Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHELL BMT ACET 54MM 106054

Facility

$3,759.25

Hospital Charge Code	270614514
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SHELL BMT ACET 54MM 106054

Facility

$3,759.25

Hospital Charge Code	270614514
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SHELL BMT ACET 56MM 107056

Facility

$3,540.85

Hospital Charge Code	270607005
Hospital Revenue Code	278
Min. Negotiated Rate	$531.13
Max. Negotiated Rate	$856.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.89
Rate for Payer: Qualcare PPO/HMO/WC	$531.13

SHELL BMT ACET 56MM 107056

Facility

$3,540.85

Hospital Charge Code	270607005
Hospital Revenue Code	278
Min. Negotiated Rate	$531.13
Max. Negotiated Rate	$1,770.42
Rate for Payer: Aetna Commercial	$1,062.26
Rate for Payer: Aetna Medicare Advantage	$1,062.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$902.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$902.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$902.92
Rate for Payer: Cigna Commercial	$1,770.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.89
Rate for Payer: Qualcare PPO/HMO/WC	$531.13

SHELL BMT ACET 58MM 107058

Facility

$5,139.25

Hospital Charge Code	270625649
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$1,243.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT ACET 58MM 107058

Facility

$5,139.25

Hospital Charge Code	270625649
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$2,569.62
Rate for Payer: Aetna Commercial	$1,541.78
Rate for Payer: Aetna Medicare Advantage	$1,541.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,310.51
Rate for Payer: Cigna Commercial	$2,569.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT ACET 60MM 135260

Facility

$3,779.25

Hospital Charge Code	270612162
Hospital Revenue Code	278
Min. Negotiated Rate	$566.89
Max. Negotiated Rate	$1,889.62
Rate for Payer: Aetna Commercial	$1,133.78
Rate for Payer: Aetna Medicare Advantage	$1,133.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$755.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.71
Rate for Payer: Cigna Commercial	$1,889.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$914.58
Rate for Payer: Qualcare PPO/HMO/WC	$566.89

SHELL BMT ACET 60MM 135260

Facility

$3,779.25

Hospital Charge Code	270612162
Hospital Revenue Code	278
Min. Negotiated Rate	$566.89
Max. Negotiated Rate	$914.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$755.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$914.58
Rate for Payer: Qualcare PPO/HMO/WC	$566.89

SHELL BMT ACET 62MM 106062

Facility

$3,540.85

Hospital Charge Code	270609081
Hospital Revenue Code	278
Min. Negotiated Rate	$531.13
Max. Negotiated Rate	$1,770.42
Rate for Payer: Aetna Commercial	$1,062.26
Rate for Payer: Aetna Medicare Advantage	$1,062.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$902.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$902.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$902.92
Rate for Payer: Cigna Commercial	$1,770.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.89
Rate for Payer: Qualcare PPO/HMO/WC	$531.13

SHELL BMT ACET 62MM 106062

Facility

$3,540.85

Hospital Charge Code	270609081
Hospital Revenue Code	278
Min. Negotiated Rate	$531.13
Max. Negotiated Rate	$856.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$708.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.89
Rate for Payer: Qualcare PPO/HMO/WC	$531.13

SHELL BMT ACETAB 60 106060

Facility

$5,139.25

Hospital Charge Code	270626542
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$1,243.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT ACETAB 60 106060

Facility

$5,139.25

Hospital Charge Code	270626542
Hospital Revenue Code	278
Min. Negotiated Rate	$770.89
Max. Negotiated Rate	$2,569.62
Rate for Payer: Aetna Commercial	$1,541.78
Rate for Payer: Aetna Medicare Advantage	$1,541.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,310.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,310.51
Rate for Payer: Cigna Commercial	$2,569.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,243.70
Rate for Payer: Qualcare PPO/HMO/WC	$770.89

SHELL BMT MZA RAD 56 15-104056

Facility

$7,156.00

Hospital Charge Code	270622515
Hospital Revenue Code	278
Min. Negotiated Rate	$1,073.40
Max. Negotiated Rate	$1,731.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,431.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,731.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,073.40

SHELL BMT MZA RAD 56 15-104056

Facility

$7,156.00

Hospital Charge Code	270622515
Hospital Revenue Code	278
Min. Negotiated Rate	$1,073.40
Max. Negotiated Rate	$3,578.00
Rate for Payer: Aetna Commercial	$2,146.80
Rate for Payer: Aetna Medicare Advantage	$2,146.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,824.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,824.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,431.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,824.78
Rate for Payer: Cigna Commercial	$3,578.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,731.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,073.40

SHELL CEMENTLESS SZ G

Facility

$9,500.00

Hospital Charge Code	270703303
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

SHELL CEMENTLESS SZ G

Facility

$9,500.00

Hospital Charge Code	270703303
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

SHELL CLUSTER-HOLE 52MM

Facility

$10,850.00

Hospital Charge Code	270676367
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$3,255.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

SHELL CLUSTER-HOLE 52MM

Facility

$10,850.00

Hospital Charge Code	270676367
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

SHELL CLUST TRID PSL HA 50MM E

Facility

$4,734.75

Service Code	HCPCS C1776
Hospital Charge Code	270695125
Hospital Revenue Code	278
Min. Negotiated Rate	$710.21
Max. Negotiated Rate	$2,367.38
Rate for Payer: Aetna Commercial	$1,420.42
Rate for Payer: Aetna Medicare Advantage	$1,420.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,207.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,207.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,207.36
Rate for Payer: Cigna Commercial	$2,367.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.81
Rate for Payer: Qualcare PPO/HMO/WC	$710.21

SHELL CLUST TRID PSL HA 50MM E

Facility

$4,734.75

Service Code	HCPCS C1776
Hospital Charge Code	270695125
Hospital Revenue Code	278
Min. Negotiated Rate	$710.21
Max. Negotiated Rate	$1,145.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$946.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,145.81
Rate for Payer: Qualcare PPO/HMO/WC	$710.21

SHELL DRM US ACTBLR 0100214160

Facility

$16,095.05

Hospital Charge Code	270639260
Hospital Revenue Code	278
Min. Negotiated Rate	$2,414.26
Max. Negotiated Rate	$8,047.52
Rate for Payer: Aetna Commercial	$4,828.52
Rate for Payer: Aetna Medicare Advantage	$4,828.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,104.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,104.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,104.24
Rate for Payer: Cigna Commercial	$8,047.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,895.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,414.26

SHELL DRM US ACTBLR 0100214160

Facility

$16,095.05

Hospital Charge Code	270639260
Hospital Revenue Code	278
Min. Negotiated Rate	$2,414.26
Max. Negotiated Rate	$3,895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,219.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,895.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,414.26

SHELL DUROM US ACET 0100214156

Facility

$16,899.80

Hospital Charge Code	270638717
Hospital Revenue Code	278
Min. Negotiated Rate	$2,534.97
Max. Negotiated Rate	$4,089.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,379.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,089.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,534.97

SHELL DUROM US ACET 0100214156

Facility

$16,899.80

Hospital Charge Code	270638717
Hospital Revenue Code	278
Min. Negotiated Rate	$2,534.97
Max. Negotiated Rate	$8,449.90
Rate for Payer: Aetna Commercial	$5,069.94
Rate for Payer: Aetna Medicare Advantage	$5,069.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,309.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,309.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,379.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,309.45
Rate for Payer: Cigna Commercial	$8,449.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,089.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,534.97

SHELL FEM CEMT 16x145 78531621

Facility

$11,316.75

Hospital Charge Code	270633435
Hospital Revenue Code	278
Min. Negotiated Rate	$1,697.51
Max. Negotiated Rate	$2,738.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51

Know your out-of-pocket cost for care.

All Charges