Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE RECON 3.5MM 7H

Facility

$1,602.15

Hospital Charge Code	270604371
Hospital Revenue Code	278
Min. Negotiated Rate	$240.32
Max. Negotiated Rate	$801.08
Rate for Payer: Aetna Commercial	$480.64
Rate for Payer: Aetna Medicare Advantage	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.55
Rate for Payer: Cigna Commercial	$801.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.72
Rate for Payer: Qualcare PPO/HMO/WC	$240.32

PLATE RECON 3.5MM 7H

Facility

$1,602.15

Hospital Charge Code	270604371
Hospital Revenue Code	278
Min. Negotiated Rate	$240.32
Max. Negotiated Rate	$387.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.72
Rate for Payer: Qualcare PPO/HMO/WC	$240.32

PLATE RECON 3.5MM 8H

Facility

$1,517.65

Hospital Charge Code	270604372
Hospital Revenue Code	278
Min. Negotiated Rate	$227.65
Max. Negotiated Rate	$367.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.27
Rate for Payer: Qualcare PPO/HMO/WC	$227.65

PLATE RECON 3.5MM 8H

Facility

$1,517.65

Hospital Charge Code	270604372
Hospital Revenue Code	278
Min. Negotiated Rate	$227.65
Max. Negotiated Rate	$758.83
Rate for Payer: Aetna Commercial	$455.30
Rate for Payer: Aetna Medicare Advantage	$455.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.00
Rate for Payer: Cigna Commercial	$758.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.27
Rate for Payer: Qualcare PPO/HMO/WC	$227.65

PLATE RECON 3.5x106MM 9HOLE

Facility

$1,881.80

Service Code	HCPCS C1713
Hospital Charge Code	270604373
Hospital Revenue Code	278
Min. Negotiated Rate	$282.27
Max. Negotiated Rate	$455.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.40
Rate for Payer: Qualcare PPO/HMO/WC	$282.27

PLATE RECON 3.5x106MM 9HOLE

Facility

$1,881.80

Service Code	HCPCS C1713
Hospital Charge Code	270604373
Hospital Revenue Code	278
Min. Negotiated Rate	$282.27
Max. Negotiated Rate	$940.90
Rate for Payer: Aetna Commercial	$564.54
Rate for Payer: Aetna Medicare Advantage	$564.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.86
Rate for Payer: Cigna Commercial	$940.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.40
Rate for Payer: Qualcare PPO/HMO/WC	$282.27

PLATE RECON 3.5x58MM 5HOLE

Facility

$1,464.65

Service Code	HCPCS C1713
Hospital Charge Code	270604369
Hospital Revenue Code	278
Min. Negotiated Rate	$219.70
Max. Negotiated Rate	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.45
Rate for Payer: Qualcare PPO/HMO/WC	$219.70

PLATE RECON 3.5x58MM 5HOLE

Facility

$1,464.65

Service Code	HCPCS C1713
Hospital Charge Code	270604369
Hospital Revenue Code	278
Min. Negotiated Rate	$219.70
Max. Negotiated Rate	$732.33
Rate for Payer: Aetna Commercial	$439.39
Rate for Payer: Aetna Medicare Advantage	$439.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.49
Rate for Payer: Cigna Commercial	$732.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.45
Rate for Payer: Qualcare PPO/HMO/WC	$219.70

PLATE RECON CVD 3.5MM 10H

Facility

$1,656.85

Hospital Charge Code	270604389
Hospital Revenue Code	278
Min. Negotiated Rate	$248.53
Max. Negotiated Rate	$828.42
Rate for Payer: Aetna Commercial	$497.06
Rate for Payer: Aetna Medicare Advantage	$497.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.50
Rate for Payer: Cigna Commercial	$828.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.96
Rate for Payer: Qualcare PPO/HMO/WC	$248.53

PLATE RECON CVD 3.5MM 10H

Facility

$1,656.85

Hospital Charge Code	270604389
Hospital Revenue Code	278
Min. Negotiated Rate	$248.53
Max. Negotiated Rate	$400.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.96
Rate for Payer: Qualcare PPO/HMO/WC	$248.53

PLATE RECON CVD 3.5MM 12H

Facility

$1,724.85

Hospital Charge Code	270604390
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$417.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

PLATE RECON CVD 3.5MM 12H

Facility

$1,724.85

Hospital Charge Code	270604390
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$517.46
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

PLATE RECON CVD 3.5MM 14H

Facility

$1,940.00

Hospital Charge Code	270604391
Hospital Revenue Code	278
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$469.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

PLATE RECON CVD 3.5MM 14H

Facility

$1,940.00

Hospital Charge Code	270604391
Hospital Revenue Code	278
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$582.00
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

PLATE RECON CVD 3.5MM 16H

Facility

$2,076.85

Hospital Charge Code	270604392
Hospital Revenue Code	278
Min. Negotiated Rate	$311.53
Max. Negotiated Rate	$1,038.42
Rate for Payer: Aetna Commercial	$623.05
Rate for Payer: Aetna Medicare Advantage	$623.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.60
Rate for Payer: Cigna Commercial	$1,038.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.60
Rate for Payer: Qualcare PPO/HMO/WC	$311.53

PLATE RECON CVD 3.5MM 16H

Facility

$2,076.85

Hospital Charge Code	270604392
Hospital Revenue Code	278
Min. Negotiated Rate	$311.53
Max. Negotiated Rate	$502.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.60
Rate for Payer: Qualcare PPO/HMO/WC	$311.53

PLATE RECON CVD 3.5MM 18H

Facility

$2,269.65

Hospital Charge Code	270604393
Hospital Revenue Code	278
Min. Negotiated Rate	$340.45
Max. Negotiated Rate	$549.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.26
Rate for Payer: Qualcare PPO/HMO/WC	$340.45

PLATE RECON CVD 3.5MM 18H

Facility

$2,269.65

Hospital Charge Code	270604393
Hospital Revenue Code	278
Min. Negotiated Rate	$340.45
Max. Negotiated Rate	$1,134.83
Rate for Payer: Aetna Commercial	$680.89
Rate for Payer: Aetna Medicare Advantage	$680.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$578.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$578.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$453.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$578.76
Rate for Payer: Cigna Commercial	$1,134.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.26
Rate for Payer: Qualcare PPO/HMO/WC	$340.45

PLATE RECON CVD 3.5MM 6H

Facility

$2,317.65

Hospital Charge Code	270604387
Hospital Revenue Code	278
Min. Negotiated Rate	$347.65
Max. Negotiated Rate	$1,158.83
Rate for Payer: Aetna Commercial	$695.29
Rate for Payer: Aetna Medicare Advantage	$695.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$463.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.00
Rate for Payer: Cigna Commercial	$1,158.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$560.87
Rate for Payer: Qualcare PPO/HMO/WC	$347.65

PLATE RECON CVD 3.5MM 6H

Facility

$2,317.65

Hospital Charge Code	270604387
Hospital Revenue Code	278
Min. Negotiated Rate	$347.65
Max. Negotiated Rate	$560.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$463.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$560.87
Rate for Payer: Qualcare PPO/HMO/WC	$347.65

PLATE RECON CVD 3.5MM 8H

Facility

$1,572.00

Hospital Charge Code	270604388
Hospital Revenue Code	278
Min. Negotiated Rate	$235.80
Max. Negotiated Rate	$786.00
Rate for Payer: Aetna Commercial	$471.60
Rate for Payer: Aetna Medicare Advantage	$471.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.86
Rate for Payer: Cigna Commercial	$786.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: Qualcare PPO/HMO/WC	$235.80

PLATE RECON CVD 3.5MM 8H

Facility

$1,572.00

Hospital Charge Code	270604388
Hospital Revenue Code	278
Min. Negotiated Rate	$235.80
Max. Negotiated Rate	$380.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: Qualcare PPO/HMO/WC	$235.80

PLATE RECONS 10 HOLES 4x120MM

Facility

$4,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270673000
Hospital Revenue Code	278
Min. Negotiated Rate	$689.25
Max. Negotiated Rate	$2,297.50
Rate for Payer: Aetna Commercial	$1,378.50
Rate for Payer: Aetna Medicare Advantage	$1,378.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,171.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,171.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$919.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,171.72
Rate for Payer: Cigna Commercial	$2,297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.99
Rate for Payer: Qualcare PPO/HMO/WC	$689.25

PLATE RECONS 10 HOLES 4x120MM

Facility

$4,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270673000
Hospital Revenue Code	278
Min. Negotiated Rate	$689.25
Max. Negotiated Rate	$1,111.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$919.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,111.99
Rate for Payer: Qualcare PPO/HMO/WC	$689.25

PLATE REGATTA 14MM 2HOLE

Facility

$21,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693475
Hospital Revenue Code	278
Min. Negotiated Rate	$3,187.50
Max. Negotiated Rate	$5,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,142.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,187.50

Know your out-of-pocket cost for care.

All Charges