Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN SM T OBLIQ 5H

Facility

$944.85

Hospital Charge Code	270601904
Hospital Revenue Code	274
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 SM T OBLIQ 5H

Facility

$944.85

Hospital Charge Code	270601904
Hospital Revenue Code	274
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 H3-S 3H

Facility

$744.00

Hospital Charge Code	270604313
Hospital Revenue Code	278
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$223.20
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

PLATE SYN SM T OBLIQ H3-S 3H

Facility

$744.00

Hospital Charge Code	270604313
Hospital Revenue Code	278
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$180.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$791.25

Hospital Charge Code	270604314
Hospital Revenue Code	278
Min. Negotiated Rate	$118.69
Max. Negotiated Rate	$395.62
Rate for Payer: Aetna Commercial	$237.38
Rate for Payer: Aetna Medicare Advantage	$237.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.77
Rate for Payer: Cigna Commercial	$395.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.48
Rate for Payer: Qualcare PPO/HMO/WC	$118.69

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$791.25

Hospital Charge Code	270604314
Hospital Revenue Code	278
Min. Negotiated Rate	$118.69
Max. Negotiated Rate	$191.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.48
Rate for Payer: Qualcare PPO/HMO/WC	$118.69

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$944.85

Hospital Charge Code	270603406
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 SM T OBLIQ H3-S 4H

Facility

$944.85

Hospital Charge Code	270603406
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 H3-S 5H

Facility

$820.00

Hospital Charge Code	270604315
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$198.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

PLATE SYN SM T OBLIQ H3-S 5H

Facility

$820.00

Hospital Charge Code	270604315
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$246.00
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

PLATE SYN SM T RT ANG 3H

Facility

$522.45

Hospital Charge Code	270601900
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

PLATE SYN SM T RT ANG 3H

Facility

$522.45

Hospital Charge Code	270601900
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$126.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

PLATE SYN SM T RT ANG H3-S 3H

Facility

$435.25

Hospital Charge Code	270604309
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$105.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

PLATE SYN SM T RT ANG H3-S 3H

Facility

$435.25

Hospital Charge Code	270604309
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$130.57
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

PLATE SYN SM T RT ANG H3-S 5H

Facility

$496.85

Hospital Charge Code	270604311
Hospital Revenue Code	278
Min. Negotiated Rate	$74.53
Max. Negotiated Rate	$120.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.24
Rate for Payer: Qualcare PPO/HMO/WC	$74.53

PLATE SYN SM T RT ANG H3-S 5H

Facility

$496.85

Hospital Charge Code	270604311
Hospital Revenue Code	278
Min. Negotiated Rate	$74.53
Max. Negotiated Rate	$248.43
Rate for Payer: Aetna Commercial	$149.06
Rate for Payer: Aetna Medicare Advantage	$149.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.70
Rate for Payer: Cigna Commercial	$248.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.24
Rate for Payer: Qualcare PPO/HMO/WC	$74.53

PLATE SYN SM T RT ANG H4-S 6H

Facility

$607.25

Hospital Charge Code	270604312
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$146.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

PLATE SYN SM T RT ANG H4-S 6H

Facility

$607.25

Hospital Charge Code	270604312
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$303.62
Rate for Payer: Aetna Commercial	$182.18
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

PLATE SYN ST 1.5MM 20H

Facility

$783.25

Hospital Charge Code	270604333
Hospital Revenue Code	278
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$189.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.49

PLATE SYN ST 1.5MM 20H

Facility

$783.25

Hospital Charge Code	270604333
Hospital Revenue Code	278
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$391.62
Rate for Payer: Aetna Commercial	$234.97
Rate for Payer: Aetna Medicare Advantage	$234.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.73
Rate for Payer: Cigna Commercial	$391.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.49

PLATE SYN ST 2.0MM 20H

Facility

$783.25

Hospital Charge Code	270604331
Hospital Revenue Code	278
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$391.62
Rate for Payer: Aetna Commercial	$234.97
Rate for Payer: Aetna Medicare Advantage	$234.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.73
Rate for Payer: Cigna Commercial	$391.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.49

PLATE SYN ST 2.0MM 20H

Facility

$783.25

Hospital Charge Code	270604331
Hospital Revenue Code	278
Min. Negotiated Rate	$117.49
Max. Negotiated Rate	$189.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.49

PLATE SYN ST 2.0MM 3H

Facility

$192.85

Hospital Charge Code	270604327
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 ST 2.0MM 3H

Facility

$192.85

Hospital Charge Code	270604327
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 ST 2.0MM 5H

Facility

$226.45

Hospital Charge Code	270604329
Hospital Revenue Code	278
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$54.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

Know your out-of-pocket cost for care.

All Charges