Heights University Hospital

All Charges

Charge

Type

Setting

Price

SIXING SET FLEX HINGE TOE

Facility

$491.88

Hospital Charge Code	270623471
Hospital Revenue Code	272
Min. Negotiated Rate	$63.94
Max. Negotiated Rate	$245.94
Rate for Payer: Aetna Commercial	$147.56
Rate for Payer: Aetna Medicare Advantage	$147.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.43
Rate for Payer: Cigna Commercial	$245.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.94
Rate for Payer: Oxford Commercial	$245.94
Rate for Payer: Qualcare PPO/HMO/WC	$73.78
Rate for Payer: UnitedHealthcare Commercial	$245.94

SIXING SET FLEX HINGE TOE

Facility

$491.88

Hospital Charge Code	270623471
Hospital Revenue Code	272
Min. Negotiated Rate	$73.78
Max. Negotiated Rate	$73.78
Rate for Payer: Qualcare PPO/HMO/WC	$73.78

SIZE 12 FMT STD

Facility

$15,948.55

Hospital Charge Code	270657087
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 12 FMT STD

Facility

$15,948.55

Hospital Charge Code	270657087
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$3,859.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 12 TM STEM

Facility

$21,427.75

Hospital Charge Code	270657088
Hospital Revenue Code	278
Min. Negotiated Rate	$3,214.16
Max. Negotiated Rate	$10,713.88
Rate for Payer: Aetna Commercial	$6,428.32
Rate for Payer: Aetna Medicare Advantage	$6,428.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,464.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,464.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,285.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,464.08
Rate for Payer: Cigna Commercial	$10,713.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,185.52
Rate for Payer: Qualcare PPO/HMO/WC	$3,214.16

SIZE 12 TM STEM

Facility

$21,427.75

Hospital Charge Code	270657088
Hospital Revenue Code	278
Min. Negotiated Rate	$3,214.16
Max. Negotiated Rate	$5,185.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,285.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,185.52
Rate for Payer: Qualcare PPO/HMO/WC	$3,214.16

SIZE 13 210MM CRC

Facility

$27,168.70

Hospital Charge Code	270657089
Hospital Revenue Code	278
Min. Negotiated Rate	$4,075.30
Max. Negotiated Rate	$13,584.35
Rate for Payer: Aetna Commercial	$8,150.61
Rate for Payer: Aetna Medicare Advantage	$8,150.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,928.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,928.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,433.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,928.02
Rate for Payer: Cigna Commercial	$13,584.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,574.83
Rate for Payer: Qualcare PPO/HMO/WC	$4,075.30

SIZE 13 210MM CRC

Facility

$27,168.70

Hospital Charge Code	270657089
Hospital Revenue Code	278
Min. Negotiated Rate	$4,075.30
Max. Negotiated Rate	$6,574.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,433.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,574.83
Rate for Payer: Qualcare PPO/HMO/WC	$4,075.30

SIZE 13 LM FMT

Facility

$15,948.55

Hospital Charge Code	270657090
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 13 LM FMT

Facility

$15,948.55

Hospital Charge Code	270657090
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$3,859.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 14 LM FMT

Facility

$15,948.55

Hospital Charge Code	270657091
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$3,859.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 14 LM FMT

Facility

$15,948.55

Hospital Charge Code	270657091
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 15 LIM FMT

Facility

$15,948.55

Hospital Charge Code	270657093
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$3,859.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 15 LIM FMT

Facility

$15,948.55

Hospital Charge Code	270657093
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 16 LM FINT

Facility

$15,948.55

Hospital Charge Code	270657094
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$3,859.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 16 LM FINT

Facility

$15,948.55

Hospital Charge Code	270657094
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$4,784.56
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,189.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

SIZE 16 VESYS ADUCATE

Facility

$10,646.15

Hospital Charge Code	270657095
Hospital Revenue Code	278
Min. Negotiated Rate	$1,596.92
Max. Negotiated Rate	$5,323.07
Rate for Payer: Aetna Commercial	$3,193.84
Rate for Payer: Aetna Medicare Advantage	$3,193.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,714.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,714.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,129.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,714.77
Rate for Payer: Cigna Commercial	$5,323.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,576.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,596.92

SIZE 16 VESYS ADUCATE

Facility

$10,646.15

Hospital Charge Code	270657095
Hospital Revenue Code	278
Min. Negotiated Rate	$1,596.92
Max. Negotiated Rate	$2,576.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,129.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,576.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,596.92

SIZE 1 STD STEM REF:8810003201

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703598
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SIZE 1 STD STEM REF:8810003201

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703598
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SIZE 2 PRECOAT TIBIAL, STEMMED

Facility

$6,156.70

Hospital Charge Code	270657096
Hospital Revenue Code	278
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$1,489.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

SIZE 2 PRECOAT TIBIAL, STEMMED

Facility

$6,156.70

Hospital Charge Code	270657096
Hospital Revenue Code	278
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$1,847.01
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

SIZE 3.4 20MM C,D POLY INSERT

Facility

$5,862.10

Hospital Charge Code	270657098
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$1,758.63
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE 3.4 20MM C,D POLY INSERT

Facility

$5,862.10

Hospital Charge Code	270657098
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

SIZE 3 C,D 10MM MONOBLOCK TM

Facility

$12,048.30

Hospital Charge Code	270657097
Hospital Revenue Code	278
Min. Negotiated Rate	$1,807.24
Max. Negotiated Rate	$2,915.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,807.24

Know your out-of-pocket cost for care.

All Charges