Heights University Hospital

All Charges

Charge

Type

Setting

Price

ROD TI 5.5X40MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699218
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$717.00
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

ROD TI 5.5 X 45MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691780
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 TI 5.5 X 45MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270691780
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 TI 5.5X500

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270691936
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 TI 5.5X500

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270691936
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 TI 5.5X55MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699217
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$717.00
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

ROD TI 5.5X55MM

Facility

$2,390.00

Service Code	HCPCS C1713
Hospital Charge Code	270699217
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$578.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

ROD TI 5.5 X 70 MM

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691825
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

ROD TI 5.5 X 70 MM

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691825
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$990.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

ROD TI ALLOY 4.0X120MM

Facility

$2,726.00

Service Code	HCPCS C1713
Hospital Charge Code	270694481
Hospital Revenue Code	278
Min. Negotiated Rate	$408.90
Max. Negotiated Rate	$1,363.00
Rate for Payer: Aetna Commercial	$817.80
Rate for Payer: Aetna Medicare Advantage	$817.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$695.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$695.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$695.13
Rate for Payer: Cigna Commercial	$1,363.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.69
Rate for Payer: Qualcare PPO/HMO/WC	$408.90

ROD TI ALLOY 4.0X120MM

Facility

$2,726.00

Service Code	HCPCS C1713
Hospital Charge Code	270694481
Hospital Revenue Code	278
Min. Negotiated Rate	$408.90
Max. Negotiated Rate	$659.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.69
Rate for Payer: Qualcare PPO/HMO/WC	$408.90

ROD TI ALLOY 4.0X40MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694482
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 TI ALLOY 4.0X40MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694482
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 TI CL PQ LORDOT 5.5X40MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696749
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 TI CL PQ LORDOT 5.5X40MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696749
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 TI CRV VIR BLUE 60X3.5MM

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270698915
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

ROD TI CRV VIR BLUE 60X3.5MM

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270698915
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

ROD TI CRV VIR BLUE 70X3.5MM

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270698917
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

ROD TI CRV VIR BLUE 70X3.5MM

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270698917
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

ROD TI CURV 5.5X35MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694773
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

ROD TI CURV 5.5X35MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694773
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

ROD TI CURV 5.5X55MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694772
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

ROD TI CURV 5.5X55MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694772
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

ROD TI CURVED 40 MM

Facility

$875.00

Hospital Charge Code	270703001
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 TI CURVED 40 MM

Facility

$875.00

Hospital Charge Code	270703001
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

Know your out-of-pocket cost for care.

All Charges