Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLUG BIO-A

Facility

$1,265.00

Hospital Charge Code	270664707
Hospital Revenue Code	270
Min. Negotiated Rate	$164.45
Max. Negotiated Rate	$632.50
Rate for Payer: Aetna Commercial	$379.50
Rate for Payer: Aetna Medicare Advantage	$379.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.57
Rate for Payer: Cigna Commercial	$632.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.45
Rate for Payer: Oxford Commercial	$632.50
Rate for Payer: Qualcare PPO/HMO/WC	$189.75
Rate for Payer: UnitedHealthcare Commercial	$632.50

PLUG BMT BONE IM 12MM 130609

Facility

$607.25

Hospital Charge Code	270620286
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$146.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

PLUG BMT BONE IM 12MM 130609

Facility

$607.25

Hospital Charge Code	270620286
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$303.62
Rate for Payer: Aetna Commercial	$182.18
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

PLUG BMT BONE IM 16MM 130611

Facility

$598.45

Hospital Charge Code	270608157
Hospital Revenue Code	278
Min. Negotiated Rate	$89.77
Max. Negotiated Rate	$144.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.82
Rate for Payer: Qualcare PPO/HMO/WC	$89.77

PLUG BMT BONE IM 16MM 130611

Facility

$598.45

Hospital Charge Code	270608157
Hospital Revenue Code	278
Min. Negotiated Rate	$89.77
Max. Negotiated Rate	$299.23
Rate for Payer: Aetna Commercial	$179.53
Rate for Payer: Aetna Medicare Advantage	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.60
Rate for Payer: Cigna Commercial	$299.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.82
Rate for Payer: Qualcare PPO/HMO/WC	$89.77

PLUG CANN D=8 L=16MM

Facility

$2,409.75

Service Code	HCPCS C1889
Hospital Charge Code	270704122
Hospital Revenue Code	278
Min. Negotiated Rate	$361.46
Max. Negotiated Rate	$583.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.16
Rate for Payer: Qualcare PPO/HMO/WC	$361.46

PLUG CANN D=8 L=16MM

Facility

$2,409.75

Service Code	HCPCS C1889
Hospital Charge Code	270704122
Hospital Revenue Code	278
Min. Negotiated Rate	$361.46
Max. Negotiated Rate	$1,204.88
Rate for Payer: Aetna Commercial	$722.92
Rate for Payer: Aetna Medicare Advantage	$722.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$614.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$614.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$614.49
Rate for Payer: Cigna Commercial	$1,204.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.16
Rate for Payer: Qualcare PPO/HMO/WC	$361.46

PLUG CATH

Facility

$9.65

Hospital Charge Code	270300436
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$4.83

PLUG CATH

Facility

$9.65

Hospital Charge Code	270300436
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

PLUG DOWEL CANCELLOUS 10X 16MM

Facility

$2,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270684095
Hospital Revenue Code	278
Min. Negotiated Rate	$344.25
Max. Negotiated Rate	$1,147.50
Rate for Payer: Aetna Commercial	$688.50
Rate for Payer: Aetna Medicare Advantage	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$585.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$585.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$585.23
Rate for Payer: Cigna Commercial	$1,147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$555.39
Rate for Payer: Qualcare PPO/HMO/WC	$344.25

PLUG DOWEL CANCELLOUS 10X 16MM

Facility

$2,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270684095
Hospital Revenue Code	278
Min. Negotiated Rate	$344.25
Max. Negotiated Rate	$555.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$555.39
Rate for Payer: Qualcare PPO/HMO/WC	$344.25

PLUG DOWEL CANCELLOUS 11X 16MM

Facility

$2,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270684096
Hospital Revenue Code	278
Min. Negotiated Rate	$344.25
Max. Negotiated Rate	$1,147.50
Rate for Payer: Aetna Commercial	$688.50
Rate for Payer: Aetna Medicare Advantage	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$585.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$585.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$585.23
Rate for Payer: Cigna Commercial	$1,147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$555.39
Rate for Payer: Qualcare PPO/HMO/WC	$344.25

PLUG DOWEL CANCELLOUS 11X 16MM

Facility

$2,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270684096
Hospital Revenue Code	278
Min. Negotiated Rate	$344.25
Max. Negotiated Rate	$555.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$555.39
Rate for Payer: Qualcare PPO/HMO/WC	$344.25

PLUG DOWEL CANCELLOUS 7MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689469
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG DOWEL CANCELLOUS 7MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689469
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG DOWEL CANCELLOUS 8MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689470
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG DOWEL CANCELLOUS 8MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689470
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG DOWEL CANCELLOUS 9MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689471
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG DOWEL CANCELLOUS 9MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689471
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

PLUG HERNIA MESH SMPL-01

Facility

$519.25

Hospital Charge Code	270622475
Hospital Revenue Code	278
Min. Negotiated Rate	$77.89
Max. Negotiated Rate	$259.62
Rate for Payer: Aetna Commercial	$155.78
Rate for Payer: Aetna Medicare Advantage	$155.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.41
Rate for Payer: Cigna Commercial	$259.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.66
Rate for Payer: Qualcare PPO/HMO/WC	$77.89

PLUG HERNIA MESH SMPL-01

Facility

$519.25

Hospital Charge Code	270622475
Hospital Revenue Code	278
Min. Negotiated Rate	$77.89
Max. Negotiated Rate	$125.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.66
Rate for Payer: Qualcare PPO/HMO/WC	$77.89

PLUG INTRAMEDULLARY LG

Facility

$895.00

Service Code	HCPCS C1713
Hospital Charge Code	270605341
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$216.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

PLUG INTRAMEDULLARY LG

Facility

$895.00

Service Code	HCPCS C1713
Hospital Charge Code	270605341
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$268.50
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

PLUG MESH PROLOOP MED

Facility

$673.75

Service Code	HCPCS C1781
Hospital Charge Code	270653937
Hospital Revenue Code	278
Min. Negotiated Rate	$101.06
Max. Negotiated Rate	$336.88
Rate for Payer: Aetna Commercial	$202.12
Rate for Payer: Aetna Medicare Advantage	$202.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.81
Rate for Payer: Cigna Commercial	$336.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.05
Rate for Payer: Qualcare PPO/HMO/WC	$101.06

PLUG MESH PROLOOP MED

Facility

$673.75

Service Code	HCPCS C1781
Hospital Charge Code	270653937
Hospital Revenue Code	278
Min. Negotiated Rate	$101.06
Max. Negotiated Rate	$163.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.05
Rate for Payer: Qualcare PPO/HMO/WC	$101.06

Know your out-of-pocket cost for care.

All Charges