Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE PERIATCLAR 8HRT 23471708

Facility

$2,130.45

Hospital Charge Code	270632915
Hospital Revenue Code	278
Min. Negotiated Rate	$319.57
Max. Negotiated Rate	$515.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.57
Rate for Payer: Qualcare PPO/HMO/WC	$319.57

PLATE PERIATCLAR 8HRT 23471708

Facility

$2,130.45

Hospital Charge Code	270632915
Hospital Revenue Code	278
Min. Negotiated Rate	$319.57
Max. Negotiated Rate	$1,065.22
Rate for Payer: Aetna Commercial	$639.13
Rate for Payer: Aetna Medicare Advantage	$639.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.26
Rate for Payer: Cigna Commercial	$1,065.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.57
Rate for Payer: Qualcare PPO/HMO/WC	$319.57

PLATE PHERES LEUKOREDUCE IRRAD

Facility

$7,142.26

Service Code	HCPCS P9037
Hospital Charge Code	3101515
Hospital Revenue Code	390
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$2,142.68
Rate for Payer: Aetna Commercial	$2,142.68
Rate for Payer: Aetna Medicare Advantage	$2,142.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.28
Rate for Payer: Cigna Commercial	$1,586.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$928.49
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.34
Rate for Payer: UnitedHealthcare Commercial	$756.00

PLATE PHERES LEUKOREDUCE IRRAD

Facility

$7,142.26

Service Code	HCPCS P9037
Hospital Charge Code	3101515
Hospital Revenue Code	390
Min. Negotiated Rate	$1,071.34
Max. Negotiated Rate	$1,071.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.34

PLATE PIA 4H NO WEDGE 16MM

Facility

$5,200.00

Hospital Charge Code	270660761
Hospital Revenue Code	278
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$2,600.00
Rate for Payer: Aetna Commercial	$1,560.00
Rate for Payer: Aetna Medicare Advantage	$1,560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,326.00
Rate for Payer: Cigna Commercial	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,258.40
Rate for Payer: Qualcare PPO/HMO/WC	$780.00

PLATE PIA 4H NO WEDGE 16MM

Facility

$5,200.00

Hospital Charge Code	270660761
Hospital Revenue Code	278
Min. Negotiated Rate	$780.00
Max. Negotiated Rate	$1,258.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,258.40
Rate for Payer: Qualcare PPO/HMO/WC	$780.00

PLATE PLANTAR 2.7MM

Facility

$8,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270696039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,346.25
Max. Negotiated Rate	$4,487.50
Rate for Payer: Aetna Commercial	$2,692.50
Rate for Payer: Aetna Medicare Advantage	$2,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,288.62
Rate for Payer: Cigna Commercial	$4,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,171.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25

PLATE PLANTAR 2.7MM

Facility

$8,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270696039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,346.25
Max. Negotiated Rate	$2,171.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,171.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25

PLATE PLANTAR GRAVITY PLANTAR

Facility

$7,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270701068
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.25
Max. Negotiated Rate	$3,567.50
Rate for Payer: Aetna Commercial	$2,140.50
Rate for Payer: Aetna Medicare Advantage	$2,140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,819.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,819.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,819.42
Rate for Payer: Cigna Commercial	$3,567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.25

PLATE PLANTAR GRAVITY PLANTAR

Facility

$7,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270701068
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.25
Max. Negotiated Rate	$1,726.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,726.67
Rate for Payer: Qualcare PPO/HMO/WC	$1,070.25

PLATE PLANTAR LAPIDUS RIGHT

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676694
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

PLATE PLANTAR LAPIDUS RIGHT

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676694
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

PLATE POR FLARED 8MMX34MM

Facility

$25,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270692941
Hospital Revenue Code	278
Min. Negotiated Rate	$3,765.00
Max. Negotiated Rate	$6,074.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,074.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,765.00

PLATE POR FLARED 8MMX34MM

Facility

$25,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270692941
Hospital Revenue Code	278
Min. Negotiated Rate	$3,765.00
Max. Negotiated Rate	$12,550.00
Rate for Payer: Aetna Commercial	$7,530.00
Rate for Payer: Aetna Medicare Advantage	$7,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,400.50
Rate for Payer: Cigna Commercial	$12,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,074.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,765.00

PLATE POSTE.LATERAL 6HL

Facility

$2,321.25

Hospital Charge Code	270657056
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$1,160.62
Rate for Payer: Aetna Commercial	$696.38
Rate for Payer: Aetna Medicare Advantage	$696.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.92
Rate for Payer: Cigna Commercial	$1,160.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74
Rate for Payer: Qualcare PPO/HMO/WC	$348.19

PLATE POSTE.LATERAL 6HL

Facility

$2,321.25

Hospital Charge Code	270657056
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$561.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74
Rate for Payer: Qualcare PPO/HMO/WC	$348.19

PLATE POW 3.0 MM LOCKING

Facility

$3,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270684783
Hospital Revenue Code	278
Min. Negotiated Rate	$577.50
Max. Negotiated Rate	$1,925.00
Rate for Payer: Aetna Commercial	$1,155.00
Rate for Payer: Aetna Medicare Advantage	$1,155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$981.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$981.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$981.75
Rate for Payer: Cigna Commercial	$1,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$931.70
Rate for Payer: Qualcare PPO/HMO/WC	$577.50

PLATE POW 3.0 MM LOCKING

Facility

$3,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270684783
Hospital Revenue Code	278
Min. Negotiated Rate	$577.50
Max. Negotiated Rate	$931.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$931.70
Rate for Payer: Qualcare PPO/HMO/WC	$577.50

PLATE POW LOCKING

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270684632
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

PLATE POW LOCKING

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270684632
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

PLATE POW LOCKING TI

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270674082
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

PLATE POW LOCKING TI

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270674082
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

PLATE PREBENT RIGHT 17 HOLE

Facility

$11,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270690138
Hospital Revenue Code	278
Min. Negotiated Rate	$1,779.00
Max. Negotiated Rate	$2,870.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,779.00

PLATE PREBENT RIGHT 17 HOLE

Facility

$11,860.00

Service Code	HCPCS C1713
Hospital Charge Code	270690138
Hospital Revenue Code	278
Min. Negotiated Rate	$1,779.00
Max. Negotiated Rate	$5,930.00
Rate for Payer: Aetna Commercial	$3,558.00
Rate for Payer: Aetna Medicare Advantage	$3,558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,024.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,024.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,024.30
Rate for Payer: Cigna Commercial	$5,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,779.00

PLATE PROX DORL 4H LT 23481004

Facility

$3,655.00

Hospital Charge Code	270641912
Hospital Revenue Code	278
Min. Negotiated Rate	$548.25
Max. Negotiated Rate	$1,827.50
Rate for Payer: Aetna Commercial	$1,096.50
Rate for Payer: Aetna Medicare Advantage	$1,096.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$932.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$932.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$731.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$932.02
Rate for Payer: Cigna Commercial	$1,827.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$884.51
Rate for Payer: Qualcare PPO/HMO/WC	$548.25

Know your out-of-pocket cost for care.

All Charges