Heights University Hospital

All Charges

Charge

Type

Setting

Price

PUSHLOCK 3.5 MM HIP

Facility

$875.00

Hospital Charge Code	270688378
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PUSHLOCK 4.5X18.5MM

Facility

$2,300.00

Hospital Charge Code	270641351
Hospital Revenue Code	278
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$556.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

PUSHLOCK 4.5X18.5MM

Facility

$2,300.00

Hospital Charge Code	270641351
Hospital Revenue Code	278
Min. Negotiated Rate	$345.00
Max. Negotiated Rate	$1,150.00
Rate for Payer: Aetna Commercial	$690.00
Rate for Payer: Aetna Medicare Advantage	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$460.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.50
Rate for Payer: Cigna Commercial	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.60
Rate for Payer: Qualcare PPO/HMO/WC	$345.00

PUSHLOCK HIP 2.9MM DISP KIT

Facility

$875.00

Hospital Charge Code	270677471
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

PUSHLOCK HIP 2.9MM DISP KIT

Facility

$875.00

Hospital Charge Code	270677471
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	1600000760
Hospital Revenue Code	360
Min. Negotiated Rate	$185.31
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$427.63
Rate for Payer: Aetna Medicare Advantage	$427.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.49
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	$363.49
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.31
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.82
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	5780185
Hospital Revenue Code	391
Min. Negotiated Rate	$185.31
Max. Negotiated Rate	$1,050.61
Rate for Payer: Aetna Commercial	$427.63
Rate for Payer: Aetna Medicare Advantage	$427.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.49
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.31
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.82
Rate for Payer: UnitedHealthcare Commercial	$756.00

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	1600000760
Hospital Revenue Code	360
Min. Negotiated Rate	$213.82
Max. Negotiated Rate	$213.82
Rate for Payer: Qualcare PPO/HMO/WC	$213.82

PUSH TRANSFUSION, BLOOD

Facility

$1,425.45

Service Code	HCPCS 36440
Hospital Charge Code	5780185
Hospital Revenue Code	391
Min. Negotiated Rate	$213.82
Max. Negotiated Rate	$213.82
Rate for Payer: Qualcare PPO/HMO/WC	$213.82

PUTTY 10 CC OSTEOSELECT

Facility

$4,930.00

Hospital Charge Code	270701850
Hospital Revenue Code	278
Min. Negotiated Rate	$739.50
Max. Negotiated Rate	$1,193.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50

PUTTY 10 CC OSTEOSELECT

Facility

$4,930.00

Hospital Charge Code	270701850
Hospital Revenue Code	278
Min. Negotiated Rate	$739.50
Max. Negotiated Rate	$2,465.00
Rate for Payer: Aetna Commercial	$1,479.00
Rate for Payer: Aetna Medicare Advantage	$1,479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,257.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$986.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,257.15
Rate for Payer: Cigna Commercial	$2,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,193.06
Rate for Payer: Qualcare PPO/HMO/WC	$739.50

PUTTY 1 CC

Facility

$625.00

Service Code	HCPCS C1716
Hospital Charge Code	270701788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PUTTY 1 CC

Facility

$625.00

Service Code	HCPCS C1716
Hospital Charge Code	270701788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$1,197.08
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PUTTY ACCELL DBM 10 023000100

Facility

$7,425.00

Hospital Charge Code	270638640
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$1,796.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

PUTTY ACCELL DBM 10 023000100

Facility

$7,425.00

Hospital Charge Code	270638640
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$3,712.50
Rate for Payer: Aetna Commercial	$2,227.50
Rate for Payer: Aetna Medicare Advantage	$2,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,893.38
Rate for Payer: Cigna Commercial	$3,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

PUTTY ACCELL EVO3 5CC

Facility

$6,106.45

Hospital Charge Code	270668133
Hospital Revenue Code	278
Min. Negotiated Rate	$915.97
Max. Negotiated Rate	$1,477.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.76
Rate for Payer: Qualcare PPO/HMO/WC	$915.97

PUTTY ACCELL EVO3 5CC

Facility

$6,106.45

Hospital Charge Code	270668133
Hospital Revenue Code	278
Min. Negotiated Rate	$915.97
Max. Negotiated Rate	$3,053.22
Rate for Payer: Aetna Commercial	$1,831.93
Rate for Payer: Aetna Medicare Advantage	$1,831.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,557.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,557.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,557.14
Rate for Payer: Cigna Commercial	$3,053.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.76
Rate for Payer: Qualcare PPO/HMO/WC	$915.97

PUTTY ACCELL EVO3C 5CC

Facility

$6,834.70

Hospital Charge Code	270668134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,025.20
Max. Negotiated Rate	$1,654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,654.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,025.20

PUTTY ACCELL EVO3C 5CC

Facility

$6,834.70

Hospital Charge Code	270668134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,025.20
Max. Negotiated Rate	$3,417.35
Rate for Payer: Aetna Commercial	$2,050.41
Rate for Payer: Aetna Medicare Advantage	$2,050.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,742.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,742.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,742.85
Rate for Payer: Cigna Commercial	$3,417.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,654.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,025.20

PUTTY ALLOFUSE DBM 10CC

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681848
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PUTTY ALLOFUSE DBM 10CC

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681848
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PUTTY ALLOFUSE DBM 1CC

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270681845
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PUTTY ALLOFUSE DBM 1CC

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270681845
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

PUTTY ALLOFUSE DBM 2.5 CC

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270681846
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

PUTTY ALLOFUSE DBM 2.5 CC

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270681846
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Know your out-of-pocket cost for care.

All Charges