Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD HMD CONNECT 5/250 50495525

Facility

$323.25

Hospital Charge Code	270619346
Hospital Revenue Code	272
Min. Negotiated Rate	$42.02
Max. Negotiated Rate	$161.62
Rate for Payer: Aetna Commercial	$96.97
Rate for Payer: Aetna Medicare Advantage	$96.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.43
Rate for Payer: Cigna Commercial	$161.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Oxford Commercial	$161.62
Rate for Payer: Qualcare PPO/HMO/WC	$48.49
Rate for Payer: UnitedHealthcare Commercial	$161.62

ROD HMD CONNECT 5/250 50495525

Facility

$323.25

Hospital Charge Code	270619346
Hospital Revenue Code	272
Min. Negotiated Rate	$48.49
Max. Negotiated Rate	$48.49
Rate for Payer: Qualcare PPO/HMO/WC	$48.49

ROD HMD CONNECT 5/65 5049-5505

Facility

$292.85

Hospital Charge Code	270619342
Hospital Revenue Code	272
Min. Negotiated Rate	$43.93
Max. Negotiated Rate	$43.93
Rate for Payer: Qualcare PPO/HMO/WC	$43.93

ROD HMD CONNECT 5/65 5049-5505

Facility

$292.85

Hospital Charge Code	270619342
Hospital Revenue Code	272
Min. Negotiated Rate	$38.07
Max. Negotiated Rate	$146.43
Rate for Payer: Aetna Commercial	$87.86
Rate for Payer: Aetna Medicare Advantage	$87.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.68
Rate for Payer: Cigna Commercial	$146.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.07
Rate for Payer: Oxford Commercial	$146.43
Rate for Payer: Qualcare PPO/HMO/WC	$43.93
Rate for Payer: UnitedHealthcare Commercial	$146.43

ROD HMD CONNECT 8/100 50298810

Facility

$522.45

Hospital Charge Code	270621583
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

ROD HMD CONNECT 8/100 50298810

Facility

$522.45

Hospital Charge Code	270621583
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$126.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

ROD HMD CONNECT 8/150 50298815

Facility

$522.45

Hospital Charge Code	270621584
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$156.74
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

ROD HMD CONNECT 8/150 50298815

Facility

$522.45

Hospital Charge Code	270621584
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$126.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

ROD HMD CONNECT 8/250 50298825

Facility

$553.65

Hospital Charge Code	270621585
Hospital Revenue Code	278
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$133.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

ROD HMD CONNECT 8/250 50298825

Facility

$553.65

Hospital Charge Code	270621585
Hospital Revenue Code	278
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$276.82
Rate for Payer: Aetna Commercial	$166.09
Rate for Payer: Aetna Medicare Advantage	$166.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.18
Rate for Payer: Cigna Commercial	$276.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

ROD HMD CONNECT 8/300 50298830

Facility

$553.65

Hospital Charge Code	270621586
Hospital Revenue Code	278
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$276.82
Rate for Payer: Aetna Commercial	$166.09
Rate for Payer: Aetna Medicare Advantage	$166.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.18
Rate for Payer: Cigna Commercial	$276.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

ROD HMD CONNECT 8/300 50298830

Facility

$553.65

Hospital Charge Code	270621586
Hospital Revenue Code	278
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$133.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

ROD HMD GAM LNG 11 240 3370630

Facility

$3,802.45

Hospital Charge Code	270611711
Hospital Revenue Code	278
Min. Negotiated Rate	$570.37
Max. Negotiated Rate	$1,901.22
Rate for Payer: Aetna Commercial	$1,140.73
Rate for Payer: Aetna Medicare Advantage	$1,140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$969.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$969.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$760.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$969.62
Rate for Payer: Cigna Commercial	$1,901.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$920.19
Rate for Payer: Qualcare PPO/HMO/WC	$570.37

ROD HMD GAM LNG 11 240 3370630

Facility

$3,802.45

Hospital Charge Code	270611711
Hospital Revenue Code	278
Min. Negotiated Rate	$570.37
Max. Negotiated Rate	$920.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$760.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$920.19
Rate for Payer: Qualcare PPO/HMO/WC	$570.37

ROD HUNTER 5MMX24.5CM

Facility

$7,150.00

Service Code	HCPCS C1889
Hospital Charge Code	270692638
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$1,730.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

ROD HUNTER 5MMX24.5CM

Facility

$7,150.00

Service Code	HCPCS C1889
Hospital Charge Code	270692638
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.50
Max. Negotiated Rate	$3,575.00
Rate for Payer: Aetna Commercial	$2,145.00
Rate for Payer: Aetna Medicare Advantage	$2,145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,823.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,823.25
Rate for Payer: Cigna Commercial	$3,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,730.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,072.50

ROD HUNTER TENDON 4MMX24.5CM

Facility

$12,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270694118
Hospital Revenue Code	278
Min. Negotiated Rate	$1,850.25
Max. Negotiated Rate	$2,985.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,985.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,850.25

ROD HUNTER TENDON 4MMX24.5CM

Facility

$12,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270694118
Hospital Revenue Code	278
Min. Negotiated Rate	$1,850.25
Max. Negotiated Rate	$6,167.50
Rate for Payer: Aetna Commercial	$3,700.50
Rate for Payer: Aetna Medicare Advantage	$3,700.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,145.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,145.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,145.43
Rate for Payer: Cigna Commercial	$6,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,985.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,850.25

ROD IMPLANT

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	270675856
Hospital Revenue Code	278
Min. Negotiated Rate	$129.94
Max. Negotiated Rate	$209.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.63
Rate for Payer: Qualcare PPO/HMO/WC	$129.94

ROD IMPLANT

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	270675856
Hospital Revenue Code	278
Min. Negotiated Rate	$129.94
Max. Negotiated Rate	$433.12
Rate for Payer: Aetna Commercial	$259.88
Rate for Payer: Aetna Medicare Advantage	$259.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.89
Rate for Payer: Cigna Commercial	$433.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.63
Rate for Payer: Qualcare PPO/HMO/WC	$129.94

ROD INVICTUS TI LORDOTIC

Facility

$1,125.00

Hospital Charge Code	270703009
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 INVICTUS TI LORDOTIC

Facility

$1,125.00

Hospital Charge Code	270703009
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 LEGACY 5.5x70mm

Facility

$2,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270685221
Hospital Revenue Code	278
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$594.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.11
Rate for Payer: Qualcare PPO/HMO/WC	$368.25

ROD LEGACY 5.5x70mm

Facility

$2,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270685221
Hospital Revenue Code	278
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$1,227.50
Rate for Payer: Aetna Commercial	$736.50
Rate for Payer: Aetna Medicare Advantage	$736.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.02
Rate for Payer: Cigna Commercial	$1,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.11
Rate for Payer: Qualcare PPO/HMO/WC	$368.25

ROD LINESIDER TI CURV 5.5X65MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694920
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

Know your out-of-pocket cost for care.

All Charges