Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHAFT FIBULA

Facility

$3,250.00

Hospital Charge Code	270668464
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

SHAFT FIBULA 20MM

Facility

$3,965.00

Service Code	HCPCS C1776
Hospital Charge Code	270676631
Hospital Revenue Code	278
Min. Negotiated Rate	$594.75
Max. Negotiated Rate	$1,982.50
Rate for Payer: Aetna Commercial	$1,189.50
Rate for Payer: Aetna Medicare Advantage	$1,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,011.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,011.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,011.08
Rate for Payer: Cigna Commercial	$1,982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.53
Rate for Payer: Qualcare PPO/HMO/WC	$594.75

SHAFT FIBULA 20MM

Facility

$3,965.00

Service Code	HCPCS C1776
Hospital Charge Code	270676631
Hospital Revenue Code	278
Min. Negotiated Rate	$594.75
Max. Negotiated Rate	$959.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$793.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.53
Rate for Payer: Qualcare PPO/HMO/WC	$594.75

SHAFT FIBULA >4CM TISSUE LBTLM

Facility

$3,448.00

Hospital Charge Code	270614703
Hospital Revenue Code	278
Min. Negotiated Rate	$517.20
Max. Negotiated Rate	$834.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.42
Rate for Payer: Qualcare PPO/HMO/WC	$517.20

SHAFT FIBULA >4CM TISSUE LBTLM

Facility

$3,448.00

Hospital Charge Code	270614703
Hospital Revenue Code	278
Min. Negotiated Rate	$517.20
Max. Negotiated Rate	$1,724.00
Rate for Payer: Aetna Commercial	$1,034.40
Rate for Payer: Aetna Medicare Advantage	$1,034.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.24
Rate for Payer: Cigna Commercial	$1,724.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.42
Rate for Payer: Qualcare PPO/HMO/WC	$517.20

SHAFT FIBULA 4CM X 14MM-18MM

Facility

$3,614.45

Hospital Charge Code	270614595
Hospital Revenue Code	278
Min. Negotiated Rate	$542.17
Max. Negotiated Rate	$1,807.22
Rate for Payer: Aetna Commercial	$1,084.34
Rate for Payer: Aetna Medicare Advantage	$1,084.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$921.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$921.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$722.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$921.68
Rate for Payer: Cigna Commercial	$1,807.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$874.70
Rate for Payer: Qualcare PPO/HMO/WC	$542.17

SHAFT FIBULA 4CM X 14MM-18MM

Facility

$3,614.45

Hospital Charge Code	270614595
Hospital Revenue Code	278
Min. Negotiated Rate	$542.17
Max. Negotiated Rate	$874.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$722.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$874.70
Rate for Payer: Qualcare PPO/HMO/WC	$542.17

SHAFT FIBULA 6cx14-18MM 100730

Facility

$2,187.25

Hospital Charge Code	270617945
Hospital Revenue Code	272
Min. Negotiated Rate	$328.09
Max. Negotiated Rate	$328.09
Rate for Payer: Qualcare PPO/HMO/WC	$328.09

SHAFT FIBULA 6cx14-18MM 100730

Facility

$2,187.25

Hospital Charge Code	270617945
Hospital Revenue Code	272
Min. Negotiated Rate	$284.34
Max. Negotiated Rate	$1,093.62
Rate for Payer: Aetna Commercial	$656.17
Rate for Payer: Aetna Medicare Advantage	$656.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.75
Rate for Payer: Cigna Commercial	$1,093.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.34
Rate for Payer: Oxford Commercial	$1,093.62
Rate for Payer: Qualcare PPO/HMO/WC	$328.09
Rate for Payer: UnitedHealthcare Commercial	$1,093.62

SHAFT FIBULAR 50MM

Facility

$5,750.00

Hospital Charge Code	270658156
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$2,875.00
Rate for Payer: Aetna Commercial	$1,725.00
Rate for Payer: Aetna Medicare Advantage	$1,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,466.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,466.25
Rate for Payer: Cigna Commercial	$2,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

SHAFT FIBULAR 50MM

Facility

$5,750.00

Hospital Charge Code	270658156
Hospital Revenue Code	278
Min. Negotiated Rate	$862.50
Max. Negotiated Rate	$1,391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.50
Rate for Payer: Qualcare PPO/HMO/WC	$862.50

SHAFT LMT TIBIAL IMPLANT 184MM

Facility

$3,064.85

Hospital Charge Code	270615683
Hospital Revenue Code	278
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$1,532.42
Rate for Payer: Aetna Commercial	$919.46
Rate for Payer: Aetna Medicare Advantage	$919.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.54
Rate for Payer: Cigna Commercial	$1,532.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SHAFT LMT TIBIAL IMPLANT 184MM

Facility

$3,064.85

Hospital Charge Code	270615683
Hospital Revenue Code	278
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$741.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SHAFT REMUR CURVED NCB

Facility

$3,305.00

Hospital Charge Code	270658845
Hospital Revenue Code	278
Min. Negotiated Rate	$495.75
Max. Negotiated Rate	$799.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$661.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.81
Rate for Payer: Qualcare PPO/HMO/WC	$495.75

SHAFT REMUR CURVED NCB

Facility

$3,305.00

Hospital Charge Code	270658845
Hospital Revenue Code	278
Min. Negotiated Rate	$495.75
Max. Negotiated Rate	$1,652.50
Rate for Payer: Aetna Commercial	$991.50
Rate for Payer: Aetna Medicare Advantage	$991.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$842.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$842.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$661.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$842.77
Rate for Payer: Cigna Commercial	$1,652.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.81
Rate for Payer: Qualcare PPO/HMO/WC	$495.75

SHAFT SCREWDRIVER 165MM STARD

Facility

$1,460.85

Hospital Charge Code	270686030
Hospital Revenue Code	272
Min. Negotiated Rate	$189.91
Max. Negotiated Rate	$730.42
Rate for Payer: Aetna Commercial	$438.25
Rate for Payer: Aetna Medicare Advantage	$438.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.52
Rate for Payer: Cigna Commercial	$730.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.91
Rate for Payer: Oxford Commercial	$730.42
Rate for Payer: Qualcare PPO/HMO/WC	$219.13
Rate for Payer: UnitedHealthcare Commercial	$730.42

SHAFT SCREWDRIVER 165MM STARD

Facility

$1,460.85

Hospital Charge Code	270686030
Hospital Revenue Code	272
Min. Negotiated Rate	$219.13
Max. Negotiated Rate	$219.13
Rate for Payer: Qualcare PPO/HMO/WC	$219.13

SHAFT T25 3.5 MM 280 MM

Facility

$2,355.15

Hospital Charge Code	270691506
Hospital Revenue Code	272
Min. Negotiated Rate	$306.17
Max. Negotiated Rate	$1,177.58
Rate for Payer: Aetna Commercial	$706.54
Rate for Payer: Aetna Medicare Advantage	$706.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$600.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$600.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$600.56
Rate for Payer: Cigna Commercial	$1,177.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.17
Rate for Payer: Oxford Commercial	$1,177.58
Rate for Payer: Qualcare PPO/HMO/WC	$353.27
Rate for Payer: UnitedHealthcare Commercial	$1,177.58

SHAFT T25 3.5 MM 280 MM

Facility

$2,355.15

Hospital Charge Code	270691506
Hospital Revenue Code	272
Min. Negotiated Rate	$353.27
Max. Negotiated Rate	$353.27
Rate for Payer: Qualcare PPO/HMO/WC	$353.27

SHAMPOO 2OZ

Facility

$34.60

Hospital Charge Code	6004873
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

SHAMPOO 2OZ

Facility

$34.60

Hospital Charge Code	6004873
Hospital Revenue Code	251
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$10.38
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$17.30

SHAMPOO/CONDITIONER RINSE

Facility

$9.59

Hospital Charge Code	270649503
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

SHAMPOO/CONDITIONER RINSE

Facility

$9.59

Hospital Charge Code	270649503
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$4.79
Rate for Payer: Aetna Commercial	$2.88
Rate for Payer: Aetna Medicare Advantage	$2.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.45
Rate for Payer: Cigna Commercial	$4.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$4.79

SHAMPOO NO RINSE 8OZ

Facility

$19.25

Hospital Charge Code	270301955
Hospital Revenue Code	270
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

SHAMPOO NO RINSE 8OZ

Facility

$19.25

Hospital Charge Code	270301955
Hospital Revenue Code	270
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$5.78
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.50
Rate for Payer: Oxford Commercial	$9.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$9.62

Know your out-of-pocket cost for care.

All Charges