Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN 1/3 TUB 9H

Facility

$307.25

Hospital Charge Code	270601909
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PLATE SYN 1/3 TUB 9H

Facility

$248.85

Hospital Charge Code	270604306
Hospital Revenue Code	278
Min. Negotiated Rate	$37.33
Max. Negotiated Rate	$124.42
Rate for Payer: Aetna Commercial	$74.66
Rate for Payer: Aetna Medicare Advantage	$74.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.46
Rate for Payer: Cigna Commercial	$124.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Qualcare PPO/HMO/WC	$37.33

PLATE SYN 1/3 TUB 9H

Facility

$248.85

Hospital Charge Code	270604306
Hospital Revenue Code	278
Min. Negotiated Rate	$37.33
Max. Negotiated Rate	$60.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.22
Rate for Payer: Qualcare PPO/HMO/WC	$37.33

PLATE SYN 1/3 TUBL 3 HL

Facility

$54.95

Hospital Charge Code	1602903
Hospital Revenue Code	274
Min. Negotiated Rate	$8.24
Max. Negotiated Rate	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.24

PLATE SYN 1/3 TUBL 3 HL

Facility

$54.95

Hospital Charge Code	1602903
Hospital Revenue Code	274
Min. Negotiated Rate	$8.24
Max. Negotiated Rate	$27.48
Rate for Payer: Aetna Commercial	$16.48
Rate for Payer: Aetna Medicare Advantage	$16.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.01
Rate for Payer: Cigna Commercial	$27.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.30
Rate for Payer: Qualcare PPO/HMO/WC	$8.24

PLATE SYN 1/3 TUBL 4 HL

Facility

$61.15

Hospital Charge Code	1602911
Hospital Revenue Code	274
Min. Negotiated Rate	$9.17
Max. Negotiated Rate	$30.57
Rate for Payer: Aetna Commercial	$18.34
Rate for Payer: Aetna Medicare Advantage	$18.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.59
Rate for Payer: Cigna Commercial	$30.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.17

PLATE SYN 1/3 TUBL 4 HL

Facility

$61.15

Hospital Charge Code	1602911
Hospital Revenue Code	274
Min. Negotiated Rate	$9.17
Max. Negotiated Rate	$14.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.17

PLATE SYN 1/3 TUBL 5 HL

Facility

$64.25

Hospital Charge Code	1602929
Hospital Revenue Code	274
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

PLATE SYN 1/3 TUBL 5 HL

Facility

$64.25

Hospital Charge Code	1602929
Hospital Revenue Code	274
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$32.12
Rate for Payer: Aetna Commercial	$19.27
Rate for Payer: Aetna Medicare Advantage	$19.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.38
Rate for Payer: Cigna Commercial	$32.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

PLATE SYN 1/3 TUBL 6 HL

Facility

$66.35

Hospital Charge Code	1602937
Hospital Revenue Code	274
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$16.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.95

PLATE SYN 1/3 TUBL 6 HL

Facility

$66.35

Hospital Charge Code	1602937
Hospital Revenue Code	274
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$33.17
Rate for Payer: Aetna Commercial	$19.91
Rate for Payer: Aetna Medicare Advantage	$19.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.92
Rate for Payer: Cigna Commercial	$33.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.06
Rate for Payer: Qualcare PPO/HMO/WC	$9.95

PLATE SYN 1/3 TUBL 7&8 HL

Facility

$73.85

Hospital Charge Code	1602945
Hospital Revenue Code	274
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$17.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.87
Rate for Payer: Qualcare PPO/HMO/WC	$11.08

PLATE SYN 1/3 TUBL 7&8 HL

Facility

$73.85

Hospital Charge Code	1602945
Hospital Revenue Code	274
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$36.92
Rate for Payer: Aetna Commercial	$22.16
Rate for Payer: Aetna Medicare Advantage	$22.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.83
Rate for Payer: Cigna Commercial	$36.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.87
Rate for Payer: Qualcare PPO/HMO/WC	$11.08

PLATE SYN 1/4 TUB 4H

Facility

$240.85

Hospital Charge Code	270604317
Hospital Revenue Code	278
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$120.42
Rate for Payer: Aetna Commercial	$72.25
Rate for Payer: Aetna Medicare Advantage	$72.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.42
Rate for Payer: Cigna Commercial	$120.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

PLATE SYN 1/4 TUB 4H

Facility

$240.85

Hospital Charge Code	270604317
Hospital Revenue Code	278
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$58.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.29
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

PLATE SYN 1/4 TUB 5H

Facility

$259.25

Hospital Charge Code	270604318
Hospital Revenue Code	278
Min. Negotiated Rate	$38.89
Max. Negotiated Rate	$62.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.74
Rate for Payer: Qualcare PPO/HMO/WC	$38.89

PLATE SYN 1/4 TUB 5H

Facility

$259.25

Hospital Charge Code	270604318
Hospital Revenue Code	278
Min. Negotiated Rate	$38.89
Max. Negotiated Rate	$129.62
Rate for Payer: Aetna Commercial	$77.78
Rate for Payer: Aetna Medicare Advantage	$77.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.11
Rate for Payer: Cigna Commercial	$129.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.74
Rate for Payer: Qualcare PPO/HMO/WC	$38.89

PLATE SYN 1/4 TUB 8H

Facility

$315.25

Hospital Charge Code	270604321
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

PLATE SYN 1/4 TUB 8H

Facility

$315.25

Hospital Charge Code	270604321
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

PLATE SYN 1/4 TUB TT 3H

Facility

$289.65

Hospital Charge Code	270603408
Hospital Revenue Code	278
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$70.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.10
Rate for Payer: Qualcare PPO/HMO/WC	$43.45

PLATE SYN 1/4 TUB TT 3H

Facility

$289.65

Hospital Charge Code	270603408
Hospital Revenue Code	278
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$144.82
Rate for Payer: Aetna Commercial	$86.89
Rate for Payer: Aetna Medicare Advantage	$86.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.86
Rate for Payer: Cigna Commercial	$144.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.10
Rate for Payer: Qualcare PPO/HMO/WC	$43.45

PLATE SYN 1/4 TUB TT 4H

Facility

$307.25

Hospital Charge Code	270604067
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$92.17
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PLATE SYN 1/4 TUB TT 4H

Facility

$307.25

Hospital Charge Code	270604067
Hospital Revenue Code	278
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$74.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.35
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

PLATE SYN 1/4 TUB TT 5H

Facility

$323.25

Hospital Charge Code	270604070
Hospital Revenue Code	278
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$78.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.23
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

PLATE SYN 1/4 TUB TT 5H

Facility

$323.25

Hospital Charge Code	270604070
Hospital Revenue Code	278
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.23
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

Know your out-of-pocket cost for care.

All Charges