MM

Facility

$1,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270673107
Hospital Revenue Code	278
Min. Negotiated Rate	$256.05
Max. Negotiated Rate	$853.50
Rate for Payer: Aetna Commercial	$512.10
Rate for Payer: Aetna Medicare Advantage	$512.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.29
Rate for Payer: Cigna Commercial	$853.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.09
Rate for Payer: Qualcare PPO/HMO/WC	$256.05

PLATE LCP 5 HOLES 2.7x49MM

Facility

$1,707.00

Service Code	HCPCS C1713
Hospital Charge Code	270673107
Hospital Revenue Code	278
Min. Negotiated Rate	$256.05
Max. Negotiated Rate	$413.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.09
Rate for Payer: Qualcare PPO/HMO/WC	$256.05

PLATE LCP 6 HOLE 2.4x36MM

Facility

$1,665.50

Service Code	HCPCS C1713
Hospital Charge Code	270677804
Hospital Revenue Code	278
Min. Negotiated Rate	$249.82
Max. Negotiated Rate	$832.75
Rate for Payer: Aetna Commercial	$499.65
Rate for Payer: Aetna Medicare Advantage	$499.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.70
Rate for Payer: Cigna Commercial	$832.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.05
Rate for Payer: Qualcare PPO/HMO/WC	$249.82

PLATE LCP 6 HOLE 2.4x36MM

Facility

$1,665.50

Service Code	HCPCS C1713
Hospital Charge Code	270677804
Hospital Revenue Code	278
Min. Negotiated Rate	$249.82
Max. Negotiated Rate	$403.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.05
Rate for Payer: Qualcare PPO/HMO/WC	$249.82

PLATE LCP 6 HOLE 2.7x58MM

Facility

$1,758.20

Service Code	HCPCS C1713
Hospital Charge Code	270669793
Hospital Revenue Code	278
Min. Negotiated Rate	$263.73
Max. Negotiated Rate	$879.10
Rate for Payer: Aetna Commercial	$527.46
Rate for Payer: Aetna Medicare Advantage	$527.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.34
Rate for Payer: Cigna Commercial	$879.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.48
Rate for Payer: Qualcare PPO/HMO/WC	$263.73

PLATE LCP 6 HOLE 2.7x58MM

Facility

$1,758.20

Service Code	HCPCS C1713
Hospital Charge Code	270669793
Hospital Revenue Code	278
Min. Negotiated Rate	$263.73
Max. Negotiated Rate	$425.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.48
Rate for Payer: Qualcare PPO/HMO/WC	$263.73

PLATE LCP 7 HOLE 2.7X67MM

Facility

$5,405.00

Service Code	HCPCS C1713
Hospital Charge Code	270700154
Hospital Revenue Code	278
Min. Negotiated Rate	$810.75
Max. Negotiated Rate	$1,308.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,081.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,308.01
Rate for Payer: Qualcare PPO/HMO/WC	$810.75

PLATE LCP 7 HOLE 2.7X67MM

Facility

$5,405.00

Service Code	HCPCS C1713
Hospital Charge Code	270700154
Hospital Revenue Code	278
Min. Negotiated Rate	$810.75
Max. Negotiated Rate	$2,702.50
Rate for Payer: Aetna Commercial	$1,621.50
Rate for Payer: Aetna Medicare Advantage	$1,621.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,378.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,378.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,081.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,378.28
Rate for Payer: Cigna Commercial	$2,702.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,308.01
Rate for Payer: Qualcare PPO/HMO/WC	$810.75

PLATE LCP 7 HOLE 7.5 MM

Facility

$1,872.00

Hospital Charge Code	270665748
Hospital Revenue Code	278
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$453.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$374.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.02
Rate for Payer: Qualcare PPO/HMO/WC	$280.80

PLATE LCP 7 HOLE 7.5 MM

Facility

$1,872.00

Hospital Charge Code	270665748
Hospital Revenue Code	278
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$936.00
Rate for Payer: Aetna Commercial	$561.60
Rate for Payer: Aetna Medicare Advantage	$561.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$374.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.36
Rate for Payer: Cigna Commercial	$936.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.02
Rate for Payer: Qualcare PPO/HMO/WC	$280.80

PLATE LCP 7 HOLES 2.4x60MM

Facility

$1,617.00

Service Code	HCPCS C1713
Hospital Charge Code	270670415
Hospital Revenue Code	278
Min. Negotiated Rate	$242.55
Max. Negotiated Rate	$808.50
Rate for Payer: Aetna Commercial	$485.10
Rate for Payer: Aetna Medicare Advantage	$485.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$412.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$412.33
Rate for Payer: Cigna Commercial	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.31
Rate for Payer: Qualcare PPO/HMO/WC	$242.55

PLATE LCP 7 HOLES 2.4x60MM

Facility

$1,617.00

Service Code	HCPCS C1713
Hospital Charge Code	270670415
Hospital Revenue Code	278
Min. Negotiated Rate	$242.55
Max. Negotiated Rate	$391.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.31
Rate for Payer: Qualcare PPO/HMO/WC	$242.55

PLATE LCP 9HOLE 4.5x170mm BRD

Facility

$2,424.00

Service Code	HCPCS C1713
Hospital Charge Code	270666771
Hospital Revenue Code	278
Min. Negotiated Rate	$363.60
Max. Negotiated Rate	$1,212.00
Rate for Payer: Aetna Commercial	$727.20
Rate for Payer: Aetna Medicare Advantage	$727.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.12
Rate for Payer: Cigna Commercial	$1,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.61
Rate for Payer: Qualcare PPO/HMO/WC	$363.60

Know your out-of-pocket cost for care.

All Charges