Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$322.43
Rate for Payer: Aetna Commercial	$193.46
Rate for Payer: Aetna Medicare Advantage	$193.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.44
Rate for Payer: Cigna Commercial	$322.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.05
Rate for Payer: Qualcare PPO/HMO/WC	$96.73

PLATE SYN L OBLIQ LT 7H 421.52

Facility

$873.65

Hospital Charge Code	270617342
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN L OBLIQ LT 7H 421.52

Facility

$873.65

Hospital Charge Code	270617342
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN L OBLIQ RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604341
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 OBLIQ RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604341
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 RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604339
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 RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604339
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 RT 2.7MM

Facility

$192.85

Hospital Charge Code	270604324
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 RT 2.7MM

Facility

$192.85

Hospital Charge Code	270604324
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 MINI CHON 1.5MM

Facility

$990.45

Hospital Charge Code	270604357
Hospital Revenue Code	278
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$239.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.69
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

PLATE SYN MINI CHON 1.5MM

Facility

$990.45

Hospital Charge Code	270604357
Hospital Revenue Code	278
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$495.23
Rate for Payer: Aetna Commercial	$297.13
Rate for Payer: Aetna Medicare Advantage	$297.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.56
Rate for Payer: Cigna Commercial	$495.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.69
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

PLATE SYN MINI CHON 2.0MM

Facility

$944.85

Hospital Charge Code	270604356
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$228.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

PLATE SYN MINI CHON 2.0MM

Facility

$944.85

Hospital Charge Code	270604356
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$472.43
Rate for Payer: Aetna Commercial	$283.45
Rate for Payer: Aetna Medicare Advantage	$283.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.94
Rate for Payer: Cigna Commercial	$472.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

PLATE SYN MULTI FRAGMENT

Facility

$233.65

Hospital Charge Code	270604322
Hospital Revenue Code	278
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$116.83
Rate for Payer: Aetna Commercial	$70.09
Rate for Payer: Aetna Medicare Advantage	$70.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.58
Rate for Payer: Cigna Commercial	$116.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

PLATE SYN MULTI FRAGMENT

Facility

$233.65

Hospital Charge Code	270604322
Hospital Revenue Code	278
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$56.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

PLATE SYN ORB RIM 35 9H 421.21

Facility

$873.65

Hospital Charge Code	270617341
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN ORB RIM 35 9H 421.21

Facility

$873.65

Hospital Charge Code	270617341
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN RECON TITN 11H

Facility

$2,493.65

Hospital Charge Code	270603395
Hospital Revenue Code	278
Min. Negotiated Rate	$374.05
Max. Negotiated Rate	$603.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$603.46
Rate for Payer: Qualcare PPO/HMO/WC	$374.05

PLATE SYN RECON TITN 11H

Facility

$2,493.65

Hospital Charge Code	270603395
Hospital Revenue Code	278
Min. Negotiated Rate	$374.05
Max. Negotiated Rate	$1,246.83
Rate for Payer: Aetna Commercial	$748.10
Rate for Payer: Aetna Medicare Advantage	$748.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$635.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$635.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$635.88
Rate for Payer: Cigna Commercial	$1,246.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$603.46
Rate for Payer: Qualcare PPO/HMO/WC	$374.05

PLATE SYN RECON TITN 8H

Facility

$1,747.25

Hospital Charge Code	270603392
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$422.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE SYN RECON TITN 8H

Facility

$1,747.25

Hospital Charge Code	270603392
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$873.62
Rate for Payer: Aetna Commercial	$524.17
Rate for Payer: Aetna Medicare Advantage	$524.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.55
Rate for Payer: Cigna Commercial	$873.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE SYN SM T OBLIQ 3H

Facility

$897.65

Hospital Charge Code	270601902
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$217.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

PLATE SYN SM T OBLIQ 3H

Facility

$897.65

Hospital Charge Code	270601902
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$448.82
Rate for Payer: Aetna Commercial	$269.30
Rate for Payer: Aetna Medicare Advantage	$269.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.90
Rate for Payer: Cigna Commercial	$448.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

PLATE SYN SM T OBLIQ 4H

Facility

$944.85

Hospital Charge Code	270601903
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$472.43
Rate for Payer: Aetna Commercial	$283.45
Rate for Payer: Aetna Medicare Advantage	$283.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.94
Rate for Payer: Cigna Commercial	$472.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

PLATE SYN SM T OBLIQ 4H

Facility

$944.85

Hospital Charge Code	270601903
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$228.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

Know your out-of-pocket cost for care.

All Charges