Heights University Hospital

All Charges

Charge

Type

Setting

Price

PUTTY H-GENIN 10CC

Facility

$9,975.00

Hospital Charge Code	270648866
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

PUTTY H-GENIN 10CC

Facility

$9,975.00

Hospital Charge Code	270648866
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

PUTTY H GENIN-2.5CC

Facility

$4,050.00

Service Code	HCPCS C1781
Hospital Charge Code	270704079
Hospital Revenue Code	278
Min. Negotiated Rate	$607.50
Max. Negotiated Rate	$980.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: Qualcare PPO/HMO/WC	$607.50

PUTTY H GENIN-2.5CC

Facility

$4,050.00

Service Code	HCPCS C1781
Hospital Charge Code	270704079
Hospital Revenue Code	278
Min. Negotiated Rate	$607.50
Max. Negotiated Rate	$2,025.00
Rate for Payer: Aetna Commercial	$1,215.00
Rate for Payer: Aetna Medicare Advantage	$1,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,032.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,032.75
Rate for Payer: Cigna Commercial	$2,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$980.10
Rate for Payer: Qualcare PPO/HMO/WC	$607.50

PUTTY H-GENIN 5cc

Facility

$29,925.00

Hospital Charge Code	270656130
Hospital Revenue Code	278
Min. Negotiated Rate	$4,488.75
Max. Negotiated Rate	$14,962.50
Rate for Payer: Aetna Commercial	$8,977.50
Rate for Payer: Aetna Medicare Advantage	$8,977.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,630.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,630.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,630.88
Rate for Payer: Cigna Commercial	$14,962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,241.85
Rate for Payer: Qualcare PPO/HMO/WC	$4,488.75

PUTTY H-GENIN 5cc

Facility

$29,925.00

Hospital Charge Code	270656130
Hospital Revenue Code	278
Min. Negotiated Rate	$4,488.75
Max. Negotiated Rate	$7,241.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,985.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,241.85
Rate for Payer: Qualcare PPO/HMO/WC	$4,488.75

PUTTY I FACTOR 2.5 CC

Facility

$8,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687021
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

PUTTY I FACTOR 2.5 CC

Facility

$8,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687021
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$2,400.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

PUTTY I FACTOR 5.0 CC

Facility

$8,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687022
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

PUTTY I FACTOR 5.0 CC

Facility

$8,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270687022
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$2,400.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

PUTTY KINEX BIOACTIVE 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695926
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$3,255.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

PUTTY KINEX BIOACTIVE 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695926
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

PUTTY MAXX PER 1CC

Facility

$3,950.00

Service Code	HCPCS C9359
Hospital Charge Code	270692314
Hospital Revenue Code	278
Min. Negotiated Rate	$592.50
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,185.00
Rate for Payer: Aetna Medicare Advantage	$1,185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,007.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,007.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,007.25
Rate for Payer: Cigna Commercial	$1,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.90
Rate for Payer: Qualcare PPO/HMO/WC	$592.50

PUTTY MAXX PER 1CC

Facility

$3,950.00

Service Code	HCPCS C9359
Hospital Charge Code	270692314
Hospital Revenue Code	278
Min. Negotiated Rate	$592.50
Max. Negotiated Rate	$955.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.90
Rate for Payer: Qualcare PPO/HMO/WC	$592.50

PUTTY NEVOS BONE 5CC

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270679089
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

PUTTY NEVOS BONE 5CC

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270679089
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

PUTTY NEVOS BONE 5CC

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270679088
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

PUTTY NEVOS BONE 5CC

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270679088
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

PUTTY NEVOS DBM 10CC

Facility

$10,530.00

Service Code	HCPCS C1713
Hospital Charge Code	270692543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,579.50
Max. Negotiated Rate	$5,265.00
Rate for Payer: Aetna Commercial	$3,159.00
Rate for Payer: Aetna Medicare Advantage	$3,159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,685.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,685.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,685.15
Rate for Payer: Cigna Commercial	$5,265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,548.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,579.50

PUTTY NEVOS DBM 10CC

Facility

$10,530.00

Service Code	HCPCS C1713
Hospital Charge Code	270692543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,579.50
Max. Negotiated Rate	$2,548.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,106.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,548.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,579.50

PUTTY NEVOS DBM 2.5CC

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270693281
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PUTTY NEVOS DBM 2.5CC

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270693281
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

PUTTY NEVOS DBM 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270692644
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$2,835.00
Rate for Payer: Aetna Commercial	$1,701.00
Rate for Payer: Aetna Medicare Advantage	$1,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,445.85
Rate for Payer: Cigna Commercial	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

PUTTY NEVOS DBM 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270692644
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$1,372.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

PUTTY NEVOS PLUS 1CC

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270692535
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

Know your out-of-pocket cost for care.

All Charges