Heights University Hospital

All Charges

Charge

Type

Setting

Price

SPLINT CLAVICLE MEDIUM

Facility

$32.95

Hospital Charge Code	270649332
Hospital Revenue Code	272
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$16.48
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$9.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.40
Rate for Payer: Cigna Commercial	$16.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.28
Rate for Payer: Oxford Commercial	$16.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.94
Rate for Payer: UnitedHealthcare Commercial	$16.48

SPLINT CLAVICLE MEDIUM

Facility

$32.95

Hospital Charge Code	270649332
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$4.94

SPLINT CLAVICLE SMALL

Facility

$32.70

Hospital Charge Code	270649333
Hospital Revenue Code	272
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$4.91
Rate for Payer: Qualcare PPO/HMO/WC	$4.91

SPLINT CLAVICLE SMALL

Facility

$32.70

Hospital Charge Code	270649333
Hospital Revenue Code	272
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$16.35
Rate for Payer: Aetna Commercial	$9.81
Rate for Payer: Aetna Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.34
Rate for Payer: Cigna Commercial	$16.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.25
Rate for Payer: Oxford Commercial	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.91
Rate for Payer: UnitedHealthcare Commercial	$16.35

SPLINT CLAVICLE X-LARGE

Facility

$27.70

Hospital Charge Code	270649334
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$13.85
Rate for Payer: Aetna Commercial	$8.31
Rate for Payer: Aetna Medicare Advantage	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.06
Rate for Payer: Cigna Commercial	$13.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$13.85
Rate for Payer: Qualcare PPO/HMO/WC	$4.16
Rate for Payer: UnitedHealthcare Commercial	$13.85

SPLINT CLAVICLE X-LARGE

Facility

$27.70

Hospital Charge Code	270649334
Hospital Revenue Code	272
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$4.16
Rate for Payer: Qualcare PPO/HMO/WC	$4.16

SPLINT CLAVICLE X-SMALL

Facility

$30.15

Hospital Charge Code	270649335
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$15.07
Rate for Payer: Aetna Commercial	$9.04
Rate for Payer: Aetna Medicare Advantage	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.69
Rate for Payer: Cigna Commercial	$15.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.92
Rate for Payer: Oxford Commercial	$15.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.52
Rate for Payer: UnitedHealthcare Commercial	$15.07

SPLINT CLAVICLE X-SMALL

Facility

$30.15

Hospital Charge Code	270649335
Hospital Revenue Code	272
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$4.52
Rate for Payer: Qualcare PPO/HMO/WC	$4.52

SPLINT COCK UP

Facility

$299.90

Hospital Charge Code	270644330
Hospital Revenue Code	272
Min. Negotiated Rate	$44.98
Max. Negotiated Rate	$44.98
Rate for Payer: Qualcare PPO/HMO/WC	$44.98

SPLINT COCK UP

Facility

$299.90

Hospital Charge Code	270644330
Hospital Revenue Code	272
Min. Negotiated Rate	$38.99
Max. Negotiated Rate	$149.95
Rate for Payer: Aetna Commercial	$89.97
Rate for Payer: Aetna Medicare Advantage	$89.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.47
Rate for Payer: Cigna Commercial	$149.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.99
Rate for Payer: Oxford Commercial	$149.95
Rate for Payer: Qualcare PPO/HMO/WC	$44.98
Rate for Payer: UnitedHealthcare Commercial	$149.95

SPLINT COCK-UP WRIST MED RT

Facility

$32.60

Hospital Charge Code	270649000
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$4.89

SPLINT COCK-UP WRIST MED RT

Facility

$32.60

Hospital Charge Code	270649000
Hospital Revenue Code	272
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$16.30
Rate for Payer: Aetna Commercial	$9.78
Rate for Payer: Aetna Medicare Advantage	$9.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.31
Rate for Payer: Cigna Commercial	$16.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.24
Rate for Payer: Oxford Commercial	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.89
Rate for Payer: UnitedHealthcare Commercial	$16.30

SPLINT DOYLE AIRWAY ******

Facility

$20.49

Hospital Charge Code	1600709
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

SPLINT DOYLE AIRWAY ******

Facility

$20.49

Hospital Charge Code	1600709
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$10.24
Rate for Payer: Aetna Commercial	$6.15
Rate for Payer: Aetna Medicare Advantage	$6.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.66
Rate for Payer: Oxford Commercial	$10.24
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$10.24

SPLINT DOYLE NASAL SIL 2007-11

Facility

$173.65

Hospital Charge Code	270061285
Hospital Revenue Code	278
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$52.09
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

SPLINT DOYLE NASAL SIL 2007-11

Facility

$173.65

Hospital Charge Code	270061285
Hospital Revenue Code	278
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$42.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.02
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

SPLINT ELBOW VINYL 11

Facility

$59.75

Hospital Charge Code	270649336
Hospital Revenue Code	272
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$29.88
Rate for Payer: Aetna Commercial	$17.93
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.24
Rate for Payer: Cigna Commercial	$29.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.77
Rate for Payer: Oxford Commercial	$29.88
Rate for Payer: Qualcare PPO/HMO/WC	$8.96
Rate for Payer: UnitedHealthcare Commercial	$29.88

SPLINT ELBOW VINYL 11

Facility

$59.75

Hospital Charge Code	270649336
Hospital Revenue Code	272
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$8.96
Rate for Payer: Qualcare PPO/HMO/WC	$8.96

SPLINT ELBOW VINYL 13

Facility

$64.75

Hospital Charge Code	270649337
Hospital Revenue Code	272
Min. Negotiated Rate	$8.42
Max. Negotiated Rate	$32.38
Rate for Payer: Aetna Commercial	$19.43
Rate for Payer: Aetna Medicare Advantage	$19.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.51
Rate for Payer: Cigna Commercial	$32.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.42
Rate for Payer: Oxford Commercial	$32.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.71
Rate for Payer: UnitedHealthcare Commercial	$32.38

SPLINT ELBOW VINYL 13

Facility

$64.75

Hospital Charge Code	270649337
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

SPLINT FINGER 1-1/4 9119-01

Facility

$31.20

Hospital Charge Code	270649338
Hospital Revenue Code	270
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$4.68
Rate for Payer: Qualcare PPO/HMO/WC	$4.68

SPLINT FINGER 1-1/4 9119-01

Facility

$31.20

Hospital Charge Code	270649338
Hospital Revenue Code	270
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$15.60
Rate for Payer: Aetna Commercial	$9.36
Rate for Payer: Aetna Medicare Advantage	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.96
Rate for Payer: Cigna Commercial	$15.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.06
Rate for Payer: Oxford Commercial	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.68
Rate for Payer: UnitedHealthcare Commercial	$15.60

SPLINT FINGER 1-5/8 11201

Facility

$48.55

Hospital Charge Code	270649339
Hospital Revenue Code	270
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Qualcare PPO/HMO/WC	$7.28

SPLINT FINGER 1-5/8 11201

Facility

$48.55

Hospital Charge Code	270649339
Hospital Revenue Code	270
Min. Negotiated Rate	$6.31
Max. Negotiated Rate	$24.27
Rate for Payer: Aetna Commercial	$14.56
Rate for Payer: Aetna Medicare Advantage	$14.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.38
Rate for Payer: Cigna Commercial	$24.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.31
Rate for Payer: Oxford Commercial	$24.27
Rate for Payer: Qualcare PPO/HMO/WC	$7.28
Rate for Payer: UnitedHealthcare Commercial	$24.27

SPLINT FINGER 2-1/4 11902

Facility

$45.90

Hospital Charge Code	270649340
Hospital Revenue Code	272
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.88

Know your out-of-pocket cost for care.

All Charges