Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN DBL Y 1.3 421068

Facility

$639.25

Hospital Charge Code	270626842
Hospital Revenue Code	278
Min. Negotiated Rate	$95.89
Max. Negotiated Rate	$319.62
Rate for Payer: Aetna Commercial	$191.78
Rate for Payer: Aetna Medicare Advantage	$191.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.01
Rate for Payer: Cigna Commercial	$319.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.70
Rate for Payer: Qualcare PPO/HMO/WC	$95.89

PLATE SYN DBL Y 1.3 421068

Facility

$639.25

Hospital Charge Code	270626842
Hospital Revenue Code	278
Min. Negotiated Rate	$95.89
Max. Negotiated Rate	$154.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.70
Rate for Payer: Qualcare PPO/HMO/WC	$95.89

PLATE SYNDE LAT RT101MM ORTLCK

Facility

$2,325.00

Hospital Charge Code	270701059
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

PLATE SYNDE LAT RT101MM ORTLCK

Facility

$2,325.00

Hospital Charge Code	270701059
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

PLATE SYN H 1.5MM

Facility

$558.45

Hospital Charge Code	270604350
Hospital Revenue Code	278
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$279.23
Rate for Payer: Aetna Commercial	$167.53
Rate for Payer: Aetna Medicare Advantage	$167.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.40
Rate for Payer: Cigna Commercial	$279.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.14
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

PLATE SYN H 1.5MM

Facility

$558.45

Hospital Charge Code	270604350
Hospital Revenue Code	278
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$135.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.14
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

PLATE SYN H 2.0MM

Facility

$558.45

Hospital Charge Code	270604349
Hospital Revenue Code	278
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$135.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.14
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

PLATE SYN H 2.0MM

Facility

$558.45

Hospital Charge Code	270604349
Hospital Revenue Code	278
Min. Negotiated Rate	$83.77
Max. Negotiated Rate	$279.23
Rate for Payer: Aetna Commercial	$167.53
Rate for Payer: Aetna Medicare Advantage	$167.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.40
Rate for Payer: Cigna Commercial	$279.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.14
Rate for Payer: Qualcare PPO/HMO/WC	$83.77

PLATE SYN L 1.3 421.53

Facility

$644.00

Hospital Charge Code	270626841
Hospital Revenue Code	278
Min. Negotiated Rate	$96.60
Max. Negotiated Rate	$155.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.85
Rate for Payer: Qualcare PPO/HMO/WC	$96.60

PLATE SYN L 1.3 421.53

Facility

$644.00

Hospital Charge Code	270626841
Hospital Revenue Code	278
Min. Negotiated Rate	$96.60
Max. Negotiated Rate	$322.00
Rate for Payer: Aetna Commercial	$193.20
Rate for Payer: Aetna Medicare Advantage	$193.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.22
Rate for Payer: Cigna Commercial	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.85
Rate for Payer: Qualcare PPO/HMO/WC	$96.60

PLATE SYN LC TT 3.5 2 423.52

Facility

$608.85

Hospital Charge Code	270604044
Hospital Revenue Code	278
Min. Negotiated Rate	$91.33
Max. Negotiated Rate	$304.43
Rate for Payer: Aetna Commercial	$182.66
Rate for Payer: Aetna Medicare Advantage	$182.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.26
Rate for Payer: Cigna Commercial	$304.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.34
Rate for Payer: Qualcare PPO/HMO/WC	$91.33

PLATE SYN LC TT 3.5 2 423.52

Facility

$608.85

Hospital Charge Code	270604044
Hospital Revenue Code	278
Min. Negotiated Rate	$91.33
Max. Negotiated Rate	$147.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.34
Rate for Payer: Qualcare PPO/HMO/WC	$91.33

PLATE SYN LC TT 3.5 3H 423.53

Facility

$530.45

Hospital Charge Code	270603338
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

PLATE SYN LC TT 3.5 3H 423.53

Facility

$530.45

Hospital Charge Code	270603338
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

PLATE SYN LC TT 3.5 4H 423.54

Facility

$369.65

Hospital Charge Code	270603339
Hospital Revenue Code	278
Min. Negotiated Rate	$55.45
Max. Negotiated Rate	$184.82
Rate for Payer: Aetna Commercial	$110.89
Rate for Payer: Aetna Medicare Advantage	$110.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.26
Rate for Payer: Cigna Commercial	$184.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.46
Rate for Payer: Qualcare PPO/HMO/WC	$55.45

PLATE SYN LC TT 3.5 4H 423.54

Facility

$369.65

Hospital Charge Code	270603339
Hospital Revenue Code	278
Min. Negotiated Rate	$55.45
Max. Negotiated Rate	$89.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.46
Rate for Payer: Qualcare PPO/HMO/WC	$55.45

PLATE SYN LC TT 3.5 4H 423.54*

Facility

$681.00

Hospital Charge Code	27060339
Hospital Revenue Code	274
Min. Negotiated Rate	$102.15
Max. Negotiated Rate	$340.50
Rate for Payer: Aetna Commercial	$204.30
Rate for Payer: Aetna Medicare Advantage	$204.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.66
Rate for Payer: Cigna Commercial	$340.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.80
Rate for Payer: Qualcare PPO/HMO/WC	$102.15

PLATE SYN LC TT 3.5 4H 423.54*

Facility

$681.00

Hospital Charge Code	27060339
Hospital Revenue Code	274
Min. Negotiated Rate	$102.15
Max. Negotiated Rate	$164.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.80
Rate for Payer: Qualcare PPO/HMO/WC	$102.15

PLATE SYN LIG FIX 21MM

Facility

$797.65

Hospital Charge Code	270604296
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

PLATE SYN LIG FIX 21MM

Facility

$797.65

Hospital Charge Code	270604296
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$398.82
Rate for Payer: Aetna Commercial	$239.29
Rate for Payer: Aetna Medicare Advantage	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.40
Rate for Payer: Cigna Commercial	$398.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

PLATE SYN L LT 2.0MM

Facility

$192.85

Hospital Charge Code	270604338
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$57.85
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L LT 2.0MM

Facility

$192.85

Hospital Charge Code	270604338
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L LT 2.7MM

Facility

$192.85

Hospital Charge Code	270604323
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L LT 2.7MM

Facility

$192.85

Hospital Charge Code	270604323
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$57.85
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L OBLIQ 1.3 421.50

Facility

$644.85

Hospital Charge Code	270627895
Hospital Revenue Code	278
Min. Negotiated Rate	$96.73
Max. Negotiated Rate	$156.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.05
Rate for Payer: Qualcare PPO/HMO/WC	$96.73

Know your out-of-pocket cost for care.

All Charges