Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

POST EX-FIX LG 30DEG OUTR 11MM

Facility

$582.40

Hospital Charge Code	270642898
Hospital Revenue Code	272
Min. Negotiated Rate	$87.36
Max. Negotiated Rate	$87.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.36

POST EX-FIX LG 30DEG OUTR 11MM

Facility

$582.40

Hospital Charge Code	270642898
Hospital Revenue Code	272
Min. Negotiated Rate	$75.71
Max. Negotiated Rate	$291.20
Rate for Payer: Aetna Commercial	$174.72
Rate for Payer: Aetna Medicare Advantage	$174.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.51
Rate for Payer: Cigna Commercial	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.71
Rate for Payer: Oxford Commercial	$291.20
Rate for Payer: Qualcare PPO/HMO/WC	$87.36
Rate for Payer: UnitedHealthcare Commercial	$291.20

POST EX-FIX LG OUTRIGGER 11MM

Facility

$582.40

Hospital Charge Code	270646019
Hospital Revenue Code	272
Min. Negotiated Rate	$87.36
Max. Negotiated Rate	$87.36
Rate for Payer: Qualcare PPO/HMO/WC	$87.36

POST EX-FIX LG OUTRIGGER 11MM

Facility

$582.40

Hospital Charge Code	270646019
Hospital Revenue Code	272
Min. Negotiated Rate	$75.71
Max. Negotiated Rate	$291.20
Rate for Payer: Aetna Commercial	$174.72
Rate for Payer: Aetna Medicare Advantage	$174.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.51
Rate for Payer: Cigna Commercial	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.71
Rate for Payer: Oxford Commercial	$291.20
Rate for Payer: Qualcare PPO/HMO/WC	$87.36
Rate for Payer: UnitedHealthcare Commercial	$291.20

POST FEMORAL ATTUNE SZ5N

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$3,450.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST FEMORAL ATTUNE SZ5N

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST FREE DISTRACTION

Facility

$7,500.00

Hospital Charge Code	270691820
Hospital Revenue Code	272
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$3,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$3,750.00

POST FREE DISTRACTION

Facility

$7,500.00

Hospital Charge Code	270691820
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

POST FREEDOM X 3.5X20MM

Facility

$10,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698537
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.75
Max. Negotiated Rate	$2,474.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,474.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.75

POST FREEDOM X 3.5X20MM

Facility

$10,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698537
Hospital Revenue Code	278
Min. Negotiated Rate	$1,533.75
Max. Negotiated Rate	$5,112.50
Rate for Payer: Aetna Commercial	$3,067.50
Rate for Payer: Aetna Medicare Advantage	$3,067.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,607.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,607.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,607.38
Rate for Payer: Cigna Commercial	$5,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,474.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,533.75

POST INCORE 5.9X28MM RT TI

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270687066
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$4,220.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST INCORE 5.9X28MM RT TI

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270687066
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna Commercial	$5,232.00
Rate for Payer: Aetna Medicare Advantage	$5,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.20
Rate for Payer: Cigna Commercial	$8,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST INSERT TIBIAL FX STAB SZ4

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686447
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$3,450.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST INSERT TIBIAL FX STAB SZ4

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270686447
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

POST LEFT LAPIDUS 5.9MMX28MM

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270688234
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$4,220.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST LEFT LAPIDUS 5.9MMX28MM

Facility

$17,440.00

Service Code	HCPCS C1713
Hospital Charge Code	270688234
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.00
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna Commercial	$5,232.00
Rate for Payer: Aetna Medicare Advantage	$5,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.20
Rate for Payer: Cigna Commercial	$8,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.00

POST LUM CAGE 13X23X0-11MMD

Facility

$26,910.00

Service Code	HCPCS 26910
Hospital Charge Code	270704782
Hospital Revenue Code	278
Min. Negotiated Rate	$4,036.50
Max. Negotiated Rate	$6,512.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,382.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,512.22
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.50

POST LUM CAGE 13X23X0-11MMD

Facility

$26,910.00

Service Code	HCPCS 26910
Hospital Charge Code	270704782
Hospital Revenue Code	278
Min. Negotiated Rate	$4,036.50
Max. Negotiated Rate	$8,073.00
Rate for Payer: Aetna Commercial	$8,073.00
Rate for Payer: Aetna Medicare Advantage	$8,073.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,862.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,862.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,382.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,862.05
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,512.22
Rate for Payer: Qualcare PPO/HMO/WC	$4,036.50

POST LUM CAGE 7X23X9MM 6DEG

Facility

$2,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270705424
Hospital Revenue Code	278
Min. Negotiated Rate	$399.00
Max. Negotiated Rate	$643.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$532.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.72
Rate for Payer: Qualcare PPO/HMO/WC	$399.00

POST LUM CAGE 7X23X9MM 6DEG

Facility

$2,660.00

Service Code	HCPCS C1713
Hospital Charge Code	270705424
Hospital Revenue Code	278
Min. Negotiated Rate	$399.00
Max. Negotiated Rate	$1,330.00
Rate for Payer: Aetna Commercial	$798.00
Rate for Payer: Aetna Medicare Advantage	$798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$678.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$678.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$532.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$678.30
Rate for Payer: Cigna Commercial	$1,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.72
Rate for Payer: Qualcare PPO/HMO/WC	$399.00

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC

Facility

$64,756.47

Service Code	MSDRG 862
Min. Negotiated Rate	$19,901.28
Max. Negotiated Rate	$64,756.47
Rate for Payer: Aetna Commercial	$61,494.96
Rate for Payer: Aetna Medicare Advantage	$19,901.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,723.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,723.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,585.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,723.28
Rate for Payer: Cigna Commercial	$39,247.85
Rate for Payer: Cigna Medicare Advantage	$21,585.49
Rate for Payer: Clover Medicare Advantage	$20,506.22
Rate for Payer: EmblemHealth Commercial	$64,756.47
Rate for Payer: Humana Medicare Advantage	$22,233.05
Rate for Payer: Oxford Commercial	$24,528.76
Rate for Payer: UnitedHealthcare Commercial	$27,842.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,585.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,880.62
Rate for Payer: Wellcare Medicare Advantage	$21,585.49

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC

Facility

$40,787.01

Service Code	MSDRG 863
Min. Negotiated Rate	$10,889.67
Max. Negotiated Rate	$40,787.01
Rate for Payer: Aetna Commercial	$33,649.08
Rate for Payer: Aetna Medicare Advantage	$10,889.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,595.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,842.67
Rate for Payer: Cigna Commercial	$21,475.81
Rate for Payer: Cigna Medicare Advantage	$13,595.67
Rate for Payer: Clover Medicare Advantage	$12,915.89
Rate for Payer: EmblemHealth Commercial	$40,787.01
Rate for Payer: Humana Medicare Advantage	$14,003.54
Rate for Payer: Oxford Commercial	$13,421.75
Rate for Payer: UnitedHealthcare Commercial	$15,234.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,595.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,411.41
Rate for Payer: Wellcare Medicare Advantage	$13,595.67

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

Facility

$73,980.84

Service Code	MSDRG 857
Min. Negotiated Rate	$23,369.30
Max. Negotiated Rate	$73,980.84
Rate for Payer: Aetna Commercial	$72,211.14
Rate for Payer: Aetna Medicare Advantage	$23,369.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,660.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,993.38
Rate for Payer: Cigna Commercial	$46,087.22
Rate for Payer: Cigna Medicare Advantage	$24,660.28
Rate for Payer: Clover Medicare Advantage	$23,427.27
Rate for Payer: EmblemHealth Commercial	$73,980.84
Rate for Payer: Humana Medicare Advantage	$25,400.09
Rate for Payer: Oxford Commercial	$28,803.17
Rate for Payer: UnitedHealthcare Commercial	$32,694.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,660.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,139.90
Rate for Payer: Wellcare Medicare Advantage	$24,660.28

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

Facility

$153,381.64

Service Code	MSDRG 856
Min. Negotiated Rate	$45,553.00
Max. Negotiated Rate	$153,381.64
Rate for Payer: Aetna Commercial	$153,381.64
Rate for Payer: Aetna Medicare Advantage	$49,638.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122,121.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122,121.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,950.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122,121.81
Rate for Payer: Cigna Commercial	$97,892.57
Rate for Payer: Cigna Medicare Advantage	$47,950.53
Rate for Payer: Clover Medicare Advantage	$45,553.00
Rate for Payer: EmblemHealth Commercial	$143,851.59
Rate for Payer: Humana Medicare Advantage	$49,389.05
Rate for Payer: Oxford Commercial	$61,180.01
Rate for Payer: UnitedHealthcare Commercial	$69,445.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,950.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50,827.56
Rate for Payer: Wellcare Medicare Advantage	$47,950.53

Know your out-of-pocket cost for care.

All Charges