Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE NARROW LOCK 8H 2X46MM

Facility

$4,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270700737
Hospital Revenue Code	278
Min. Negotiated Rate	$627.00
Max. Negotiated Rate	$2,090.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$1,254.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$836.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.90
Rate for Payer: Cigna Commercial	$2,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.56
Rate for Payer: Qualcare PPO/HMO/WC	$627.00

PLATE NARROW VDR

Facility

$6,150.00

Hospital Charge Code	270665815
Hospital Revenue Code	278
Min. Negotiated Rate	$922.50
Max. Negotiated Rate	$3,075.00
Rate for Payer: Aetna Commercial	$1,845.00
Rate for Payer: Aetna Medicare Advantage	$1,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.25
Rate for Payer: Cigna Commercial	$3,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.30
Rate for Payer: Qualcare PPO/HMO/WC	$922.50

PLATE NARROW VDR

Facility

$6,150.00

Hospital Charge Code	270665815
Hospital Revenue Code	278
Min. Negotiated Rate	$922.50
Max. Negotiated Rate	$1,488.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.30
Rate for Payer: Qualcare PPO/HMO/WC	$922.50

PLATE NATERIOE 2.7MM

Facility

$4,166.00

Service Code	HCPCS C1713
Hospital Charge Code	270682403
Hospital Revenue Code	278
Min. Negotiated Rate	$624.90
Max. Negotiated Rate	$1,008.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,008.17
Rate for Payer: Qualcare PPO/HMO/WC	$624.90

PLATE NATERIOE 2.7MM

Facility

$4,166.00

Service Code	HCPCS C1713
Hospital Charge Code	270682403
Hospital Revenue Code	278
Min. Negotiated Rate	$624.90
Max. Negotiated Rate	$2,083.00
Rate for Payer: Aetna Commercial	$1,249.80
Rate for Payer: Aetna Medicare Advantage	$1,249.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,062.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,062.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,062.33
Rate for Payer: Cigna Commercial	$2,083.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,008.17
Rate for Payer: Qualcare PPO/HMO/WC	$624.90

PLATE NAVCULR 2.4X2.7MM VA-LCK

Facility

$5,133.65

Service Code	HCPCS C1713
Hospital Charge Code	270686482
Hospital Revenue Code	278
Min. Negotiated Rate	$770.05
Max. Negotiated Rate	$2,566.82
Rate for Payer: Aetna Commercial	$1,540.10
Rate for Payer: Aetna Medicare Advantage	$1,540.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,309.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,309.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,309.08
Rate for Payer: Cigna Commercial	$2,566.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.34
Rate for Payer: Qualcare PPO/HMO/WC	$770.05

PLATE NAVCULR 2.4X2.7MM VA-LCK

Facility

$5,133.65

Service Code	HCPCS C1713
Hospital Charge Code	270686482
Hospital Revenue Code	278
Min. Negotiated Rate	$770.05
Max. Negotiated Rate	$1,242.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.34
Rate for Payer: Qualcare PPO/HMO/WC	$770.05

PLATE NCB PP DIST FEM 278MM

Facility

$13,074.90

Hospital Charge Code	270702816
Hospital Revenue Code	278
Min. Negotiated Rate	$1,961.23
Max. Negotiated Rate	$3,164.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,614.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.23

PLATE NCB PP DIST FEM 278MM

Facility

$13,074.90

Hospital Charge Code	270702816
Hospital Revenue Code	278
Min. Negotiated Rate	$1,961.23
Max. Negotiated Rate	$6,537.45
Rate for Payer: Aetna Commercial	$3,922.47
Rate for Payer: Aetna Medicare Advantage	$3,922.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,614.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,334.10
Rate for Payer: Cigna Commercial	$6,537.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.23

PLATE NEURO BOX 4H 10x26MM

Facility

$1,460.00

Hospital Charge Code	270674575
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$353.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

PLATE NEURO BOX 4H 10x26MM

Facility

$1,460.00

Hospital Charge Code	270674575
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$438.00
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

PLATE NEXGEN ANT CERV 3L 61MM

Facility

$15,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694744
Hospital Revenue Code	278
Min. Negotiated Rate	$2,332.50
Max. Negotiated Rate	$7,775.00
Rate for Payer: Aetna Commercial	$4,665.00
Rate for Payer: Aetna Medicare Advantage	$4,665.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,965.25
Rate for Payer: Cigna Commercial	$7,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50

PLATE NEXGEN ANT CERV 3L 61MM

Facility

$15,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694744
Hospital Revenue Code	278
Min. Negotiated Rate	$2,332.50
Max. Negotiated Rate	$3,763.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50

PLATENEXGEN PRECOAT STMMD SZ4

Facility

$6,156.70

Hospital Charge Code	270663481
Hospital Revenue Code	270
Min. Negotiated Rate	$800.37
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$1,847.01
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$800.37
Rate for Payer: Oxford Commercial	$3,078.35
Rate for Payer: Qualcare PPO/HMO/WC	$923.50
Rate for Payer: UnitedHealthcare Commercial	$3,078.35

PLATENEXGEN PRECOAT STMMD SZ4

Facility

$6,156.70

Hospital Charge Code	270663481
Hospital Revenue Code	270
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$923.50
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

PLATE NXG PEG TIBIAL SZ 5

Facility

$7,855.25

Hospital Charge Code	270608589
Hospital Revenue Code	278
Min. Negotiated Rate	$1,178.29
Max. Negotiated Rate	$1,900.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,571.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,900.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,178.29

PLATE NXG PEG TIBIAL SZ 5

Facility

$7,855.25

Hospital Charge Code	270608589
Hospital Revenue Code	278
Min. Negotiated Rate	$1,178.29
Max. Negotiated Rate	$3,927.62
Rate for Payer: Aetna Commercial	$2,356.57
Rate for Payer: Aetna Medicare Advantage	$2,356.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,003.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,003.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,571.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,003.09
Rate for Payer: Cigna Commercial	$3,927.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,900.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,178.29

PLATE OC 31 MM

Facility

$15,990.00

Service Code	HCPCS C1713
Hospital Charge Code	270687811
Hospital Revenue Code	278
Min. Negotiated Rate	$2,398.50
Max. Negotiated Rate	$7,995.00
Rate for Payer: Aetna Commercial	$4,797.00
Rate for Payer: Aetna Medicare Advantage	$4,797.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,077.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,077.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,077.45
Rate for Payer: Cigna Commercial	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,869.58
Rate for Payer: Qualcare PPO/HMO/WC	$2,398.50

PLATE OC 31 MM

Facility

$15,990.00

Service Code	HCPCS C1713
Hospital Charge Code	270687811
Hospital Revenue Code	278
Min. Negotiated Rate	$2,398.50
Max. Negotiated Rate	$3,869.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,869.58
Rate for Payer: Qualcare PPO/HMO/WC	$2,398.50

PLATE OCCIPITAL SMALL

Facility

$21,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270697874
Hospital Revenue Code	278
Min. Negotiated Rate	$3,296.25
Max. Negotiated Rate	$10,987.50
Rate for Payer: Aetna Commercial	$6,592.50
Rate for Payer: Aetna Medicare Advantage	$6,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,603.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,603.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,603.62
Rate for Payer: Cigna Commercial	$10,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,317.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,296.25

PLATE OCCIPITAL SMALL

Facility

$21,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270697874
Hospital Revenue Code	278
Min. Negotiated Rate	$3,296.25
Max. Negotiated Rate	$5,317.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,317.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,296.25

PLATE OCCIPTAL Y-SHAPE 40-50MM

Facility

$30,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270696791
Hospital Revenue Code	278
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$15,200.00
Rate for Payer: Aetna Commercial	$9,120.00
Rate for Payer: Aetna Medicare Advantage	$9,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,752.00
Rate for Payer: Cigna Commercial	$15,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

PLATE OCCIPTAL Y-SHAPE 40-50MM

Facility

$30,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270696791
Hospital Revenue Code	278
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$7,356.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

PLATE OLC 10-H SM 1312-18-600

Facility

$6,050.00

Hospital Charge Code	270658887
Hospital Revenue Code	278
Min. Negotiated Rate	$907.50
Max. Negotiated Rate	$1,464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.10
Rate for Payer: Qualcare PPO/HMO/WC	$907.50

PLATE OLC 10-H SM 1312-18-600

Facility

$6,050.00

Hospital Charge Code	270658887
Hospital Revenue Code	278
Min. Negotiated Rate	$907.50
Max. Negotiated Rate	$3,025.00
Rate for Payer: Aetna Commercial	$1,815.00
Rate for Payer: Aetna Medicare Advantage	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,542.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,542.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,542.75
Rate for Payer: Cigna Commercial	$3,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.10
Rate for Payer: Qualcare PPO/HMO/WC	$907.50

Know your out-of-pocket cost for care.

All Charges