Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD CONNECTING SHORT FA100001

Facility

$3,769.65

Hospital Charge Code	270632631
Hospital Revenue Code	278
Min. Negotiated Rate	$565.45
Max. Negotiated Rate	$1,884.83
Rate for Payer: Aetna Commercial	$1,130.89
Rate for Payer: Aetna Medicare Advantage	$1,130.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$961.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$961.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$753.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$961.26
Rate for Payer: Cigna Commercial	$1,884.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$912.26
Rate for Payer: Qualcare PPO/HMO/WC	$565.45

ROD CONNECTING SHORT FA100001

Facility

$3,769.65

Hospital Charge Code	270632631
Hospital Revenue Code	278
Min. Negotiated Rate	$565.45
Max. Negotiated Rate	$912.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$753.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$912.26
Rate for Payer: Qualcare PPO/HMO/WC	$565.45

ROD CONNECTOR 3.5MM

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270704794
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,905.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

ROD CONNECTOR 3.5MM

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270704794
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,362.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

ROD CONNECT SM EXT FIX 4x60mm

Facility

$176.15

Service Code	HCPCS C1713
Hospital Charge Code	270639003
Hospital Revenue Code	278
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$42.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

ROD CONNECT SM EXT FIX 4x60mm

Facility

$176.15

Service Code	HCPCS C1713
Hospital Charge Code	270639003
Hospital Revenue Code	278
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$88.08
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$52.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.92
Rate for Payer: Cigna Commercial	$88.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

ROD CONNECT SM EXT FIX 4x80mm

Facility

$176.15

Service Code	HCPCS C1713
Hospital Charge Code	270639004
Hospital Revenue Code	278
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$88.08
Rate for Payer: Aetna Commercial	$52.84
Rate for Payer: Aetna Medicare Advantage	$52.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.92
Rate for Payer: Cigna Commercial	$88.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

ROD CONNECT SM EXT FIX 4x80mm

Facility

$176.15

Service Code	HCPCS C1713
Hospital Charge Code	270639004
Hospital Revenue Code	278
Min. Negotiated Rate	$26.42
Max. Negotiated Rate	$42.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.63
Rate for Payer: Qualcare PPO/HMO/WC	$26.42

ROD CONNET CAR 8x1000 50288100

Facility

$1,905.00

Hospital Charge Code	270643443
Hospital Revenue Code	278
Min. Negotiated Rate	$285.75
Max. Negotiated Rate	$952.50
Rate for Payer: Aetna Commercial	$571.50
Rate for Payer: Aetna Medicare Advantage	$571.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$485.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$485.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$485.77
Rate for Payer: Cigna Commercial	$952.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.01
Rate for Payer: Qualcare PPO/HMO/WC	$285.75

ROD CONNET CAR 8x1000 50288100

Facility

$1,905.00

Hospital Charge Code	270643443
Hospital Revenue Code	278
Min. Negotiated Rate	$285.75
Max. Negotiated Rate	$461.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.01
Rate for Payer: Qualcare PPO/HMO/WC	$285.75

ROD CONN LG 150,200,250,300***

Facility

$67.00

Hospital Charge Code	1601913
Hospital Revenue Code	274
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$20.10
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.21
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

ROD CONN LG 150,200,250,300***

Facility

$67.00

Hospital Charge Code	1601913
Hospital Revenue Code	274
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$16.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.21
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

ROD CONN LG 350 & 400 MM****

Facility

$78.00

Hospital Charge Code	1601921
Hospital Revenue Code	274
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$18.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

ROD CONN LG 350 & 400 MM****

Facility

$78.00

Hospital Charge Code	1601921
Hospital Revenue Code	274
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$39.00
Rate for Payer: Aetna Commercial	$23.40
Rate for Payer: Aetna Medicare Advantage	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.89
Rate for Payer: Cigna Commercial	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.70

ROD CONN LG 450 & 500 MM***

Facility

$92.00

Hospital Charge Code	1601939
Hospital Revenue Code	274
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.26
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

ROD CONN LG 450 & 500 MM***

Facility

$92.00

Hospital Charge Code	1601939
Hospital Revenue Code	274
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$27.60
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.26
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

ROD CONTOURED 5.5MM 100MM

Facility

$1,450.00

Hospital Charge Code	270670380
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

ROD CONTOURED 5.5MM 100MM

Facility

$1,450.00

Hospital Charge Code	270670380
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

ROD CONTOURED 5.5MM 110MM

Facility

$1,915.00

Hospital Charge Code	270670404
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$574.50
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 110MM

Facility

$1,915.00

Hospital Charge Code	270670404
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 125MM

Facility

$1,915.00

Hospital Charge Code	270670405
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 125MM

Facility

$1,915.00

Hospital Charge Code	270670405
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$574.50
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 150MM

Facility

$1,915.00

Hospital Charge Code	270670406
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$574.50
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 150MM

Facility

$1,915.00

Hospital Charge Code	270670406
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 30MM

Facility

$1,430.00

Hospital Charge Code	270670363
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$429.00
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

Know your out-of-pocket cost for care.

All Charges