Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD SPNL 5.5X40MM EXT TB OVERW

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693167
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

RODS SPINE 1/4inch 177080450

Facility

$2,653.65

Hospital Charge Code	270629833
Hospital Revenue Code	278
Min. Negotiated Rate	$398.05
Max. Negotiated Rate	$642.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$642.18
Rate for Payer: Qualcare PPO/HMO/WC	$398.05

RODS SPINE 1/4inch 177080450

Facility

$2,653.65

Hospital Charge Code	270629833
Hospital Revenue Code	278
Min. Negotiated Rate	$398.05
Max. Negotiated Rate	$1,326.83
Rate for Payer: Aetna Commercial	$796.10
Rate for Payer: Aetna Medicare Advantage	$796.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.68
Rate for Payer: Cigna Commercial	$1,326.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$642.18
Rate for Payer: Qualcare PPO/HMO/WC	$398.05

ROD STRAIGHT 100MM SAVANNAH-T

Facility

$2,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270675898
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$575.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: Qualcare PPO/HMO/WC	$357.00

ROD STRAIGHT 100MM SAVANNAH-T

Facility

$2,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270675898
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$1,190.00
Rate for Payer: Aetna Commercial	$714.00
Rate for Payer: Aetna Medicare Advantage	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.90
Rate for Payer: Cigna Commercial	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: Qualcare PPO/HMO/WC	$357.00

ROD STRAIGHT 3.5X100MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270693577
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

ROD STRAIGHT 3.5X100MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270693577
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

ROD STRAIGHT 50MM

Facility

$2,380.00

Hospital Charge Code	270675218
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$575.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: Qualcare PPO/HMO/WC	$357.00

ROD STRAIGHT 50MM

Facility

$2,380.00

Hospital Charge Code	270675218
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$1,190.00
Rate for Payer: Aetna Commercial	$714.00
Rate for Payer: Aetna Medicare Advantage	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$476.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.90
Rate for Payer: Cigna Commercial	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$575.96
Rate for Payer: Qualcare PPO/HMO/WC	$357.00

ROD STRAIGHT 5.5MM 100MM

Facility

$1,365.00

Hospital Charge Code	270670362
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

ROD STRAIGHT 5.5MM 100MM

Facility

$1,365.00

Hospital Charge Code	270670362
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

ROD STRAIGHT 5.5MM 110MM

Facility

$1,365.00

Hospital Charge Code	270670395
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

ROD STRAIGHT 5.5MM 110MM

Facility

$1,365.00

Hospital Charge Code	270670395
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

ROD STRAIGHT 5.5MM 120MM

Facility

$1,790.00

Hospital Charge Code	270670396
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 120MM

Facility

$1,790.00

Hospital Charge Code	270670396
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 130MM

Facility

$1,790.00

Hospital Charge Code	270670397
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 130MM

Facility

$1,790.00

Hospital Charge Code	270670397
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 140MM

Facility

$1,790.00

Hospital Charge Code	270670398
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 140MM

Facility

$1,790.00

Hospital Charge Code	270670398
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 150MM

Facility

$1,790.00

Hospital Charge Code	270670399
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 150MM

Facility

$1,790.00

Hospital Charge Code	270670399
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 200MM

Facility

$1,790.00

Hospital Charge Code	270670400
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 200MM

Facility

$1,790.00

Hospital Charge Code	270670400
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 300MM

Facility

$1,790.00

Hospital Charge Code	270670401
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$537.00
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 300MM

Facility

$1,790.00

Hospital Charge Code	270670401
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

Know your out-of-pocket cost for care.

All Charges