Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE TITIUM ADATON 20 449.020

Facility

$1,682.45

Hospital Charge Code	270625802
Hospital Revenue Code	278
Min. Negotiated Rate	$252.37
Max. Negotiated Rate	$407.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.15
Rate for Payer: Qualcare PPO/HMO/WC	$252.37

PLATE TITIUM BD 2.0 29m 449024

Facility

$1,094.45

Hospital Charge Code	270625801
Hospital Revenue Code	278
Min. Negotiated Rate	$164.17
Max. Negotiated Rate	$547.23
Rate for Payer: Aetna Commercial	$328.33
Rate for Payer: Aetna Medicare Advantage	$328.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.08
Rate for Payer: Cigna Commercial	$547.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.86
Rate for Payer: Qualcare PPO/HMO/WC	$164.17

PLATE TITIUM BD 2.0 29m 449024

Facility

$1,094.45

Hospital Charge Code	270625801
Hospital Revenue Code	278
Min. Negotiated Rate	$164.17
Max. Negotiated Rate	$264.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.86
Rate for Payer: Qualcare PPO/HMO/WC	$164.17

PLATE TITN CLVRLF 4 HL 441.84

Facility

$778.00

Hospital Charge Code	1605591
Hospital Revenue Code	274
Min. Negotiated Rate	$116.70
Max. Negotiated Rate	$389.00
Rate for Payer: Aetna Commercial	$233.40
Rate for Payer: Aetna Medicare Advantage	$233.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.39
Rate for Payer: Cigna Commercial	$389.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.70

PLATE TITN CLVRLF 4 HL 441.84

Facility

$778.00

Hospital Charge Code	1605591
Hospital Revenue Code	274
Min. Negotiated Rate	$116.70
Max. Negotiated Rate	$188.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.70

PLATE TITN SHT 2.7MM 3H***

Facility

$119.80

Hospital Charge Code	270604076
Hospital Revenue Code	279
Min. Negotiated Rate	$15.57
Max. Negotiated Rate	$59.90
Rate for Payer: Aetna Commercial	$35.94
Rate for Payer: Aetna Medicare Advantage	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.55
Rate for Payer: Cigna Commercial	$59.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.57
Rate for Payer: Oxford Commercial	$59.90
Rate for Payer: Qualcare PPO/HMO/WC	$17.97
Rate for Payer: UnitedHealthcare Commercial	$59.90

PLATE TITN SHT 2.7MM 3H***

Facility

$119.80

Hospital Charge Code	270604076
Hospital Revenue Code	279
Min. Negotiated Rate	$17.97
Max. Negotiated Rate	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$17.97

PLATE T LCP 2.0MM 3HOLE/7HOLE

Facility

$1,788.00

Service Code	HCPCS C1713
Hospital Charge Code	270676476
Hospital Revenue Code	278
Min. Negotiated Rate	$268.20
Max. Negotiated Rate	$432.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.70
Rate for Payer: Qualcare PPO/HMO/WC	$268.20

PLATE T LCP 2.0MM 3HOLE/7HOLE

Facility

$1,788.00

Service Code	HCPCS C1713
Hospital Charge Code	270676476
Hospital Revenue Code	278
Min. Negotiated Rate	$268.20
Max. Negotiated Rate	$894.00
Rate for Payer: Aetna Commercial	$536.40
Rate for Payer: Aetna Medicare Advantage	$536.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.94
Rate for Payer: Cigna Commercial	$894.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.70
Rate for Payer: Qualcare PPO/HMO/WC	$268.20

PLATE TM RVS SHOULDER 20MM

Facility

$18,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270695306
Hospital Revenue Code	278
Min. Negotiated Rate	$2,805.00
Max. Negotiated Rate	$4,525.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,525.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,805.00

PLATE TM RVS SHOULDER 20MM

Facility

$18,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270695306
Hospital Revenue Code	278
Min. Negotiated Rate	$2,805.00
Max. Negotiated Rate	$9,350.00
Rate for Payer: Aetna Commercial	$5,610.00
Rate for Payer: Aetna Medicare Advantage	$5,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,768.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,768.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,768.50
Rate for Payer: Cigna Commercial	$9,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,525.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,805.00

PLATE T NARROW 7 HOLE 2.3x15MM

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270657974
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

PLATE T NARROW 7 HOLE 2.3x15MM

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270657974
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$816.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

PLATE T OBLIQUE 3HEAD 3SHAFT

Facility

$518.00

Hospital Charge Code	1603885
Hospital Revenue Code	274
Min. Negotiated Rate	$77.70
Max. Negotiated Rate	$259.00
Rate for Payer: Aetna Commercial	$155.40
Rate for Payer: Aetna Medicare Advantage	$155.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.09
Rate for Payer: Cigna Commercial	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.36
Rate for Payer: Qualcare PPO/HMO/WC	$77.70

PLATE T OBLIQUE 3HEAD 3SHAFT

Facility

$518.00

Hospital Charge Code	1603885
Hospital Revenue Code	274
Min. Negotiated Rate	$77.70
Max. Negotiated Rate	$125.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.36
Rate for Payer: Qualcare PPO/HMO/WC	$77.70

PLATE T OBLIQUE 3HEAD 4SHAFT

Facility

$548.00

Hospital Charge Code	1603893
Hospital Revenue Code	274
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$164.40
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

PLATE T OBLIQUE 3HEAD 4SHAFT

Facility

$548.00

Hospital Charge Code	1603893
Hospital Revenue Code	274
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

PLATE T OBLIQUE 3HEAD 5SHAFT

Facility

$568.00

Hospital Charge Code	1603901
Hospital Revenue Code	274
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$170.40
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

PLATE T OBLIQUE 3HEAD 5SHAFT

Facility

$568.00

Hospital Charge Code	1603901
Hospital Revenue Code	274
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

PLATE TRACK LAPIPLASTY 2.2MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270698029
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

PLATE TRACK LAPIPLASTY 2.2MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270698029
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

PLATE T RT ANGLE 3HEAD 3SHAFT

Facility

$314.00

Hospital Charge Code	1603869
Hospital Revenue Code	274
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$75.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.99
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

PLATE T RT ANGLE 3HEAD 3SHAFT

Facility

$314.00

Hospital Charge Code	1603869
Hospital Revenue Code	274
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$94.20
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.99
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

PLATE T RT ANGLE 3HEAD 5SHAFT

Facility

$339.00

Hospital Charge Code	1603877
Hospital Revenue Code	274
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$82.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.04
Rate for Payer: Qualcare PPO/HMO/WC	$50.85

PLATE T RT ANGLE 3HEAD 5SHAFT

Facility

$339.00

Hospital Charge Code	1603877
Hospital Revenue Code	274
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$169.50
Rate for Payer: Aetna Commercial	$101.70
Rate for Payer: Aetna Medicare Advantage	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.44
Rate for Payer: Cigna Commercial	$169.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.04
Rate for Payer: Qualcare PPO/HMO/WC	$50.85

Know your out-of-pocket cost for care.

All Charges