Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM FEM 14x140 78411420

Facility

$20,300.20

Hospital Charge Code	270633725
Hospital Revenue Code	278
Min. Negotiated Rate	$3,045.03
Max. Negotiated Rate	$10,150.10
Rate for Payer: Aetna Commercial	$6,090.06
Rate for Payer: Aetna Medicare Advantage	$6,090.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,176.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,176.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,060.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,176.55
Rate for Payer: Cigna Commercial	$10,150.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,912.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.03

STEM FEM 14x140 78411420

Facility

$20,300.20

Hospital Charge Code	270633725
Hospital Revenue Code	278
Min. Negotiated Rate	$3,045.03
Max. Negotiated Rate	$4,912.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,060.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,912.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.03

STEM FEM ARCOS 13X210MM 0 CALC

Facility

$39,720.00

Service Code	HCPCS C1776
Hospital Charge Code	270698954
Hospital Revenue Code	278
Min. Negotiated Rate	$5,958.00
Max. Negotiated Rate	$19,860.00
Rate for Payer: Aetna Commercial	$11,916.00
Rate for Payer: Aetna Medicare Advantage	$11,916.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,128.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,128.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,944.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,128.60
Rate for Payer: Cigna Commercial	$19,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,612.24
Rate for Payer: Qualcare PPO/HMO/WC	$5,958.00

STEM FEM ARCOS 13X210MM 0 CALC

Facility

$39,720.00

Service Code	HCPCS C1776
Hospital Charge Code	270698954
Hospital Revenue Code	278
Min. Negotiated Rate	$5,958.00
Max. Negotiated Rate	$9,612.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,944.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,612.24
Rate for Payer: Qualcare PPO/HMO/WC	$5,958.00

STEM FEM AVEN COMP STD COL SZ2

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270695309
Hospital Revenue Code	278
Min. Negotiated Rate	$2,218.13
Max. Negotiated Rate	$7,393.77
Rate for Payer: Aetna Commercial	$4,436.27
Rate for Payer: Aetna Medicare Advantage	$4,436.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,770.83
Rate for Payer: Cigna Commercial	$7,393.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13

STEM FEM AVEN COMP STD COL SZ2

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270695309
Hospital Revenue Code	278
Min. Negotiated Rate	$2,218.13
Max. Negotiated Rate	$3,578.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13

STEM FEM BROACH STD 15X175MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270699266
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$5,407.50
Rate for Payer: Aetna Commercial	$3,244.50
Rate for Payer: Aetna Medicare Advantage	$3,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,757.82
Rate for Payer: Cigna Commercial	$5,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

STEM FEM BROACH STD 15X175MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270699266
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$2,617.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

STEM FEM CEMET 14x135 78531421

Facility

$11,316.75

Hospital Charge Code	270634661
Hospital Revenue Code	278
Min. Negotiated Rate	$1,697.51
Max. Negotiated Rate	$5,658.38
Rate for Payer: Aetna Commercial	$3,395.03
Rate for Payer: Aetna Medicare Advantage	$3,395.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,885.77
Rate for Payer: Cigna Commercial	$5,658.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51

STEM FEM CEMET 14x135 78531421

Facility

$11,316.75

Hospital Charge Code	270634661
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

STEM FEM CEMTD 15x140 78531521

Facility

$10,667.25

Hospital Charge Code	270632964
Hospital Revenue Code	278
Min. Negotiated Rate	$1,600.09
Max. Negotiated Rate	$5,333.62
Rate for Payer: Aetna Commercial	$3,200.18
Rate for Payer: Aetna Medicare Advantage	$3,200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,720.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,720.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,133.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,720.15
Rate for Payer: Cigna Commercial	$5,333.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,581.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,600.09

STEM FEM CEMTD 15x140 78531521

Facility

$10,667.25

Hospital Charge Code	270632964
Hospital Revenue Code	278
Min. Negotiated Rate	$1,600.09
Max. Negotiated Rate	$2,581.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,133.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,581.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,600.09

STEM FEM ECHO FX STD SZ9130MM

Facility

$8,820.00

Service Code	HCPCS C1776
Hospital Charge Code	270694261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,323.00
Max. Negotiated Rate	$2,134.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,134.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.00

STEM FEM ECHO FX STD SZ9130MM

Facility

$8,820.00

Service Code	HCPCS C1776
Hospital Charge Code	270694261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,323.00
Max. Negotiated Rate	$4,410.00
Rate for Payer: Aetna Commercial	$2,646.00
Rate for Payer: Aetna Medicare Advantage	$2,646.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,249.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,249.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,249.10
Rate for Payer: Cigna Commercial	$4,410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,134.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,323.00

STEM FEM INTEL130x180 11166013

Facility

$36,120.00

Hospital Charge Code	270644634
Hospital Revenue Code	278
Min. Negotiated Rate	$5,418.00
Max. Negotiated Rate	$18,060.00
Rate for Payer: Aetna Commercial	$10,836.00
Rate for Payer: Aetna Medicare Advantage	$10,836.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,210.60
Rate for Payer: Cigna Commercial	$18,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,741.04
Rate for Payer: Qualcare PPO/HMO/WC	$5,418.00

STEM FEM INTEL130x180 11166013

Facility

$36,120.00

Hospital Charge Code	270644634
Hospital Revenue Code	278
Min. Negotiated Rate	$5,418.00
Max. Negotiated Rate	$8,741.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,741.04
Rate for Payer: Qualcare PPO/HMO/WC	$5,418.00

STEM FEML VERS 13x140 78411300

Facility

$17,902.50

Hospital Charge Code	270633529
Hospital Revenue Code	278
Min. Negotiated Rate	$2,685.38
Max. Negotiated Rate	$4,332.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,580.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,332.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,685.38

STEM FEML VERS 13x140 78411300

Facility

$17,902.50

Hospital Charge Code	270633529
Hospital Revenue Code	278
Min. Negotiated Rate	$2,685.38
Max. Negotiated Rate	$8,951.25
Rate for Payer: Aetna Commercial	$5,370.75
Rate for Payer: Aetna Medicare Advantage	$5,370.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,565.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,565.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,580.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,565.14
Rate for Payer: Cigna Commercial	$8,951.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,332.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,685.38

STEM FEMORA 15X160 STD 7845-15

Facility

$21,315.00

Hospital Charge Code	270638718
Hospital Revenue Code	278
Min. Negotiated Rate	$3,197.25
Max. Negotiated Rate	$5,158.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,263.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,158.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,197.25

STEM FEMORA 15X160 STD 7845-15

Facility

$21,315.00

Hospital Charge Code	270638718
Hospital Revenue Code	278
Min. Negotiated Rate	$3,197.25
Max. Negotiated Rate	$10,657.50
Rate for Payer: Aetna Commercial	$6,394.50
Rate for Payer: Aetna Medicare Advantage	$6,394.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,435.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,435.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,263.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,435.32
Rate for Payer: Cigna Commercial	$10,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,158.23
Rate for Payer: Qualcare PPO/HMO/WC	$3,197.25

STEM FEMORAL 11mm 162611

Facility

$19,349.00

Hospital Charge Code	270634931
Hospital Revenue Code	278
Min. Negotiated Rate	$2,902.35
Max. Negotiated Rate	$9,674.50
Rate for Payer: Aetna Commercial	$5,804.70
Rate for Payer: Aetna Medicare Advantage	$5,804.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,933.99
Rate for Payer: Cigna Commercial	$9,674.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35

STEM FEMORAL 11mm 162611

Facility

$19,349.00

Hospital Charge Code	270634931
Hospital Revenue Code	278
Min. Negotiated Rate	$2,902.35
Max. Negotiated Rate	$4,682.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35

STEM FEMORAL 13X145 11162715

Facility

$9,245.50

Hospital Charge Code	270634105
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.83
Max. Negotiated Rate	$2,237.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,849.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,237.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.83

STEM FEMORAL 13X145 11162715

Facility

$9,245.50

Hospital Charge Code	270634105
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.83
Max. Negotiated Rate	$4,622.75
Rate for Payer: Aetna Commercial	$2,773.65
Rate for Payer: Aetna Medicare Advantage	$2,773.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,849.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,357.60
Rate for Payer: Cigna Commercial	$4,622.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,237.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.83

STEM FEMORAL 17X160MM STD

Facility

$20,300.35

Hospital Charge Code	270638745
Hospital Revenue Code	278
Min. Negotiated Rate	$3,045.05
Max. Negotiated Rate	$10,150.17
Rate for Payer: Aetna Commercial	$6,090.10
Rate for Payer: Aetna Medicare Advantage	$6,090.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,176.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,176.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,060.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,176.59
Rate for Payer: Cigna Commercial	$10,150.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,912.68
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.05

Know your out-of-pocket cost for care.

All Charges