Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD 40MM

Facility

$2,377.45

Service Code	HCPCS C1713
Hospital Charge Code	270705423
Hospital Revenue Code	278
Min. Negotiated Rate	$356.62
Max. Negotiated Rate	$1,188.72
Rate for Payer: Aetna Commercial	$713.24
Rate for Payer: Aetna Medicare Advantage	$713.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.25
Rate for Payer: Cigna Commercial	$1,188.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.34
Rate for Payer: Qualcare PPO/HMO/WC	$356.62

ROD 40MM

Facility

$875.00

Hospital Charge Code	270703129
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
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) NJ Health	$175.00
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	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ROD 40MM

Facility

$875.00

Hospital Charge Code	270703129
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ROD 40MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270704013
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$282.00
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

ROD 40MM

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270704013
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

ROD 40MM

Facility

$2,377.45

Service Code	HCPCS C1713
Hospital Charge Code	270705423
Hospital Revenue Code	278
Min. Negotiated Rate	$356.62
Max. Negotiated Rate	$575.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.34
Rate for Payer: Qualcare PPO/HMO/WC	$356.62

ROD 40MM CURVED ROD

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696181
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

ROD 40MM CURVED ROD

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696181
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

ROD 45 MM

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270691518
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

ROD 45 MM

Facility

$3,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270691518
Hospital Revenue Code	278
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,087.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

ROD 45MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705946
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

ROD 45MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270705520
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

ROD 45MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705945
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

ROD 45MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705946
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

ROD 45MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270705520
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

ROD 45MM

Facility

$2,000.00

Hospital Charge Code	270675390
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

ROD 45MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705945
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

ROD 45MM

Facility

$2,000.00

Hospital Charge Code	270675390
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

ROD 45mm 177010045

Facility

$1,612.00

Hospital Charge Code	270632111
Hospital Revenue Code	278
Min. Negotiated Rate	$241.80
Max. Negotiated Rate	$806.00
Rate for Payer: Aetna Commercial	$483.60
Rate for Payer: Aetna Medicare Advantage	$483.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.06
Rate for Payer: Cigna Commercial	$806.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.10
Rate for Payer: Qualcare PPO/HMO/WC	$241.80

ROD 45mm 177010045

Facility

$1,612.00

Hospital Charge Code	270632111
Hospital Revenue Code	278
Min. Negotiated Rate	$241.80
Max. Negotiated Rate	$390.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.10
Rate for Payer: Qualcare PPO/HMO/WC	$241.80

ROD 45MM EXTENDED TAB

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270692594
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ROD 45MM EXTENDED TAB

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270692594
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ROD 45MM PREBENT LORDOTIC

Facility

$4,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270672670
Hospital Revenue Code	278
Min. Negotiated Rate	$648.75
Max. Negotiated Rate	$2,162.50
Rate for Payer: Aetna Commercial	$1,297.50
Rate for Payer: Aetna Medicare Advantage	$1,297.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.88
Rate for Payer: Cigna Commercial	$2,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.65
Rate for Payer: Qualcare PPO/HMO/WC	$648.75

ROD 45MM PREBENT LORDOTIC

Facility

$4,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270672670
Hospital Revenue Code	278
Min. Negotiated Rate	$648.75
Max. Negotiated Rate	$1,046.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.65
Rate for Payer: Qualcare PPO/HMO/WC	$648.75

ROD 4.75MM COB CHR CAPPED 40MM

Facility

$6,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270697070
Hospital Revenue Code	278
Min. Negotiated Rate	$1,027.50
Max. Negotiated Rate	$1,657.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,657.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,027.50

Know your out-of-pocket cost for care.

All Charges