Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLAT FL COMP 2H 135D 118113502

Facility

$1,403.70

Hospital Charge Code	270639016
Hospital Revenue Code	278
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$701.85
Rate for Payer: Aetna Commercial	$421.11
Rate for Payer: Aetna Medicare Advantage	$421.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.94
Rate for Payer: Cigna Commercial	$701.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.70
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

PLATING FUSION SM 3DI SYSTEM

Facility

$7,050.00

Hospital Charge Code	270702877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.50
Max. Negotiated Rate	$1,706.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,706.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50

PLATING FUSION SM 3DI SYSTEM

Facility

$7,050.00

Hospital Charge Code	270702877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,057.50
Max. Negotiated Rate	$3,525.00
Rate for Payer: Aetna Commercial	$2,115.00
Rate for Payer: Aetna Medicare Advantage	$2,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,797.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,797.75
Rate for Payer: Cigna Commercial	$3,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,706.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,057.50

PLATING ORTHOLOC 3DI MED RT

Facility

$7,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270700804
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.75
Max. Negotiated Rate	$3,722.50
Rate for Payer: Aetna Commercial	$2,233.50
Rate for Payer: Aetna Medicare Advantage	$2,233.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,898.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,898.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,489.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,898.47
Rate for Payer: Cigna Commercial	$3,722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,801.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.75

PLATING ORTHOLOC 3DI MED RT

Facility

$7,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270700804
Hospital Revenue Code	278
Min. Negotiated Rate	$1,116.75
Max. Negotiated Rate	$1,801.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,489.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,801.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.75

PLATING WEDGE OPEN 4MM RIGHT

Facility

$7,351.50

Service Code	HCPCS C1713
Hospital Charge Code	270680167
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.72
Max. Negotiated Rate	$1,779.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,779.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.72

PLATING WEDGE OPEN 4MM RIGHT

Facility

$7,351.50

Service Code	HCPCS C1713
Hospital Charge Code	270680167
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.72
Max. Negotiated Rate	$3,675.75
Rate for Payer: Aetna Commercial	$2,205.45
Rate for Payer: Aetna Medicare Advantage	$2,205.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,874.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,874.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,874.63
Rate for Payer: Cigna Commercial	$3,675.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,779.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.72

PLATINOL 10 MG

Facility

$164.00

Hospital Charge Code	60635305
Hospital Revenue Code	250
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

PLATINOL 10 MG

Facility

$164.00

Hospital Charge Code	60635305
Hospital Revenue Code	250
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$82.00
Rate for Payer: Aetna Commercial	$49.20
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.32
Rate for Payer: Oxford Commercial	$82.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$82.00

PLATINOL-AQ/1MG/1ML

Facility

$516.00

Hospital Charge Code	60633669
Hospital Revenue Code	250
Min. Negotiated Rate	$77.40
Max. Negotiated Rate	$77.40
Rate for Payer: Qualcare PPO/HMO/WC	$77.40

PLATINOL-AQ/1MG/1ML

Facility

$516.00

Hospital Charge Code	60633669
Hospital Revenue Code	250
Min. Negotiated Rate	$67.08
Max. Negotiated Rate	$258.00
Rate for Payer: Aetna Commercial	$154.80
Rate for Payer: Aetna Medicare Advantage	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.58
Rate for Payer: Cigna Commercial	$258.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.08
Rate for Payer: Oxford Commercial	$258.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.40
Rate for Payer: UnitedHealthcare Commercial	$258.00

PLAT VALCP COL-FUSN 2.7x78MM L

Facility

$5,920.45

Service Code	HCPCS C1713
Hospital Charge Code	270680262
Hospital Revenue Code	278
Min. Negotiated Rate	$888.07
Max. Negotiated Rate	$1,432.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.75
Rate for Payer: Qualcare PPO/HMO/WC	$888.07

PLAT VALCP COL-FUSN 2.7x78MM L

Facility

$5,920.45

Service Code	HCPCS C1713
Hospital Charge Code	270680262
Hospital Revenue Code	278
Min. Negotiated Rate	$888.07
Max. Negotiated Rate	$2,960.22
Rate for Payer: Aetna Commercial	$1,776.13
Rate for Payer: Aetna Medicare Advantage	$1,776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,509.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,509.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,184.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,509.71
Rate for Payer: Cigna Commercial	$2,960.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,432.75
Rate for Payer: Qualcare PPO/HMO/WC	$888.07

PLAT VA LKG CALC SM2.7x58MM LT

Facility

$4,341.45

Service Code	HCPCS C1713
Hospital Charge Code	270680302
Hospital Revenue Code	278
Min. Negotiated Rate	$651.22
Max. Negotiated Rate	$2,170.72
Rate for Payer: Aetna Commercial	$1,302.43
Rate for Payer: Aetna Medicare Advantage	$1,302.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,107.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$868.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,107.07
Rate for Payer: Cigna Commercial	$2,170.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.63
Rate for Payer: Qualcare PPO/HMO/WC	$651.22

PLAT VA LKG CALC SM2.7x58MM LT

Facility

$4,341.45

Service Code	HCPCS C1713
Hospital Charge Code	270680302
Hospital Revenue Code	278
Min. Negotiated Rate	$651.22
Max. Negotiated Rate	$1,050.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$868.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.63
Rate for Payer: Qualcare PPO/HMO/WC	$651.22

PL CATH ART 1ST A/P-BI

Facility

$364.00

Service Code	HCPCS 3624550
Hospital Charge Code	7411101
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST A/P-BI

Facility

$364.00

Service Code	HCPCS 3624550
Hospital Charge Code	7411101
Hospital Revenue Code	361
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST A/P-LT

Facility

$364.00

Service Code	HCPCS 36245LT
Hospital Charge Code	7411099
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST A/P-LT

Facility

$364.00

Service Code	HCPCS 36245LT
Hospital Charge Code	7411099
Hospital Revenue Code	361
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST A/P-RT

Facility

$364.00

Service Code	HCPCS 36245RT
Hospital Charge Code	7411103
Hospital Revenue Code	361
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST A/P-RT

Facility

$364.00

Service Code	HCPCS 36245RT
Hospital Charge Code	7411103
Hospital Revenue Code	361
Min. Negotiated Rate	$47.32
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$109.20
Rate for Payer: Aetna Medicare Advantage	$109.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.82
Rate for Payer: Cigna Commercial	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.60

PL CATH ART 1ST T/B-BI

Facility

$359.00

Service Code	HCPCS 3621550
Hospital Charge Code	7411081
Hospital Revenue Code	361
Min. Negotiated Rate	$46.67
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$107.70
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.55
Rate for Payer: Cigna Commercial	$179.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

PL CATH ART 1ST T/B-BI

Facility

$359.00

Service Code	HCPCS 3621550
Hospital Charge Code	7411081
Hospital Revenue Code	361
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

PL CATH ART 1ST T/B-LT

Facility

$359.00

Service Code	HCPCS 36215LT
Hospital Charge Code	7411083
Hospital Revenue Code	361
Min. Negotiated Rate	$46.67
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$107.70
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.55
Rate for Payer: Cigna Commercial	$179.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

PL CATH ART 1ST T/B-LT

Facility

$359.00

Service Code	HCPCS 36215LT
Hospital Charge Code	7411083
Hospital Revenue Code	361
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

Know your out-of-pocket cost for care.

All Charges