Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEBT MULTI-LINK RX 4.0X28MM

Facility

$3,000.00

Service Code	HCPCS C1876
Hospital Charge Code	270643627C
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

STE CYPHER RX 2.5x8cm CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$4,087.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STE CYPHER RX 2.5x8cm CXS08250

Facility

$13,625.00

Hospital Charge Code	270637330C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STEEM 16MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270688090
Hospital Revenue Code	278
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$1,306.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

STEEM 16MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270688090
Hospital Revenue Code	278
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$2,700.00
Rate for Payer: Aetna Commercial	$1,620.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

STEIMAN PIN 3/32 X 9 IN TROCAR

Facility

$56.25

Service Code	HCPCS C1713
Hospital Charge Code	270687107
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.61
Rate for Payer: Qualcare PPO/HMO/WC	$8.44

STEIMAN PIN 3/32 X 9 IN TROCAR

Facility

$56.25

Service Code	HCPCS C1713
Hospital Charge Code	270687107
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$28.12
Rate for Payer: Aetna Commercial	$16.88
Rate for Payer: Aetna Medicare Advantage	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.34
Rate for Payer: Cigna Commercial	$28.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.61
Rate for Payer: Qualcare PPO/HMO/WC	$8.44

STEINMANN 1/8

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684578
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

STEINMANN 1/8

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684578
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$5.17
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

STEINMANN 3/16

Facility

$21.85

Service Code	HCPCS C1713
Hospital Charge Code	270684581
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$5.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.28

STEINMANN 3/16

Facility

$21.85

Service Code	HCPCS C1713
Hospital Charge Code	270684581
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$10.93
Rate for Payer: Aetna Commercial	$6.55
Rate for Payer: Aetna Medicare Advantage	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.57
Rate for Payer: Cigna Commercial	$10.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.28

STEINMANN 5/32

Facility

$21.85

Service Code	HCPCS C1713
Hospital Charge Code	270684580
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$5.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.28

STEINMANN 5/32

Facility

$21.85

Service Code	HCPCS C1713
Hospital Charge Code	270684580
Hospital Revenue Code	278
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$10.93
Rate for Payer: Aetna Commercial	$6.55
Rate for Payer: Aetna Medicare Advantage	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.57
Rate for Payer: Cigna Commercial	$10.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.28

STEINMANN 7/64

Facility

$13.80

Service Code	HCPCS C1713
Hospital Charge Code	270684577
Hospital Revenue Code	278
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$6.90
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$4.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

STEINMANN 7/64

Facility

$13.80

Service Code	HCPCS C1713
Hospital Charge Code	270684577
Hospital Revenue Code	278
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$3.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

STEINMANN 9/64

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684579
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$8.62
Rate for Payer: Aetna Commercial	$5.17
Rate for Payer: Aetna Medicare Advantage	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.40
Rate for Payer: Cigna Commercial	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

STEINMANN 9/64

Facility

$17.25

Service Code	HCPCS C1713
Hospital Charge Code	270684579
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.59

STEINMANN PIN WITH 5.0MM

Facility

$594.00

Hospital Charge Code	270663423
Hospital Revenue Code	272
Min. Negotiated Rate	$77.22
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.22
Rate for Payer: Oxford Commercial	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Commercial	$297.00

STEINMANN PIN WITH 5.0MM

Facility

$594.00

Hospital Charge Code	270663423
Hospital Revenue Code	272
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

STEINMAN PIN 2MM

Facility

$23.10

Hospital Charge Code	270699578
Hospital Revenue Code	279
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$11.55
Rate for Payer: Aetna Commercial	$6.93
Rate for Payer: Aetna Medicare Advantage	$6.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.89
Rate for Payer: Cigna Commercial	$11.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$11.55

STEINMAN PIN 2MM

Facility

$23.10

Hospital Charge Code	270699578
Hospital Revenue Code	279
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

STEINMON PIN

Facility

$44.00

Hospital Charge Code	270335001
Hospital Revenue Code	278
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$13.20
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

STEINMON PIN

Facility

$44.00

Hospital Charge Code	270335001
Hospital Revenue Code	278
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

STE LIBE MONO 3.5x16m389341635

Facility

$1,250.00

Hospital Charge Code	270638225
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

STE LIBE MONO 3.5x16m389341635

Facility

$1,250.00

Hospital Charge Code	270638225
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Know your out-of-pocket cost for care.

All Charges