Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE, TTC

Facility

$6,375.00

Hospital Charge Code	270656746
Hospital Revenue Code	278
Min. Negotiated Rate	$956.25
Max. Negotiated Rate	$3,187.50
Rate for Payer: Aetna Commercial	$1,912.50
Rate for Payer: Aetna Medicare Advantage	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,625.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,625.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,625.62
Rate for Payer: Cigna Commercial	$3,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,542.75
Rate for Payer: Qualcare PPO/HMO/WC	$956.25

PLATE, TTC

Facility

$6,375.00

Hospital Charge Code	270656746
Hospital Revenue Code	278
Min. Negotiated Rate	$956.25
Max. Negotiated Rate	$1,542.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,542.75
Rate for Payer: Qualcare PPO/HMO/WC	$956.25

PLATE TUB 3DI 10H 124MM

Facility

$7,534.45

Service Code	HCPCS C1713
Hospital Charge Code	270700624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,130.17
Max. Negotiated Rate	$1,823.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,506.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,823.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,130.17

PLATE TUB 3DI 10H 124MM

Facility

$7,534.45

Service Code	HCPCS C1713
Hospital Charge Code	270700624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,130.17
Max. Negotiated Rate	$3,767.22
Rate for Payer: Aetna Commercial	$2,260.34
Rate for Payer: Aetna Medicare Advantage	$2,260.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,921.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,921.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,506.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,921.28
Rate for Payer: Cigna Commercial	$3,767.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,823.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,130.17

PLATE TUB 5 HOLE DELTA ORTLOC

Facility

$1,809.00

Service Code	HCPCS C1713
Hospital Charge Code	270704108
Hospital Revenue Code	278
Min. Negotiated Rate	$271.35
Max. Negotiated Rate	$437.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.78
Rate for Payer: Qualcare PPO/HMO/WC	$271.35

PLATE TUB 5 HOLE DELTA ORTLOC

Facility

$1,809.00

Service Code	HCPCS C1713
Hospital Charge Code	270704108
Hospital Revenue Code	278
Min. Negotiated Rate	$271.35
Max. Negotiated Rate	$904.50
Rate for Payer: Aetna Commercial	$542.70
Rate for Payer: Aetna Medicare Advantage	$542.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.30
Rate for Payer: Cigna Commercial	$904.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.78
Rate for Payer: Qualcare PPO/HMO/WC	$271.35

PLATE TUB 8HOLE 95MM

Facility

$2,166.40

Service Code	HCPCS C1713
Hospital Charge Code	270696914
Hospital Revenue Code	278
Min. Negotiated Rate	$324.96
Max. Negotiated Rate	$1,083.20
Rate for Payer: Aetna Commercial	$649.92
Rate for Payer: Aetna Medicare Advantage	$649.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.43
Rate for Payer: Cigna Commercial	$1,083.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96

PLATE TUB 8HOLE 95MM

Facility

$2,166.40

Service Code	HCPCS C1713
Hospital Charge Code	270696914
Hospital Revenue Code	278
Min. Negotiated Rate	$324.96
Max. Negotiated Rate	$524.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$524.27
Rate for Payer: Qualcare PPO/HMO/WC	$324.96

PLATE TUBULAR 100DEG 5H 61MM

Facility

$575.00

Hospital Charge Code	270676098
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$172.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PLATE TUBULAR 100DEG 5H 61MM

Facility

$575.00

Hospital Charge Code	270676098
Hospital Revenue Code	278
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$139.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.15
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

PLATE TUBULAR 3.5mm 100 DEGREE

Facility

$605.00

Service Code	HCPCS C1713
Hospital Charge Code	270672328
Hospital Revenue Code	278
Min. Negotiated Rate	$90.75
Max. Negotiated Rate	$146.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.41
Rate for Payer: Qualcare PPO/HMO/WC	$90.75

PLATE TUBULAR 3.5mm 100 DEGREE

Facility

$605.00

Service Code	HCPCS C1713
Hospital Charge Code	270672328
Hospital Revenue Code	278
Min. Negotiated Rate	$90.75
Max. Negotiated Rate	$302.50
Rate for Payer: Aetna Commercial	$181.50
Rate for Payer: Aetna Medicare Advantage	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.28
Rate for Payer: Cigna Commercial	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.41
Rate for Payer: Qualcare PPO/HMO/WC	$90.75

PLATE TUBULAR 3 HOLE 1/3

Facility

$375.00

Hospital Charge Code	270667331
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

PLATE TUBULAR 3 HOLE 1/3

Facility

$375.00

Hospital Charge Code	270667331
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

PLATE TWO HOLE SS

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270686189
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PLATE TWO HOLE SS

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270686189
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

PLATE ULN 6 RT PROX 23480906

Facility

$3,364.40

Hospital Charge Code	270638866
Hospital Revenue Code	278
Min. Negotiated Rate	$504.66
Max. Negotiated Rate	$1,682.20
Rate for Payer: Aetna Commercial	$1,009.32
Rate for Payer: Aetna Medicare Advantage	$1,009.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$857.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$857.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$672.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$857.92
Rate for Payer: Cigna Commercial	$1,682.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$814.18
Rate for Payer: Qualcare PPO/HMO/WC	$504.66

PLATE ULN 6 RT PROX 23480906

Facility

$3,364.40

Hospital Charge Code	270638866
Hospital Revenue Code	278
Min. Negotiated Rate	$504.66
Max. Negotiated Rate	$814.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$672.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$814.18
Rate for Payer: Qualcare PPO/HMO/WC	$504.66

PLATE ULN 8H DORS LT 234801008

Facility

$3,619.90

Hospital Charge Code	270638714
Hospital Revenue Code	278
Min. Negotiated Rate	$542.99
Max. Negotiated Rate	$1,809.95
Rate for Payer: Aetna Commercial	$1,085.97
Rate for Payer: Aetna Medicare Advantage	$1,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$723.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$923.07
Rate for Payer: Cigna Commercial	$1,809.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$876.02
Rate for Payer: Qualcare PPO/HMO/WC	$542.99

PLATE ULN 8H DORS LT 234801008

Facility

$3,619.90

Hospital Charge Code	270638714
Hospital Revenue Code	278
Min. Negotiated Rate	$542.99
Max. Negotiated Rate	$876.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$723.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$876.02
Rate for Payer: Qualcare PPO/HMO/WC	$542.99

PLATE ULN 8H DORS RT 234800908

Facility

$3,447.95

Hospital Charge Code	270638385
Hospital Revenue Code	278
Min. Negotiated Rate	$517.19
Max. Negotiated Rate	$1,723.97
Rate for Payer: Aetna Commercial	$1,034.38
Rate for Payer: Aetna Medicare Advantage	$1,034.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.23
Rate for Payer: Cigna Commercial	$1,723.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.40
Rate for Payer: Qualcare PPO/HMO/WC	$517.19

PLATE ULN 8H DORS RT 234800908

Facility

$3,447.95

Hospital Charge Code	270638385
Hospital Revenue Code	278
Min. Negotiated Rate	$517.19
Max. Negotiated Rate	$834.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.40
Rate for Payer: Qualcare PPO/HMO/WC	$517.19

PLATE ULNA SHORTEN 2.5 TRILOCK

Facility

$12,606.30

Service Code	HCPCS C1713
Hospital Charge Code	270699549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,890.94
Max. Negotiated Rate	$6,303.15
Rate for Payer: Aetna Commercial	$3,781.89
Rate for Payer: Aetna Medicare Advantage	$3,781.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,214.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,214.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,521.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,214.61
Rate for Payer: Cigna Commercial	$6,303.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,050.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,890.94

PLATE ULNA SHORTEN 2.5 TRILOCK

Facility

$12,606.30

Service Code	HCPCS C1713
Hospital Charge Code	270699549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,890.94
Max. Negotiated Rate	$3,050.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,521.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,050.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,890.94

PLATE UNIPLATE 1 LEVEL 14mm

Facility

$5,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270684303
Hospital Revenue Code	278
Min. Negotiated Rate	$843.75
Max. Negotiated Rate	$1,361.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,361.25
Rate for Payer: Qualcare PPO/HMO/WC	$843.75

Know your out-of-pocket cost for care.

All Charges