Heights University Hospital

All Charges

Charge

Type

Setting

Price

SMALL BONE FIXATION SYSTEM

Facility

$7,145.00

Hospital Charge Code	270661291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.75
Max. Negotiated Rate	$3,572.50
Rate for Payer: Aetna Commercial	$2,143.50
Rate for Payer: Aetna Medicare Advantage	$2,143.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.97
Rate for Payer: Cigna Commercial	$3,572.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,729.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.75

SMALL BONE FIX SYS 1.6mm

Facility

$1,575.00

Hospital Charge Code	270638258
Hospital Revenue Code	272
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.75
Rate for Payer: Oxford Commercial	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Commercial	$787.50

SMALL BONE FIX SYS 1.6mm

Facility

$1,575.00

Hospital Charge Code	270638258
Hospital Revenue Code	272
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$236.25
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SMALL BOWEL SERIES

Facility

$510.00

Service Code	HCPCS 74250
Hospital Charge Code	94061143
Hospital Revenue Code	320
Min. Negotiated Rate	$66.30
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$153.00
Rate for Payer: Aetna Medicare Advantage	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.05
Rate for Payer: Cigna Commercial	$417.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.50
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

SMALL BOWEL SERIES

Facility

$510.00

Service Code	HCPCS 74250
Hospital Charge Code	94061143
Hospital Revenue Code	320
Min. Negotiated Rate	$76.50
Max. Negotiated Rate	$76.50
Rate for Payer: Qualcare PPO/HMO/WC	$76.50

SMALL EX-FIX COMB CLAMMR COND

Facility

$1,629.55

Hospital Charge Code	270666874
Hospital Revenue Code	272
Min. Negotiated Rate	$244.43
Max. Negotiated Rate	$244.43
Rate for Payer: Qualcare PPO/HMO/WC	$244.43

SMALL EX-FIX COMB CLAMMR COND

Facility

$1,629.55

Hospital Charge Code	270666874
Hospital Revenue Code	272
Min. Negotiated Rate	$211.84
Max. Negotiated Rate	$814.77
Rate for Payer: Aetna Commercial	$488.87
Rate for Payer: Aetna Medicare Advantage	$488.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.54
Rate for Payer: Cigna Commercial	$814.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.84
Rate for Payer: Oxford Commercial	$814.77
Rate for Payer: Qualcare PPO/HMO/WC	$244.43
Rate for Payer: UnitedHealthcare Commercial	$814.77

SMALL FRAGMENT PLATES

Facility

$249.00

Hospital Charge Code	270335005
Hospital Revenue Code	278
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

SMALL FRAGMENT PLATES

Facility

$249.00

Hospital Charge Code	270335005
Hospital Revenue Code	278
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$124.50
Rate for Payer: Aetna Commercial	$74.70
Rate for Payer: Aetna Medicare Advantage	$74.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.49
Rate for Payer: Cigna Commercial	$124.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

SMALL FRAGMENT SCREWS

Facility

$137.00

Hospital Charge Code	270335003
Hospital Revenue Code	278
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

SMALL FRAGMENT SCREWS

Facility

$137.00

Hospital Charge Code	270335003
Hospital Revenue Code	278
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$68.50
Rate for Payer: Aetna Commercial	$41.10
Rate for Payer: Aetna Medicare Advantage	$41.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.94
Rate for Payer: Cigna Commercial	$68.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.15
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

SMALL IMPACT TIP

Facility

$182.30

Hospital Charge Code	270652409
Hospital Revenue Code	272
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$91.15
Rate for Payer: Aetna Commercial	$54.69
Rate for Payer: Aetna Medicare Advantage	$54.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$91.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.70
Rate for Payer: Oxford Commercial	$91.15
Rate for Payer: Qualcare PPO/HMO/WC	$27.34
Rate for Payer: UnitedHealthcare Commercial	$91.15

SMALL IMPACT TIP

Facility

$182.30

Hospital Charge Code	270652409
Hospital Revenue Code	272
Min. Negotiated Rate	$27.34
Max. Negotiated Rate	$27.34
Rate for Payer: Qualcare PPO/HMO/WC	$27.34

SMALL JOINT KIT ARTHREX

Facility

$895.00

Hospital Charge Code	270339532
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$216.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

SMALL JOINT KIT ARTHREX

Facility

$895.00

Hospital Charge Code	270339532
Hospital Revenue Code	278
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$268.50
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.59
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

SMALL JOINT KIT DISP

Facility

$725.00

Hospital Charge Code	270656577
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SMALL JOINT KIT DISP

Facility

$725.00

Hospital Charge Code	270656577
Hospital Revenue Code	272
Min. Negotiated Rate	$94.25
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$362.50
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$362.50

SMALL JOINT OATS KIT 8MM

Facility

$3,900.00

Hospital Charge Code	270689468
Hospital Revenue Code	270
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$585.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

SMALL JOINT OATS KIT 8MM

Facility

$3,900.00

Hospital Charge Code	270689468
Hospital Revenue Code	270
Min. Negotiated Rate	$507.00
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,170.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.00
Rate for Payer: Oxford Commercial	$1,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00
Rate for Payer: UnitedHealthcare Commercial	$1,950.00

SMALL PLATE LARGE

Facility

$5,014.65

Service Code	HCPCS C1713
Hospital Charge Code	270693997
Hospital Revenue Code	278
Min. Negotiated Rate	$752.20
Max. Negotiated Rate	$2,507.32
Rate for Payer: Aetna Commercial	$1,504.39
Rate for Payer: Aetna Medicare Advantage	$1,504.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,278.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,278.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,002.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,278.74
Rate for Payer: Cigna Commercial	$2,507.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,213.55
Rate for Payer: Qualcare PPO/HMO/WC	$752.20

SMALL PLATE LARGE

Facility

$5,014.65

Service Code	HCPCS C1713
Hospital Charge Code	270693997
Hospital Revenue Code	278
Min. Negotiated Rate	$752.20
Max. Negotiated Rate	$1,213.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,002.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,213.55
Rate for Payer: Qualcare PPO/HMO/WC	$752.20

Small shelve with three divide

Facility

$1,875.00

Hospital Charge Code	270665974
Hospital Revenue Code	270
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$281.25
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

Small shelve with three divide

Facility

$1,875.00

Hospital Charge Code	270665974
Hospital Revenue Code	270
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.75
Rate for Payer: Oxford Commercial	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Commercial	$937.50

SMALL X PLATE 2.4MM

Facility

$3,579.25

Service Code	HCPCS C1713
Hospital Charge Code	270705985
Hospital Revenue Code	278
Min. Negotiated Rate	$536.89
Max. Negotiated Rate	$1,789.62
Rate for Payer: Aetna Commercial	$1,073.78
Rate for Payer: Aetna Medicare Advantage	$1,073.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$912.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$912.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$912.71
Rate for Payer: Cigna Commercial	$1,789.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$866.18
Rate for Payer: Qualcare PPO/HMO/WC	$536.89

SMALL X PLATE 2.4MM

Facility

$3,579.25

Service Code	HCPCS C1713
Hospital Charge Code	270705985
Hospital Revenue Code	278
Min. Negotiated Rate	$536.89
Max. Negotiated Rate	$866.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$866.18
Rate for Payer: Qualcare PPO/HMO/WC	$536.89

Know your out-of-pocket cost for care.

All Charges