Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN 1/4 TUB TT 6H

Facility

$348.85

Hospital Charge Code	270604071
Hospital Revenue Code	278
Min. Negotiated Rate	$52.33
Max. Negotiated Rate	$174.43
Rate for Payer: Aetna Commercial	$104.66
Rate for Payer: Aetna Medicare Advantage	$104.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.96
Rate for Payer: Cigna Commercial	$174.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.42
Rate for Payer: Qualcare PPO/HMO/WC	$52.33

PLATE SYN 1/4 TUB TT 6H

Facility

$348.85

Hospital Charge Code	270604071
Hospital Revenue Code	278
Min. Negotiated Rate	$52.33
Max. Negotiated Rate	$84.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.42
Rate for Payer: Qualcare PPO/HMO/WC	$52.33

PLATE SYN 1/4 TUB TT 7H

Facility

$307.25

Hospital Charge Code	270603412
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 7H

Facility

$307.25

Hospital Charge Code	270603412
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 7H

Facility

$374.45

Hospital Charge Code	270604072
Hospital Revenue Code	278
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$90.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

PLATE SYN 1/4 TUB TT 7H

Facility

$374.45

Hospital Charge Code	270604072
Hospital Revenue Code	278
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$187.22
Rate for Payer: Aetna Commercial	$112.33
Rate for Payer: Aetna Medicare Advantage	$112.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.48
Rate for Payer: Cigna Commercial	$187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

PLATE SYN 1/4 TUB TT 8H

Facility

$315.25

Hospital Charge Code	270603413
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 8H

Facility

$315.25

Hospital Charge Code	270603413
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 TT 8H

Facility

$388.85

Hospital Charge Code	270604073
Hospital Revenue Code	278
Min. Negotiated Rate	$58.33
Max. Negotiated Rate	$194.43
Rate for Payer: Aetna Commercial	$116.66
Rate for Payer: Aetna Medicare Advantage	$116.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.16
Rate for Payer: Cigna Commercial	$194.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.10
Rate for Payer: Qualcare PPO/HMO/WC	$58.33

PLATE SYN 1/4 TUB TT 8H

Facility

$388.85

Hospital Charge Code	270604073
Hospital Revenue Code	278
Min. Negotiated Rate	$58.33
Max. Negotiated Rate	$94.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.10
Rate for Payer: Qualcare PPO/HMO/WC	$58.33

PLATE SYN 3.5 10H

Facility

$715.25

Hospital Charge Code	270601899
Hospital Revenue Code	278
Min. Negotiated Rate	$107.29
Max. Negotiated Rate	$357.62
Rate for Payer: Aetna Commercial	$214.57
Rate for Payer: Aetna Medicare Advantage	$214.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.39
Rate for Payer: Cigna Commercial	$357.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.09
Rate for Payer: Qualcare PPO/HMO/WC	$107.29

PLATE SYN 3.5 10H

Facility

$715.25

Hospital Charge Code	270601899
Hospital Revenue Code	278
Min. Negotiated Rate	$107.29
Max. Negotiated Rate	$173.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.09
Rate for Payer: Qualcare PPO/HMO/WC	$107.29

PLATE SYN 3.5 10 HL

Facility

$414.00

Hospital Charge Code	1603794
Hospital Revenue Code	274
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$207.00
Rate for Payer: Aetna Commercial	$124.20
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.19
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

PLATE SYN 3.5 10 HL

Facility

$414.00

Hospital Charge Code	1603794
Hospital Revenue Code	274
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$100.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.19
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

PLATE SYN 3.5 6 HL 423.56

Facility

$349.00

Hospital Charge Code	1603752
Hospital Revenue Code	274
Min. Negotiated Rate	$52.35
Max. Negotiated Rate	$84.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.46
Rate for Payer: Qualcare PPO/HMO/WC	$52.35

PLATE SYN 3.5 6 HL 423.56

Facility

$349.00

Hospital Charge Code	1603752
Hospital Revenue Code	274
Min. Negotiated Rate	$52.35
Max. Negotiated Rate	$174.50
Rate for Payer: Aetna Commercial	$104.70
Rate for Payer: Aetna Medicare Advantage	$104.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.00
Rate for Payer: Cigna Commercial	$174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.46
Rate for Payer: Qualcare PPO/HMO/WC	$52.35

PLATE SYN 3.5 7 HL 423.57

Facility

$369.00

Hospital Charge Code	1603760
Hospital Revenue Code	274
Min. Negotiated Rate	$55.35
Max. Negotiated Rate	$184.50
Rate for Payer: Aetna Commercial	$110.70
Rate for Payer: Aetna Medicare Advantage	$110.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.09
Rate for Payer: Cigna Commercial	$184.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.30
Rate for Payer: Qualcare PPO/HMO/WC	$55.35

PLATE SYN 3.5 7 HL 423.57

Facility

$369.00

Hospital Charge Code	1603760
Hospital Revenue Code	274
Min. Negotiated Rate	$55.35
Max. Negotiated Rate	$89.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.30
Rate for Payer: Qualcare PPO/HMO/WC	$55.35

PLATE SYN 3.5 8 HL 423.58

Facility

$379.00

Hospital Charge Code	1603778
Hospital Revenue Code	274
Min. Negotiated Rate	$56.85
Max. Negotiated Rate	$189.50
Rate for Payer: Aetna Commercial	$113.70
Rate for Payer: Aetna Medicare Advantage	$113.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.64
Rate for Payer: Cigna Commercial	$189.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85

PLATE SYN 3.5 8 HL 423.58

Facility

$379.00

Hospital Charge Code	1603778
Hospital Revenue Code	274
Min. Negotiated Rate	$56.85
Max. Negotiated Rate	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85

PLATE SYN 3.5 9H

Facility

$683.25

Hospital Charge Code	270601898
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$204.97
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

PLATE SYN 3.5 9H

Facility

$683.25

Hospital Charge Code	270601898
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$165.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

PLATE SYN 3.5 9 HL 423.59

Facility

$399.00

Hospital Charge Code	1603786
Hospital Revenue Code	274
Min. Negotiated Rate	$59.85
Max. Negotiated Rate	$96.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.56
Rate for Payer: Qualcare PPO/HMO/WC	$59.85

PLATE SYN 3.5 9 HL 423.59

Facility

$399.00

Hospital Charge Code	1603786
Hospital Revenue Code	274
Min. Negotiated Rate	$59.85
Max. Negotiated Rate	$199.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$119.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.75
Rate for Payer: Cigna Commercial	$199.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.56
Rate for Payer: Qualcare PPO/HMO/WC	$59.85

PLATE SYN ADAPT 9 20H 446.10

Facility

$1,433.65

Hospital Charge Code	270621201
Hospital Revenue Code	278
Min. Negotiated Rate	$215.05
Max. Negotiated Rate	$716.83
Rate for Payer: Aetna Commercial	$430.10
Rate for Payer: Aetna Medicare Advantage	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.58
Rate for Payer: Cigna Commercial	$716.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.94
Rate for Payer: Qualcare PPO/HMO/WC	$215.05

Know your out-of-pocket cost for care.

All Charges