Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$113.22
Rate for Payer: Aetna Commercial	$67.94
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

PLATE SYN ST 2.0MM 6H

Facility

$248.85

Hospital Charge Code	270604330
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 ST 2.0MM 6H

Facility

$248.85

Hospital Charge Code	270604330
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 T 1.5MM H3-S 9H***

Facility

$278.00

Hospital Charge Code	270604336
Hospital Revenue Code	274
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$139.00
Rate for Payer: Aetna Commercial	$83.40
Rate for Payer: Aetna Medicare Advantage	$83.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.89
Rate for Payer: Cigna Commercial	$139.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.28
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

PLATE SYN T 1.5MM H3-S 9H***

Facility

$278.00

Hospital Charge Code	270604336
Hospital Revenue Code	274
Min. Negotiated Rate	$41.70
Max. Negotiated Rate	$67.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.28
Rate for Payer: Qualcare PPO/HMO/WC	$41.70

PLATE SYN T 1.5MM H4-S 9H***

Facility

$370.00

Hospital Charge Code	270604337
Hospital Revenue Code	274
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PLATE SYN T 1.5MM H4-S 9H***

Facility

$370.00

Hospital Charge Code	270604337
Hospital Revenue Code	274
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PLATE SYN T H3-S 2.0MM 9H

Facility

$705.65

Hospital Charge Code	270604334
Hospital Revenue Code	278
Min. Negotiated Rate	$105.85
Max. Negotiated Rate	$170.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.77
Rate for Payer: Qualcare PPO/HMO/WC	$105.85

PLATE SYN T H3-S 2.0MM 9H

Facility

$705.65

Hospital Charge Code	270604334
Hospital Revenue Code	278
Min. Negotiated Rate	$105.85
Max. Negotiated Rate	$352.82
Rate for Payer: Aetna Commercial	$211.69
Rate for Payer: Aetna Medicare Advantage	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.94
Rate for Payer: Cigna Commercial	$352.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.77
Rate for Payer: Qualcare PPO/HMO/WC	$105.85

PLATE SYN T H4-S 2.0MM 9H

Facility

$996.85

Hospital Charge Code	270604335
Hospital Revenue Code	278
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$241.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.24
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

PLATE SYN T H4-S 2.0MM 9H

Facility

$996.85

Hospital Charge Code	270604335
Hospital Revenue Code	278
Min. Negotiated Rate	$149.53
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.24
Rate for Payer: Qualcare PPO/HMO/WC	$149.53

PLATE SYN TIB 6H L 240006S

Facility

$3,208.85

Hospital Charge Code	270627313
Hospital Revenue Code	278
Min. Negotiated Rate	$481.33
Max. Negotiated Rate	$776.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.54
Rate for Payer: Qualcare PPO/HMO/WC	$481.33

PLATE SYN TIB 6H L 240006S

Facility

$3,208.85

Hospital Charge Code	270627313
Hospital Revenue Code	278
Min. Negotiated Rate	$481.33
Max. Negotiated Rate	$1,604.42
Rate for Payer: Aetna Commercial	$962.65
Rate for Payer: Aetna Medicare Advantage	$962.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$818.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$818.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$818.26
Rate for Payer: Cigna Commercial	$1,604.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.54
Rate for Payer: Qualcare PPO/HMO/WC	$481.33

PLATE SYN TT MESH 38X53 421001

Facility

$3,182.45

Hospital Charge Code	270621200
Hospital Revenue Code	278
Min. Negotiated Rate	$477.37
Max. Negotiated Rate	$770.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$636.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$770.15
Rate for Payer: Qualcare PPO/HMO/WC	$477.37

PLATE SYN TT MESH 38X53 421001

Facility

$3,182.45

Hospital Charge Code	270621200
Hospital Revenue Code	278
Min. Negotiated Rate	$477.37
Max. Negotiated Rate	$1,591.22
Rate for Payer: Aetna Commercial	$954.74
Rate for Payer: Aetna Medicare Advantage	$954.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$811.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$811.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$636.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$811.52
Rate for Payer: Cigna Commercial	$1,591.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$770.15
Rate for Payer: Qualcare PPO/HMO/WC	$477.37

PLATE SYST PLANTAR PARATROOPER

Facility

$4,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700495
Hospital Revenue Code	278
Min. Negotiated Rate	$708.75
Max. Negotiated Rate	$2,362.50
Rate for Payer: Aetna Commercial	$1,417.50
Rate for Payer: Aetna Medicare Advantage	$1,417.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,204.88
Rate for Payer: Cigna Commercial	$2,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.45
Rate for Payer: Qualcare PPO/HMO/WC	$708.75

PLATE SYST PLANTAR PARATROOPER

Facility

$4,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700495
Hospital Revenue Code	278
Min. Negotiated Rate	$708.75
Max. Negotiated Rate	$1,143.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,143.45
Rate for Payer: Qualcare PPO/HMO/WC	$708.75

PLATE T 12 HOLES

Facility

$2,240.25

Service Code	HCPCS C1713
Hospital Charge Code	270680075
Hospital Revenue Code	278
Min. Negotiated Rate	$336.04
Max. Negotiated Rate	$542.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$448.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.14
Rate for Payer: Qualcare PPO/HMO/WC	$336.04

PLATE T 12 HOLES

Facility

$2,240.25

Service Code	HCPCS C1713
Hospital Charge Code	270680075
Hospital Revenue Code	278
Min. Negotiated Rate	$336.04
Max. Negotiated Rate	$1,120.12
Rate for Payer: Aetna Commercial	$672.08
Rate for Payer: Aetna Medicare Advantage	$672.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.26
Rate for Payer: Cigna Commercial	$1,120.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$542.14
Rate for Payer: Qualcare PPO/HMO/WC	$336.04

PLATE T 2.0 MM 5 HOLE

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689801
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

PLATE T 2.0 MM 5 HOLE

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270689801
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

PLATE T 8-HOLE 2451-147-08

Facility

$924.00

Hospital Charge Code	270610446
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

PLATE T 8-HOLE 2451-147-08

Facility

$924.00

Hospital Charge Code	270610446
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

PLATE T 8 HOLES/148MM

Facility

$2,020.85

Service Code	HCPCS C1713
Hospital Charge Code	270655717
Hospital Revenue Code	278
Min. Negotiated Rate	$303.13
Max. Negotiated Rate	$1,010.42
Rate for Payer: Aetna Commercial	$606.25
Rate for Payer: Aetna Medicare Advantage	$606.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.32
Rate for Payer: Cigna Commercial	$1,010.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.13

PLATE T 8 HOLES/148MM

Facility

$2,020.85

Service Code	HCPCS C1713
Hospital Charge Code	270655717
Hospital Revenue Code	278
Min. Negotiated Rate	$303.13
Max. Negotiated Rate	$489.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.05
Rate for Payer: Qualcare PPO/HMO/WC	$303.13

Know your out-of-pocket cost for care.

All Charges