Heights University Hospital

All Charges

Charge

Type

Setting

Price

POST ATTUNE FEMORAL SZ 5 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270686915
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 5 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270686915
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 5 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 5 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 6 CEMNT

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687050
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 6 CEMNT

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687050
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 7 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST ATTUNE FEMORAL SZ 7 CEMEN

Facility

$10,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270687592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

POST AUG SZ 95MM REV PSN

Facility

$7,975.00

Service Code	HCPCS C1776
Hospital Charge Code	270690148
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

POST AUG SZ 95MM REV PSN

Facility

$7,975.00

Service Code	HCPCS C1776
Hospital Charge Code	270690148
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

POST CAPSULAR RELEASE KNEE

Facility

$140,493.36

Service Code	HCPCS 27435
Hospital Charge Code	1600000464
Hospital Revenue Code	360
Min. Negotiated Rate	$21,074.00
Max. Negotiated Rate	$21,074.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,074.00

POST CAPSULAR RELEASE KNEE

Facility

$140,493.36

Service Code	HCPCS 27435
Hospital Charge Code	1600000464
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$42,148.01
Rate for Payer: Aetna Commercial	$42,148.01
Rate for Payer: Aetna Medicare Advantage	$42,148.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,825.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,825.81
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	$35,825.81
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,264.14
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,074.00
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

POST CHAMBER LENS MC60CM ALCON

Facility

$174.00

Hospital Charge Code	270335902
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$52.20
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

POST CHAMBER LENS MC60CM ALCON

Facility

$174.00

Hospital Charge Code	270335902
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

POST CHAMBER LENS SA60AT-ALCON

Facility

$306.00

Hospital Charge Code	270335901
Hospital Revenue Code	276
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$153.00
Rate for Payer: Aetna Commercial	$91.80
Rate for Payer: Aetna Medicare Advantage	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.03
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

POST CHAMBER LENS SA60AT-ALCON

Facility

$306.00

Hospital Charge Code	270335901
Hospital Revenue Code	276
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$74.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

POST CHAMBER LENS-SN60WF ALCON

Facility

$347.00

Hospital Charge Code	270335900
Hospital Revenue Code	276
Min. Negotiated Rate	$52.05
Max. Negotiated Rate	$173.50
Rate for Payer: Aetna Commercial	$104.10
Rate for Payer: Aetna Medicare Advantage	$104.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.48
Rate for Payer: Cigna Commercial	$173.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.97
Rate for Payer: Qualcare PPO/HMO/WC	$52.05

POST CHAMBER LENS-SN60WF ALCON

Facility

$347.00

Hospital Charge Code	270335900
Hospital Revenue Code	276
Min. Negotiated Rate	$52.05
Max. Negotiated Rate	$83.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.97
Rate for Payer: Qualcare PPO/HMO/WC	$52.05

POST-ENDO RECOVERY/HR

Facility

$800.00

Hospital Charge Code	1500112
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

POST-ENDO RECOVERY/HR

Facility

$800.00

Hospital Charge Code	1500112
Hospital Revenue Code	710
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$400.00

POSTERIOR LATERAL PLATE

Facility

$2,321.25

Hospital Charge Code	270657771
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$561.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74
Rate for Payer: Qualcare PPO/HMO/WC	$348.19

POSTERIOR LATERAL PLATE

Facility

$2,321.25

Hospital Charge Code	270657771
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$1,160.62
Rate for Payer: Aetna Commercial	$696.38
Rate for Payer: Aetna Medicare Advantage	$696.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.92
Rate for Payer: Cigna Commercial	$1,160.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74
Rate for Payer: Qualcare PPO/HMO/WC	$348.19

POSTERIOR LATERAL RISHT PLATE

Facility

$2,321.25

Hospital Charge Code	270657747
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$561.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74
Rate for Payer: Qualcare PPO/HMO/WC	$348.19

POSTERIOR LATERAL RISHT PLATE

Facility

$2,321.25

Hospital Charge Code	270657747
Hospital Revenue Code	278
Min. Negotiated Rate	$348.19
Max. Negotiated Rate	$1,160.62
Rate for Payer: Qualcare PPO/HMO/WC	$348.19
Rate for Payer: Aetna Commercial	$696.38
Rate for Payer: Aetna Medicare Advantage	$696.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.92
Rate for Payer: Cigna Commercial	$1,160.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.74

POSTERIOR TBI FIXED SZ3 8MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270700498
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

Know your out-of-pocket cost for care.

All Charges