Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE MED CALCANEUS

Facility

$3,094.30

Service Code	HCPCS C1713
Hospital Charge Code	270703985
Hospital Revenue Code	278
Min. Negotiated Rate	$464.14
Max. Negotiated Rate	$748.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$618.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.82
Rate for Payer: Qualcare PPO/HMO/WC	$464.14

PLATE MED CALCANEUS

Facility

$3,094.30

Service Code	HCPCS C1713
Hospital Charge Code	270703985
Hospital Revenue Code	278
Min. Negotiated Rate	$464.14
Max. Negotiated Rate	$1,547.15
Rate for Payer: Aetna Commercial	$928.29
Rate for Payer: Aetna Medicare Advantage	$928.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$789.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$789.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$618.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$789.05
Rate for Payer: Cigna Commercial	$1,547.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.82
Rate for Payer: Qualcare PPO/HMO/WC	$464.14

PLATE MED DIS 10H RT 234700710

Facility

$3,223.70

Hospital Charge Code	270634235
Hospital Revenue Code	278
Min. Negotiated Rate	$483.56
Max. Negotiated Rate	$780.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.14
Rate for Payer: Qualcare PPO/HMO/WC	$483.56

PLATE MED DIS 10H RT 234700710

Facility

$3,223.70

Hospital Charge Code	270634235
Hospital Revenue Code	278
Min. Negotiated Rate	$483.56
Max. Negotiated Rate	$1,611.85
Rate for Payer: Aetna Commercial	$967.11
Rate for Payer: Aetna Medicare Advantage	$967.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.04
Rate for Payer: Cigna Commercial	$1,611.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.14
Rate for Payer: Qualcare PPO/HMO/WC	$483.56

PLATE MED DISTAL TIB 234700806

Facility

$2,951.25

Hospital Charge Code	270630826
Hospital Revenue Code	278
Min. Negotiated Rate	$442.69
Max. Negotiated Rate	$714.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.20
Rate for Payer: Qualcare PPO/HMO/WC	$442.69

PLATE MED DISTAL TIB 234700806

Facility

$2,951.25

Hospital Charge Code	270630826
Hospital Revenue Code	278
Min. Negotiated Rate	$442.69
Max. Negotiated Rate	$1,475.62
Rate for Payer: Aetna Commercial	$885.38
Rate for Payer: Aetna Medicare Advantage	$885.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$752.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$752.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$752.57
Rate for Payer: Cigna Commercial	$1,475.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.20
Rate for Payer: Qualcare PPO/HMO/WC	$442.69

PLATE MEDIAL 12 HOLES LF 198MM

Facility

$11,065.00

Hospital Charge Code	270670936
Hospital Revenue Code	278
Min. Negotiated Rate	$1,659.75
Max. Negotiated Rate	$5,532.50
Rate for Payer: Aetna Commercial	$3,319.50
Rate for Payer: Aetna Medicare Advantage	$3,319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,821.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,821.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,821.57
Rate for Payer: Cigna Commercial	$5,532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,677.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,659.75

PLATE MEDIAL 12 HOLES LF 198MM

Facility

$11,065.00

Hospital Charge Code	270670936
Hospital Revenue Code	278
Min. Negotiated Rate	$1,659.75
Max. Negotiated Rate	$2,677.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,677.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,659.75

PLATE MEDIAL 4 HOLE 92MM

Facility

$7,995.00

Hospital Charge Code	270670987
Hospital Revenue Code	278
Min. Negotiated Rate	$1,199.25
Max. Negotiated Rate	$1,934.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,599.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,934.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.25

PLATE MEDIAL 4 HOLE 92MM

Facility

$7,995.00

Hospital Charge Code	270670987
Hospital Revenue Code	278
Min. Negotiated Rate	$1,199.25
Max. Negotiated Rate	$3,997.50
Rate for Payer: Aetna Commercial	$2,398.50
Rate for Payer: Aetna Medicare Advantage	$2,398.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,038.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,038.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,038.72
Rate for Payer: Cigna Commercial	$3,997.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,934.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.25

PLATE MEDIAL 8HOLE LOCKING

Facility

$3,170.00

Hospital Charge Code	270638089
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 MEDIAL 8HOLE LOCKING

Facility

$3,170.00

Hospital Charge Code	270638089
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 MEDIAL 9HOLE LOCKING

Facility

$3,170.00

Hospital Charge Code	270638090
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 MEDIAL 9HOLE LOCKING

Facility

$3,170.00

Hospital Charge Code	270638090
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 MEDIAL COLM FUS 95MM RT

Facility

$5,871.00

Service Code	HCPCS C1713
Hospital Charge Code	270674858
Hospital Revenue Code	278
Min. Negotiated Rate	$880.65
Max. Negotiated Rate	$2,935.50
Rate for Payer: Aetna Commercial	$1,761.30
Rate for Payer: Aetna Medicare Advantage	$1,761.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,497.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,497.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,497.11
Rate for Payer: Cigna Commercial	$2,935.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.78
Rate for Payer: Qualcare PPO/HMO/WC	$880.65

PLATE MEDIAL COLM FUS 95MM RT

Facility

$5,871.00

Service Code	HCPCS C1713
Hospital Charge Code	270674858
Hospital Revenue Code	278
Min. Negotiated Rate	$880.65
Max. Negotiated Rate	$1,420.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.78
Rate for Payer: Qualcare PPO/HMO/WC	$880.65

PLATE MEDIAL HOOK LOCK SS 3H

Facility

$4,125.00

Hospital Charge Code	270671901
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PLATE MEDIAL HOOK LOCK SS 3H

Facility

$4,125.00

Hospital Charge Code	270671901
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PLATE MEDIAL HOOK LOCK SS 5H

Facility

$4,125.00

Hospital Charge Code	270656471
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PLATE MEDIAL HOOK LOCK SS 5H

Facility

$4,125.00

Hospital Charge Code	270656471
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PLATE MEDIAL HOOK LOCK SS 7H

Facility

$4,500.00

Hospital Charge Code	270671902
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PLATE MEDIAL HOOK LOCK SS 7H

Facility

$4,500.00

Hospital Charge Code	270671902
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PLATE MEDIAL TIBIA 6H LT 142MM

Facility

$5,931.00

Hospital Charge Code	270675505
Hospital Revenue Code	278
Min. Negotiated Rate	$889.65
Max. Negotiated Rate	$2,965.50
Rate for Payer: Aetna Commercial	$1,779.30
Rate for Payer: Aetna Medicare Advantage	$1,779.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,186.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,512.40
Rate for Payer: Cigna Commercial	$2,965.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$889.65

PLATE MEDIAL TIBIA 6H LT 142MM

Facility

$5,931.00

Hospital Charge Code	270675505
Hospital Revenue Code	278
Min. Negotiated Rate	$889.65
Max. Negotiated Rate	$1,435.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,186.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$889.65

PLATE MESH 2.4/2.7MM 12 HOLE

Facility

$7,953.40

Service Code	HCPCS C1713
Hospital Charge Code	270689659
Hospital Revenue Code	278
Min. Negotiated Rate	$1,193.01
Max. Negotiated Rate	$3,976.70
Rate for Payer: Aetna Commercial	$2,386.02
Rate for Payer: Aetna Medicare Advantage	$2,386.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,028.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,590.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,028.12
Rate for Payer: Cigna Commercial	$3,976.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,924.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,193.01

Know your out-of-pocket cost for care.

All Charges