Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE PYRENEES LVL 4 93MM

Facility

$8,545.00

Hospital Charge Code	270670325
Hospital Revenue Code	278
Min. Negotiated Rate	$1,281.75
Max. Negotiated Rate	$4,272.50
Rate for Payer: Aetna Commercial	$2,563.50
Rate for Payer: Aetna Medicare Advantage	$2,563.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,178.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,178.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,709.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,178.97
Rate for Payer: Cigna Commercial	$4,272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,067.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,281.75

PLATE PYRENEES LVL 4 97MM

Facility

$8,545.00

Hospital Charge Code	270670326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,281.75
Max. Negotiated Rate	$4,272.50
Rate for Payer: Aetna Commercial	$2,563.50
Rate for Payer: Aetna Medicare Advantage	$2,563.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,178.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,178.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,709.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,178.97
Rate for Payer: Cigna Commercial	$4,272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,067.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,281.75

PLATE PYRENEES LVL 4 97MM

Facility

$8,545.00

Hospital Charge Code	270670326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,281.75
Max. Negotiated Rate	$2,067.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,709.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,067.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,281.75

PLATE PYRENEES LVL 5 100MM

Facility

$9,315.00

Hospital Charge Code	270670327
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$2,254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 100MM

Facility

$9,315.00

Hospital Charge Code	270670327
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$4,657.50
Rate for Payer: Aetna Commercial	$2,794.50
Rate for Payer: Aetna Medicare Advantage	$2,794.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,375.32
Rate for Payer: Cigna Commercial	$4,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 105MM

Facility

$9,315.00

Hospital Charge Code	270670328
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$2,254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 105MM

Facility

$9,315.00

Hospital Charge Code	270670328
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$4,657.50
Rate for Payer: Aetna Commercial	$2,794.50
Rate for Payer: Aetna Medicare Advantage	$2,794.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,375.32
Rate for Payer: Cigna Commercial	$4,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 110MM

Facility

$9,315.00

Hospital Charge Code	270670329
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$4,657.50
Rate for Payer: Aetna Commercial	$2,794.50
Rate for Payer: Aetna Medicare Advantage	$2,794.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,375.32
Rate for Payer: Cigna Commercial	$4,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 110MM

Facility

$9,315.00

Hospital Charge Code	270670329
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$2,254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 95MM

Facility

$9,315.00

Hospital Charge Code	270670330
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$2,254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENEES LVL 5 95MM

Facility

$9,315.00

Hospital Charge Code	270670330
Hospital Revenue Code	278
Min. Negotiated Rate	$1,397.25
Max. Negotiated Rate	$4,657.50
Rate for Payer: Aetna Commercial	$2,794.50
Rate for Payer: Aetna Medicare Advantage	$2,794.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,375.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,863.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,375.32
Rate for Payer: Cigna Commercial	$4,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,254.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,397.25

PLATE PYRENESS LVL 2 44MM

Facility

$6,940.00

Service Code	HCPCS C1713
Hospital Charge Code	270670299
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.00
Max. Negotiated Rate	$3,470.00
Rate for Payer: Aetna Commercial	$2,082.00
Rate for Payer: Aetna Medicare Advantage	$2,082.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,769.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,769.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,769.70
Rate for Payer: Cigna Commercial	$3,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,679.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.00

PLATE PYRENESS LVL 2 44MM

Facility

$6,940.00

Service Code	HCPCS C1713
Hospital Charge Code	270670299
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.00
Max. Negotiated Rate	$1,679.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,679.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.00

PLATE QTR TUBULAR 3HOLE 23MM

Facility

$333.70

Service Code	HCPCS C1713
Hospital Charge Code	270604316
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$166.85
Rate for Payer: Aetna Commercial	$100.11
Rate for Payer: Aetna Medicare Advantage	$100.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.09
Rate for Payer: Cigna Commercial	$166.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.76
Rate for Payer: Qualcare PPO/HMO/WC	$50.05

PLATE QTR TUBULAR 3HOLE 23MM

Facility

$333.70

Service Code	HCPCS C1713
Hospital Charge Code	270604316
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$80.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.76
Rate for Payer: Qualcare PPO/HMO/WC	$50.05

PLATE QTR TUBULAR 4HOLE 31MM

Facility

$345.00

Service Code	HCPCS C1713
Hospital Charge Code	270651853
Hospital Revenue Code	278
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$83.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PLATE QTR TUBULAR 4HOLE 31MM

Facility

$345.00

Service Code	HCPCS C1713
Hospital Charge Code	270651853
Hospital Revenue Code	278
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$103.50
Rate for Payer: Aetna Medicare Advantage	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.97
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

PLATE QTR TUBULAR 5HOLE 39MM

Facility

$377.00

Service Code	HCPCS C1713
Hospital Charge Code	270651854
Hospital Revenue Code	278
Min. Negotiated Rate	$56.55
Max. Negotiated Rate	$188.50
Rate for Payer: Aetna Commercial	$113.10
Rate for Payer: Aetna Medicare Advantage	$113.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.14
Rate for Payer: Cigna Commercial	$188.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.23
Rate for Payer: Qualcare PPO/HMO/WC	$56.55

PLATE QTR TUBULAR 5HOLE 39MM

Facility

$377.00

Service Code	HCPCS C1713
Hospital Charge Code	270651854
Hospital Revenue Code	278
Min. Negotiated Rate	$56.55
Max. Negotiated Rate	$91.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.23
Rate for Payer: Qualcare PPO/HMO/WC	$56.55

PLATE QTR TUBULAR 6HOLE 47MM

Facility

$407.90

Service Code	HCPCS C1713
Hospital Charge Code	270604319
Hospital Revenue Code	278
Min. Negotiated Rate	$61.19
Max. Negotiated Rate	$203.95
Rate for Payer: Aetna Commercial	$122.37
Rate for Payer: Aetna Medicare Advantage	$122.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.01
Rate for Payer: Cigna Commercial	$203.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.71
Rate for Payer: Qualcare PPO/HMO/WC	$61.19

PLATE QTR TUBULAR 6HOLE 47MM

Facility

$407.90

Service Code	HCPCS C1713
Hospital Charge Code	270604319
Hospital Revenue Code	278
Min. Negotiated Rate	$61.19
Max. Negotiated Rate	$98.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.71
Rate for Payer: Qualcare PPO/HMO/WC	$61.19

PLATE QTR TUBULAR 7HOLE 55MM

Facility

$435.70

Service Code	HCPCS C1713
Hospital Charge Code	270604320
Hospital Revenue Code	278
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$105.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

PLATE QTR TUBULAR 7HOLE 55MM

Facility

$435.70

Service Code	HCPCS C1713
Hospital Charge Code	270604320
Hospital Revenue Code	278
Min. Negotiated Rate	$65.36
Max. Negotiated Rate	$217.85
Rate for Payer: Aetna Commercial	$130.71
Rate for Payer: Aetna Medicare Advantage	$130.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.10
Rate for Payer: Cigna Commercial	$217.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.44
Rate for Payer: Qualcare PPO/HMO/WC	$65.36

PLATE QTR TUBULAR 8HOLE 63MM

Facility

$448.05

Service Code	HCPCS C1713
Hospital Charge Code	270651855
Hospital Revenue Code	278
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$224.03
Rate for Payer: Aetna Commercial	$134.41
Rate for Payer: Aetna Medicare Advantage	$134.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.25
Rate for Payer: Cigna Commercial	$224.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.43
Rate for Payer: Qualcare PPO/HMO/WC	$67.21

PLATE QTR TUBULAR 8HOLE 63MM

Facility

$448.05

Service Code	HCPCS C1713
Hospital Charge Code	270651855
Hospital Revenue Code	278
Min. Negotiated Rate	$67.21
Max. Negotiated Rate	$108.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.43
Rate for Payer: Qualcare PPO/HMO/WC	$67.21

Know your out-of-pocket cost for care.

All Charges