Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE QUARTER-TUBULAR 3 HOLE

Facility

$333.00

Hospital Charge Code	270656726
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

PLATE QUARTER-TUBULAR 3 HOLE

Facility

$333.00

Hospital Charge Code	270656726
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$99.90
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

PLATE QUARTER-TUBULAR 7 HOLE

Facility

$621.00

Hospital Charge Code	270656317
Hospital Revenue Code	278
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$150.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.28
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

PLATE QUARTER-TUBULAR 7 HOLE

Facility

$621.00

Hospital Charge Code	270656317
Hospital Revenue Code	278
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.28
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

PLATE QUARTER-TUBULAR 8 HOLE

Facility

$453.00

Hospital Charge Code	270657224
Hospital Revenue Code	278
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$109.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.63
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

PLATE QUARTER-TUBULAR 8 HOLE

Facility

$453.00

Hospital Charge Code	270657224
Hospital Revenue Code	278
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$226.50
Rate for Payer: Aetna Commercial	$135.90
Rate for Payer: Aetna Medicare Advantage	$135.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.52
Rate for Payer: Cigna Commercial	$226.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.63
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

PLATE RADIUS LCP

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270687279
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

PLATE RADIUS LCP

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270687279
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,534.50
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

PLATE RECESSES 14MM 8DEG

Facility

$12,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705409
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

PLATE RECESSES 14MM 8DEG

Facility

$12,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705409
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$3,600.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

PLATE RECON 2.7MM 10H

Facility

$1,044.00

Hospital Charge Code	270604344
Hospital Revenue Code	278
Min. Negotiated Rate	$156.60
Max. Negotiated Rate	$252.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.65
Rate for Payer: Qualcare PPO/HMO/WC	$156.60

PLATE RECON 2.7MM 10H

Facility

$1,044.00

Hospital Charge Code	270604344
Hospital Revenue Code	278
Min. Negotiated Rate	$156.60
Max. Negotiated Rate	$522.00
Rate for Payer: Aetna Commercial	$313.20
Rate for Payer: Aetna Medicare Advantage	$313.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.22
Rate for Payer: Cigna Commercial	$522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.65
Rate for Payer: Qualcare PPO/HMO/WC	$156.60

PLATE RECON 2.7MM 12H

Facility

$1,234.45

Hospital Charge Code	270604345
Hospital Revenue Code	278
Min. Negotiated Rate	$185.17
Max. Negotiated Rate	$298.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.74
Rate for Payer: Qualcare PPO/HMO/WC	$185.17

PLATE RECON 2.7MM 12H

Facility

$1,234.45

Hospital Charge Code	270604345
Hospital Revenue Code	278
Min. Negotiated Rate	$185.17
Max. Negotiated Rate	$617.23
Rate for Payer: Aetna Commercial	$370.33
Rate for Payer: Aetna Medicare Advantage	$370.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.78
Rate for Payer: Cigna Commercial	$617.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.74
Rate for Payer: Qualcare PPO/HMO/WC	$185.17

PLATE RECON 2.7MM 14H

Facility

$1,342.45

Hospital Charge Code	270604346
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

PLATE RECON 2.7MM 14H

Facility

$1,342.45

Hospital Charge Code	270604346
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

PLATE RECON 2.7MM 16H

Facility

$1,456.00

Hospital Charge Code	270604347
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$728.00
Rate for Payer: Aetna Commercial	$436.80
Rate for Payer: Aetna Medicare Advantage	$436.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.28
Rate for Payer: Cigna Commercial	$728.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

PLATE RECON 2.7MM 16H

Facility

$1,456.00

Hospital Charge Code	270604347
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

PLATE RECON 2.7MM 6H

Facility

$936.85

Hospital Charge Code	270604342
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$281.06
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

PLATE RECON 2.7MM 6H

Facility

$936.85

Hospital Charge Code	270604342
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

PLATE RECON 2.7MM 8H

Facility

$1,299.25

Hospital Charge Code	270604343
Hospital Revenue Code	278
Min. Negotiated Rate	$194.89
Max. Negotiated Rate	$314.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.42
Rate for Payer: Qualcare PPO/HMO/WC	$194.89

PLATE RECON 2.7MM 8H

Facility

$1,299.25

Hospital Charge Code	270604343
Hospital Revenue Code	278
Min. Negotiated Rate	$194.89
Max. Negotiated Rate	$649.62
Rate for Payer: Aetna Commercial	$389.77
Rate for Payer: Aetna Medicare Advantage	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.31
Rate for Payer: Cigna Commercial	$649.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.42
Rate for Payer: Qualcare PPO/HMO/WC	$194.89

PLATE RECON 3.5MM 10H

Facility

$2,003.25

Hospital Charge Code	270604374
Hospital Revenue Code	278
Min. Negotiated Rate	$300.49
Max. Negotiated Rate	$1,001.62
Rate for Payer: Aetna Commercial	$600.98
Rate for Payer: Aetna Medicare Advantage	$600.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.83
Rate for Payer: Cigna Commercial	$1,001.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.79
Rate for Payer: Qualcare PPO/HMO/WC	$300.49

PLATE RECON 3.5MM 10H

Facility

$1,875.00

Hospital Charge Code	270602970
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

PLATE RECON 3.5MM 10H

Facility

$1,875.00

Hospital Charge Code	270602970
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

Know your out-of-pocket cost for care.

All Charges