Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SDK CNVGT 42.5MM 871-142

Facility

$3,707.25

Hospital Charge Code	270614653
Hospital Revenue Code	278
Min. Negotiated Rate	$556.09
Max. Negotiated Rate	$897.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.15
Rate for Payer: Qualcare PPO/HMO/WC	$556.09

PLATE SDK CNVGT 45.0MM 871-145

Facility

$2,903.25

Hospital Charge Code	270609020
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$1,451.62
Rate for Payer: Aetna Commercial	$870.98
Rate for Payer: Aetna Medicare Advantage	$870.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.33
Rate for Payer: Cigna Commercial	$1,451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 45.0MM 871-145

Facility

$2,903.25

Hospital Charge Code	270609020
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 47.5MM 871-147

Facility

$2,903.25

Hospital Charge Code	270609023
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$1,451.62
Rate for Payer: Aetna Commercial	$870.98
Rate for Payer: Aetna Medicare Advantage	$870.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.33
Rate for Payer: Cigna Commercial	$1,451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 47.5MM 871-147

Facility

$2,903.25

Hospital Charge Code	270609023
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 70.0MM 871-170

Facility

$4,392.85

Hospital Charge Code	270608797
Hospital Revenue Code	278
Min. Negotiated Rate	$658.93
Max. Negotiated Rate	$2,196.43
Rate for Payer: Aetna Commercial	$1,317.86
Rate for Payer: Aetna Medicare Advantage	$1,317.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,120.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,120.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$878.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,120.18
Rate for Payer: Cigna Commercial	$2,196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.07
Rate for Payer: Qualcare PPO/HMO/WC	$658.93

PLATE SDK CNVGT 70.0MM 871-170

Facility

$4,392.85

Hospital Charge Code	270608797
Hospital Revenue Code	278
Min. Negotiated Rate	$658.93
Max. Negotiated Rate	$1,063.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$878.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.07
Rate for Payer: Qualcare PPO/HMO/WC	$658.93

PLATE SDK DBL 3H 3H 5MM 015237

Facility

$1,035.25

Hospital Charge Code	270610687
Hospital Revenue Code	278
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

PLATE SDK DBL 3H 3H 5MM 015237

Facility

$1,035.25

Hospital Charge Code	270610687
Hospital Revenue Code	278
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$250.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

PLATE SDK DYNLOK 5MM 8430034

Facility

$3,666.45

Hospital Charge Code	270616300
Hospital Revenue Code	278
Min. Negotiated Rate	$549.97
Max. Negotiated Rate	$1,833.22
Rate for Payer: Aetna Commercial	$1,099.93
Rate for Payer: Aetna Medicare Advantage	$1,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$934.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$934.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$934.94
Rate for Payer: Cigna Commercial	$1,833.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.28
Rate for Payer: Qualcare PPO/HMO/WC	$549.97

PLATE SDK DYNLOK 5MM 8430034

Facility

$3,666.45

Hospital Charge Code	270616300
Hospital Revenue Code	278
Min. Negotiated Rate	$549.97
Max. Negotiated Rate	$887.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.28
Rate for Payer: Qualcare PPO/HMO/WC	$549.97

PLATE SDK DYNLOK 6MM 8430036

Facility

$4,456.00

Hospital Charge Code	270616287
Hospital Revenue Code	278
Min. Negotiated Rate	$668.40
Max. Negotiated Rate	$2,228.00
Rate for Payer: Aetna Commercial	$1,336.80
Rate for Payer: Aetna Medicare Advantage	$1,336.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$891.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.28
Rate for Payer: Cigna Commercial	$2,228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,078.35
Rate for Payer: Qualcare PPO/HMO/WC	$668.40

PLATE SDK DYNLOK 6MM 8430036

Facility

$4,456.00

Hospital Charge Code	270616287
Hospital Revenue Code	278
Min. Negotiated Rate	$668.40
Max. Negotiated Rate	$1,078.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$891.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,078.35
Rate for Payer: Qualcare PPO/HMO/WC	$668.40

PLATE SDK FAN BUR 18MM 1526218

Facility

$1,149.65

Hospital Charge Code	270610688
Hospital Revenue Code	278
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$278.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.22
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PLATE SDK FAN BUR 18MM 1526218

Facility

$1,149.65

Hospital Charge Code	270610688
Hospital Revenue Code	278
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$344.89
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.22
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PLATE SDK SPIN SYS 843.001

Facility

$652.00

Hospital Charge Code	270616297
Hospital Revenue Code	278
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$157.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

PLATE SDK SPIN SYS 843.001

Facility

$652.00

Hospital Charge Code	270616297
Hospital Revenue Code	278
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$195.60
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

PLATE SDK SQUARE SM 015257

Facility

$912.85

Hospital Charge Code	270610686
Hospital Revenue Code	278
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$220.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.91
Rate for Payer: Qualcare PPO/HMO/WC	$136.93

PLATE SDK SQUARE SM 015257

Facility

$912.85

Hospital Charge Code	270610686
Hospital Revenue Code	278
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$456.43
Rate for Payer: Aetna Commercial	$273.86
Rate for Payer: Aetna Medicare Advantage	$273.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.78
Rate for Payer: Cigna Commercial	$456.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.91
Rate for Payer: Qualcare PPO/HMO/WC	$136.93

PLATE SELF COMP 2.7 2-HOLE

Facility

$172.00

Hospital Charge Code	1602820
Hospital Revenue Code	274
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

PLATE SELF COMP 2.7 2-HOLE

Facility

$172.00

Hospital Charge Code	1602820
Hospital Revenue Code	274
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$41.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

PLATE SELF COMP 2.7 3-HOLE

Facility

$180.00

Hospital Charge Code	1602838
Hospital Revenue Code	274
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

PLATE SELF COMP 2.7 3-HOLE

Facility

$180.00

Hospital Charge Code	1602838
Hospital Revenue Code	274
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

PLATE SELF COMP 2.7 4-HOLE

Facility

$191.00

Hospital Charge Code	1602846
Hospital Revenue Code	274
Min. Negotiated Rate	$28.65
Max. Negotiated Rate	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.22
Rate for Payer: Qualcare PPO/HMO/WC	$28.65

PLATE SELF COMP 2.7 4-HOLE

Facility

$191.00

Hospital Charge Code	1602846
Hospital Revenue Code	274
Min. Negotiated Rate	$28.65
Max. Negotiated Rate	$95.50
Rate for Payer: Aetna Commercial	$57.30
Rate for Payer: Aetna Medicare Advantage	$57.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.70
Rate for Payer: Cigna Commercial	$95.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.22
Rate for Payer: Qualcare PPO/HMO/WC	$28.65

Know your out-of-pocket cost for care.

All Charges