Heights University Hospital

All Charges

Charge

Type

Setting

Price

RELEASE PALM CONTRACTURE

Facility

$14,972.60

Service Code	HCPCS 26045
Hospital Charge Code	16000840
Hospital Revenue Code	360
Min. Negotiated Rate	$2,245.89
Max. Negotiated Rate	$2,245.89
Rate for Payer: Qualcare PPO/HMO/WC	$2,245.89

RELEASE PALM/FINGER TENDON

Facility

$6,775.00

Service Code	HCPCS 26440
Hospital Charge Code	323026440
Hospital Revenue Code	450
Min. Negotiated Rate	$1,016.25
Max. Negotiated Rate	$1,016.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,016.25

RELEASE PALM/FINGER TENDON

Facility

$7,359.90

Service Code	HCPCS 26440
Hospital Charge Code	16000281
Hospital Revenue Code	360
Min. Negotiated Rate	$956.79
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,207.97
Rate for Payer: Aetna Medicare Advantage	$2,207.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,876.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,876.77
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	$1,876.77
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$956.79
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.98
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

RELEASE PALM/FINGER TENDON

Facility

$7,359.90

Service Code	HCPCS 26440
Hospital Charge Code	16000281
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.98
Max. Negotiated Rate	$1,103.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,103.98

RELEASE PALM/FINGER TENDON

Facility

$6,775.00

Service Code	HCPCS 26440
Hospital Charge Code	323026440
Hospital Revenue Code	450
Min. Negotiated Rate	$298.48
Max. Negotiated Rate	$3,829.26
Rate for Payer: Aetna Commercial	$2,032.50
Rate for Payer: Aetna Medicare Advantage	$2,032.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,727.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,727.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,727.62
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$880.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,016.25

RELEASE SGL TIB FIB ANKLE FLXR

Facility

$30,595.00

Service Code	HCPCS 27680
Hospital Charge Code	16000414
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

RELEASE SGL TIB FIB ANKLE FLXR

Facility

$30,595.00

Service Code	HCPCS 27680
Hospital Charge Code	16000414
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,178.50
Rate for Payer: Aetna Commercial	$9,178.50
Rate for Payer: Aetna Medicare Advantage	$9,178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,801.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,801.73
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	$7,801.73
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,977.35
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

RELEFACT TRH/500MCG/1ML

Facility

$711.00

Hospital Charge Code	60633814
Hospital Revenue Code	250
Min. Negotiated Rate	$92.43
Max. Negotiated Rate	$355.50
Rate for Payer: Aetna Commercial	$213.30
Rate for Payer: Aetna Medicare Advantage	$213.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.31
Rate for Payer: Cigna Commercial	$355.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.43
Rate for Payer: Oxford Commercial	$355.50
Rate for Payer: Qualcare PPO/HMO/WC	$106.65
Rate for Payer: UnitedHealthcare Commercial	$355.50

RELEFACT TRH/500MCG/1ML

Facility

$144.00

Hospital Charge Code	60634599
Hospital Revenue Code	250
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.72
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$72.00

RELEFACT TRH/500MCG/1ML

Facility

$711.00

Hospital Charge Code	60633814
Hospital Revenue Code	250
Min. Negotiated Rate	$106.65
Max. Negotiated Rate	$106.65
Rate for Payer: Qualcare PPO/HMO/WC	$106.65

RELEFACT TRH/500MCG/1ML

Facility

$144.00

Hospital Charge Code	60634599
Hospital Revenue Code	250
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

RELEFAN 750MG TAB

Facility

$5.00

Hospital Charge Code	60635166
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

RELEFAN 750MG TAB

Facility

$5.00

Hospital Charge Code	60635166
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

RELIATACK FIXATION DEVICE 3X10

Facility

$4,317.55

Hospital Charge Code	270672733
Hospital Revenue Code	272
Min. Negotiated Rate	$561.28
Max. Negotiated Rate	$2,158.78
Rate for Payer: Aetna Commercial	$1,295.27
Rate for Payer: Aetna Medicare Advantage	$1,295.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,100.98
Rate for Payer: Cigna Commercial	$2,158.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.28
Rate for Payer: Oxford Commercial	$2,158.78
Rate for Payer: Qualcare PPO/HMO/WC	$647.63
Rate for Payer: UnitedHealthcare Commercial	$2,158.78

RELIATACK FIXATION DEVICE 3X10

Facility

$4,317.55

Hospital Charge Code	270672733
Hospital Revenue Code	272
Min. Negotiated Rate	$647.63
Max. Negotiated Rate	$647.63
Rate for Payer: Qualcare PPO/HMO/WC	$647.63

RELINE MAS TAP 5.5MM CANN

Facility

$3,290.05

Hospital Charge Code	270696209
Hospital Revenue Code	272
Min. Negotiated Rate	$427.71
Max. Negotiated Rate	$1,645.03
Rate for Payer: Aetna Commercial	$987.01
Rate for Payer: Aetna Medicare Advantage	$987.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$838.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$838.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$838.96
Rate for Payer: Cigna Commercial	$1,645.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.71
Rate for Payer: Oxford Commercial	$1,645.03
Rate for Payer: Qualcare PPO/HMO/WC	$493.51
Rate for Payer: UnitedHealthcare Commercial	$1,645.03

RELINE MAS TAP 5.5MM CANN

Facility

$3,290.05

Hospital Charge Code	270696209
Hospital Revenue Code	272
Min. Negotiated Rate	$493.51
Max. Negotiated Rate	$493.51
Rate for Payer: Qualcare PPO/HMO/WC	$493.51

RELINE O TI ROD 5.5 X 40 MM LO

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270691446
Hospital Revenue Code	278
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$1,980.00
Rate for Payer: Aetna Commercial	$1,188.00
Rate for Payer: Aetna Medicare Advantage	$1,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.80
Rate for Payer: Cigna Commercial	$1,980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

RELINE O TI ROD 5.5 X 40 MM LO

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270691446
Hospital Revenue Code	278
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$958.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

RELINE O TI ROD 5.5X45 MM LORD

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692796
Hospital Revenue Code	278
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$1,980.00
Rate for Payer: Aetna Commercial	$1,188.00
Rate for Payer: Aetna Medicare Advantage	$1,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.80
Rate for Payer: Cigna Commercial	$1,980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

RELINE O TI ROD 5.5X45 MM LORD

Facility

$3,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692796
Hospital Revenue Code	278
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$958.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$792.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$958.32
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

RELINE TULIP MOD

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691445
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$907.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

RELINE TULIP MOD

Facility

$3,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270691445
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

RELOAD 45MM (6ROW, X-LONG)

Facility

$184.00

Hospital Charge Code	270338718
Hospital Revenue Code	272
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$27.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

RELOAD 45MM (6ROW, X-LONG)

Facility

$184.00

Hospital Charge Code	270338718
Hospital Revenue Code	272
Min. Negotiated Rate	$23.92
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.92
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.60
Rate for Payer: UnitedHealthcare Commercial	$92.00

Know your out-of-pocket cost for care.

All Charges