Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD STRAIGHT 5.5MM 85MM

Facility

$1,325.00

Hospital Charge Code	270670359
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 90MM

Facility

$1,325.00

Hospital Charge Code	270670360
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 95MM

Facility

$1,325.00

Hospital Charge Code	270670361
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STR GUIDE 3.0 1000 702336S

Facility

$828.85

Hospital Charge Code	270622043
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$248.66
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

ROD STR GUIDE 3.0 1000 702336S

Facility

$828.85

Hospital Charge Code	270622043
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ROD ST TI REFORM 3.5X40MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270694344
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$718.50
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 65MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693339
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$579.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY 70MM

Facility

$2,395.00

Service Code	HCPCS C1713
Hospital Charge Code	270693338
Hospital Revenue Code	278
Min. Negotiated Rate	$359.25
Max. Negotiated Rate	$1,197.50
Rate for Payer: Aetna Commercial	$718.50
Rate for Payer: Aetna Medicare Advantage	$718.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$610.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$610.73
Rate for Payer: Cigna Commercial	$1,197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.59
Rate for Payer: Qualcare PPO/HMO/WC	$359.25

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$940.00
Rate for Payer: Aetna Commercial	$564.00
Rate for Payer: Aetna Medicare Advantage	$564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.40
Rate for Payer: Cigna Commercial	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

ROD SYMPHONY LORDOSED TI 30MM

Facility

$1,880.00

Service Code	HCPCS C1713
Hospital Charge Code	270692652
Hospital Revenue Code	278
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$454.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.96
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

ROD SYN EX FIX 8/240 39578

Facility

$791.25

Hospital Charge Code	270619748
Hospital Revenue Code	270
Min. Negotiated Rate	$118.69
Max. Negotiated Rate	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$118.69

ROD SYN EX FIX 8/240 39578

Facility

$791.25

Hospital Charge Code	270619748
Hospital Revenue Code	270
Min. Negotiated Rate	$102.86
Max. Negotiated Rate	$395.62
Rate for Payer: Aetna Commercial	$237.38
Rate for Payer: Aetna Medicare Advantage	$237.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.77
Rate for Payer: Cigna Commercial	$395.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.86
Rate for Payer: Oxford Commercial	$395.62
Rate for Payer: Qualcare PPO/HMO/WC	$118.69
Rate for Payer: UnitedHealthcare Commercial	$395.62

ROD SYN EX FIX SM 3/60 395105

Facility

$128.00

Hospital Charge Code	270622482
Hospital Revenue Code	278
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

ROD SYN EX FIX SM 3/60 395105

Facility

$128.00

Hospital Charge Code	270622482
Hospital Revenue Code	278
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$335.50
Rate for Payer: Aetna Commercial	$201.30
Rate for Payer: Aetna Medicare Advantage	$201.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.10
Rate for Payer: Cigna Commercial	$335.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

ROD SYN REAMING 2.5 950MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	270697807
Hospital Revenue Code	278
Min. Negotiated Rate	$100.65
Max. Negotiated Rate	$162.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.38
Rate for Payer: Qualcare PPO/HMO/WC	$100.65

ROD SYN REAMING 3 950 351.71

Facility

$377.65

Hospital Charge Code	270614887
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$91.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.39
Rate for Payer: Qualcare PPO/HMO/WC	$56.65

ROD SYN REAMING 3 950 351.71

Facility

$377.65

Hospital Charge Code	270614887
Hospital Revenue Code	278
Min. Negotiated Rate	$56.65
Max. Negotiated Rate	$188.82
Rate for Payer: Aetna Commercial	$113.30
Rate for Payer: Aetna Medicare Advantage	$113.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.30
Rate for Payer: Cigna Commercial	$188.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.39
Rate for Payer: Qualcare PPO/HMO/WC	$56.65

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$75.38
Max. Negotiated Rate	$121.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.38

ROD SYN REAMING 3 950 351.76S

Facility

$502.50

Service Code	HCPCS C1713
Hospital Charge Code	270627052
Hospital Revenue Code	278
Min. Negotiated Rate	$75.38
Max. Negotiated Rate	$251.25
Rate for Payer: Aetna Commercial	$150.75
Rate for Payer: Aetna Medicare Advantage	$150.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.14
Rate for Payer: Cigna Commercial	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.38

Know your out-of-pocket cost for care.

All Charges