Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE THIRD TUBULAR LOCK SS 6H

Facility

$1,200.00

Hospital Charge Code	270671905
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

PLATE THIRD TUBULAR LOCK SS 7H

Facility

$1,275.00

Hospital Charge Code	270667560
Hospital Revenue Code	278
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$308.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.55
Rate for Payer: Qualcare PPO/HMO/WC	$191.25

PLATE THIRD TUBULAR LOCK SS 7H

Facility

$1,275.00

Hospital Charge Code	270667560
Hospital Revenue Code	278
Min. Negotiated Rate	$191.25
Max. Negotiated Rate	$637.50
Rate for Payer: Aetna Commercial	$382.50
Rate for Payer: Aetna Medicare Advantage	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.12
Rate for Payer: Cigna Commercial	$637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.55
Rate for Payer: Qualcare PPO/HMO/WC	$191.25

PLATE THIRD TUBULAR LOCK SS 8H

Facility

$1,325.00

Hospital Charge Code	270665076
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PLATE THIRD TUBULAR LOCK SS 8H

Facility

$1,325.00

Hospital Charge Code	270665076
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PLATETIB3.5MMVA-LCP4H87MMRT

Facility

$8,831.20

Service Code	HCPCS C1713
Hospital Charge Code	270697561
Hospital Revenue Code	278
Min. Negotiated Rate	$1,324.68
Max. Negotiated Rate	$2,137.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,766.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,137.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,324.68

PLATETIB3.5MMVA-LCP4H87MMRT

Facility

$8,831.20

Service Code	HCPCS C1713
Hospital Charge Code	270697561
Hospital Revenue Code	278
Min. Negotiated Rate	$1,324.68
Max. Negotiated Rate	$4,415.60
Rate for Payer: Aetna Commercial	$2,649.36
Rate for Payer: Aetna Medicare Advantage	$2,649.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,251.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,251.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,766.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,251.96
Rate for Payer: Cigna Commercial	$4,415.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,137.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,324.68

PLATE TIB 6-HOLE/118m LT240039

Facility

$5,485.85

Hospital Charge Code	270635680
Hospital Revenue Code	278
Min. Negotiated Rate	$822.88
Max. Negotiated Rate	$2,742.93
Rate for Payer: Aetna Commercial	$1,645.76
Rate for Payer: Aetna Medicare Advantage	$1,645.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,398.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,398.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,097.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,398.89
Rate for Payer: Cigna Commercial	$2,742.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,327.58
Rate for Payer: Qualcare PPO/HMO/WC	$822.88

PLATE TIB 6-HOLE/118m LT240039

Facility

$5,485.85

Hospital Charge Code	270635680
Hospital Revenue Code	278
Min. Negotiated Rate	$822.88
Max. Negotiated Rate	$1,327.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,097.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,327.58
Rate for Payer: Qualcare PPO/HMO/WC	$822.88

PLATE TIBAL 5HLE 115 RGT 27155

Facility

$6,232.00

Hospital Charge Code	270643353
Hospital Revenue Code	278
Min. Negotiated Rate	$934.80
Max. Negotiated Rate	$3,116.00
Rate for Payer: Aetna Commercial	$1,869.60
Rate for Payer: Aetna Medicare Advantage	$1,869.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,589.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,589.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,246.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,589.16
Rate for Payer: Cigna Commercial	$3,116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,508.14
Rate for Payer: Qualcare PPO/HMO/WC	$934.80

PLATE TIBAL 5HLE 115 RGT 27155

Facility

$6,232.00

Hospital Charge Code	270643353
Hospital Revenue Code	278
Min. Negotiated Rate	$934.80
Max. Negotiated Rate	$1,508.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,246.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,508.14
Rate for Payer: Qualcare PPO/HMO/WC	$934.80

PLATE TIBAL 5HLE 115 RGT 27580

Facility

$1,155.00

Hospital Charge Code	270643354
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$279.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

PLATE TIBAL 5HLE 115 RGT 27580

Facility

$1,155.00

Hospital Charge Code	270643354
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$577.50
Rate for Payer: Aetna Commercial	$346.50
Rate for Payer: Aetna Medicare Advantage	$346.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$294.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$294.52
Rate for Payer: Cigna Commercial	$577.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.51
Rate for Payer: Qualcare PPO/HMO/WC	$173.25

PLATE TIB CRUCIATE 83M 141236

Facility

$7,565.00

Hospital Charge Code	270640764
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.75
Max. Negotiated Rate	$1,830.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,513.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.75

PLATE TIB CRUCIATE 83M 141236

Facility

$7,565.00

Hospital Charge Code	270640764
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.75
Max. Negotiated Rate	$3,782.50
Rate for Payer: Aetna Commercial	$2,269.50
Rate for Payer: Aetna Medicare Advantage	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,929.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,929.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,929.08
Rate for Payer: Cigna Commercial	$3,782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.75

PLATE TIBI 12H LT MED 23470812

Facility

$3,129.85

Hospital Charge Code	270632095
Hospital Revenue Code	278
Min. Negotiated Rate	$469.48
Max. Negotiated Rate	$757.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.42
Rate for Payer: Qualcare PPO/HMO/WC	$469.48

PLATE TIBI 12H LT MED 23470812

Facility

$3,129.85

Hospital Charge Code	270632095
Hospital Revenue Code	278
Min. Negotiated Rate	$469.48
Max. Negotiated Rate	$1,564.92
Rate for Payer: Aetna Commercial	$938.96
Rate for Payer: Aetna Medicare Advantage	$938.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.11
Rate for Payer: Cigna Commercial	$1,564.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.42
Rate for Payer: Qualcare PPO/HMO/WC	$469.48

PLATE TIBI 8HOLE DIST LT 26158

Facility

$5,600.00

Hospital Charge Code	270640152
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

PLATE TIBI 8HOLE DIST LT 26158

Facility

$5,600.00

Hospital Charge Code	270640152
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$1,680.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

PLATE TIBIA 10 HOLE DISTAL

Facility

$712.40

Service Code	HCPCS C1713
Hospital Charge Code	270689576
Hospital Revenue Code	278
Min. Negotiated Rate	$106.86
Max. Negotiated Rate	$172.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.40
Rate for Payer: Qualcare PPO/HMO/WC	$106.86

PLATE TIBIA 10 HOLE DISTAL

Facility

$712.40

Service Code	HCPCS C1713
Hospital Charge Code	270689576
Hospital Revenue Code	278
Min. Negotiated Rate	$106.86
Max. Negotiated Rate	$356.20
Rate for Payer: Aetna Commercial	$213.72
Rate for Payer: Aetna Medicare Advantage	$213.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.66
Rate for Payer: Cigna Commercial	$356.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.40
Rate for Payer: Qualcare PPO/HMO/WC	$106.86

PLATE TIBIA 12 HOLES 250MM

Facility

$9,549.00

Hospital Charge Code	270670452
Hospital Revenue Code	278
Min. Negotiated Rate	$1,432.35
Max. Negotiated Rate	$2,310.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,909.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,310.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.35

PLATE TIBIA 12 HOLES 250MM

Facility

$9,549.00

Hospital Charge Code	270670452
Hospital Revenue Code	278
Min. Negotiated Rate	$1,432.35
Max. Negotiated Rate	$4,774.50
Rate for Payer: Aetna Commercial	$2,864.70
Rate for Payer: Aetna Medicare Advantage	$2,864.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,434.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,434.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,909.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,434.99
Rate for Payer: Cigna Commercial	$4,774.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,310.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.35

PLATE TIBIA 3.5MM 6H RT

Facility

$4,937.80

Service Code	HCPCS C1713
Hospital Charge Code	270651725
Hospital Revenue Code	278
Min. Negotiated Rate	$740.67
Max. Negotiated Rate	$2,468.90
Rate for Payer: Aetna Commercial	$1,481.34
Rate for Payer: Aetna Medicare Advantage	$1,481.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,259.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,259.14
Rate for Payer: Cigna Commercial	$2,468.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.95
Rate for Payer: Qualcare PPO/HMO/WC	$740.67

PLATE TIBIA 3.5MM 6H RT

Facility

$4,937.80

Service Code	HCPCS C1713
Hospital Charge Code	270651725
Hospital Revenue Code	278
Min. Negotiated Rate	$740.67
Max. Negotiated Rate	$1,194.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.95
Rate for Payer: Qualcare PPO/HMO/WC	$740.67

Know your out-of-pocket cost for care.

All Charges