Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM FEMORAL WITH OUT COLLAR

Facility

$12,947.00

Hospital Charge Code	270666933
Hospital Revenue Code	278
Min. Negotiated Rate	$1,942.05
Max. Negotiated Rate	$6,473.50
Rate for Payer: Aetna Commercial	$3,884.10
Rate for Payer: Aetna Medicare Advantage	$3,884.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,301.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,301.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,589.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,301.49
Rate for Payer: Cigna Commercial	$6,473.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,133.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,942.05

STEM FEMORAL WITH OUT COLLAR

Facility

$12,947.00

Hospital Charge Code	270666933
Hospital Revenue Code	278
Min. Negotiated Rate	$1,942.05
Max. Negotiated Rate	$3,133.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,589.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,133.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,942.05

STEM FEMORL MC 15x160 78411520

Facility

$18,618.50

Hospital Charge Code	270635102
Hospital Revenue Code	278
Min. Negotiated Rate	$2,792.78
Max. Negotiated Rate	$4,505.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,723.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,505.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,792.78

STEM FEMORL MC 15x160 78411520

Facility

$18,618.50

Hospital Charge Code	270635102
Hospital Revenue Code	278
Min. Negotiated Rate	$2,792.78
Max. Negotiated Rate	$9,309.25
Rate for Payer: Aetna Commercial	$5,585.55
Rate for Payer: Aetna Medicare Advantage	$5,585.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,747.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,747.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,723.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,747.72
Rate for Payer: Cigna Commercial	$9,309.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,505.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,792.78

STEM FEMORL MC 15x160 78411530

Facility

$17,902.50

Hospital Charge Code	270633225
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 FEMORL MC 15x160 78411530

Facility

$17,902.50

Hospital Charge Code	270633225
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 FEM PS OPEN 57.5RT 183102

Facility

$16,560.00

Hospital Charge Code	270642093
Hospital Revenue Code	278
Min. Negotiated Rate	$2,484.00
Max. Negotiated Rate	$4,007.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,007.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,484.00

STEM FEM PS OPEN 57.5RT 183102

Facility

$16,560.00

Hospital Charge Code	270642093
Hospital Revenue Code	278
Min. Negotiated Rate	$2,484.00
Max. Negotiated Rate	$8,280.00
Rate for Payer: Aetna Commercial	$4,968.00
Rate for Payer: Aetna Medicare Advantage	$4,968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,222.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,222.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,222.80
Rate for Payer: Cigna Commercial	$8,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,007.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,484.00

STEM FEMRL MC16x160 7841-16-20

Facility

$18,768.65

Hospital Charge Code	270631694
Hospital Revenue Code	278
Min. Negotiated Rate	$2,815.30
Max. Negotiated Rate	$4,542.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,753.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,542.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,815.30

STEM FEMRL MC16x160 7841-16-20

Facility

$18,768.65

Hospital Charge Code	270631694
Hospital Revenue Code	278
Min. Negotiated Rate	$2,815.30
Max. Negotiated Rate	$9,384.33
Rate for Payer: Aetna Commercial	$5,630.60
Rate for Payer: Aetna Medicare Advantage	$5,630.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,786.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,786.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,753.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,786.01
Rate for Payer: Cigna Commercial	$9,384.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,542.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,815.30

STEM FEMRL STD CLLR SZ17 150MM

Facility

$10,646.60

Hospital Charge Code	270657124
Hospital Revenue Code	278
Min. Negotiated Rate	$1,596.99
Max. Negotiated Rate	$2,576.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,129.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,576.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,596.99

STEM FEMRL STD CLLR SZ17 150MM

Facility

$10,646.60

Hospital Charge Code	270657124
Hospital Revenue Code	278
Min. Negotiated Rate	$1,596.99
Max. Negotiated Rate	$5,323.30
Rate for Payer: Aetna Commercial	$3,193.98
Rate for Payer: Aetna Medicare Advantage	$3,193.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,129.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,714.88
Rate for Payer: Cigna Commercial	$5,323.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,576.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,596.99

STEM FEMRL TPR 15x140 7862-015

Facility

$16,376.00

Hospital Charge Code	270631442
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.40
Max. Negotiated Rate	$3,962.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.99
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.40

STEM FEMRL TPR 15x140 7862-015

Facility

$16,376.00

Hospital Charge Code	270631442
Hospital Revenue Code	278
Min. Negotiated Rate	$2,456.40
Max. Negotiated Rate	$8,188.00
Rate for Payer: Aetna Commercial	$4,912.80
Rate for Payer: Aetna Medicare Advantage	$4,912.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,175.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,175.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,275.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,175.88
Rate for Payer: Cigna Commercial	$8,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,962.99
Rate for Payer: Qualcare PPO/HMO/WC	$2,456.40

STEMFEMSTDARCOS1PC15X210MMCALC

Facility

$39,720.00

Service Code	HCPCS C1776
Hospital Charge Code	270697341
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

STEMFEMSTDARCOS1PC15X210MMCALC

Facility

$39,720.00

Service Code	HCPCS C1776
Hospital Charge Code	270697341
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 TAP 12/14 SZ3 108MM

Facility

$9,712.50

Service Code	HCPCS C1776
Hospital Charge Code	270698953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,456.88
Max. Negotiated Rate	$4,856.25
Rate for Payer: Aetna Commercial	$2,913.75
Rate for Payer: Aetna Medicare Advantage	$2,913.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,476.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,476.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,476.69
Rate for Payer: Cigna Commercial	$4,856.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,350.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.88

STEM FEM TAP 12/14 SZ3 108MM

Facility

$9,712.50

Service Code	HCPCS C1776
Hospital Charge Code	270698953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,456.88
Max. Negotiated Rate	$2,350.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,350.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.88

STEM FEMUR P.S CEMENTED LEFTS3

Facility

$7,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270681469
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STEM FEMUR P.S CEMENTED LEFTS3

Facility

$7,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270681469
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STEM FEM WAGNER CN 125D 20MM

Facility

$17,460.00

Service Code	HCPCS C1776
Hospital Charge Code	270698589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,619.00
Max. Negotiated Rate	$8,730.00
Rate for Payer: Aetna Commercial	$5,238.00
Rate for Payer: Aetna Medicare Advantage	$5,238.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,452.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,452.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,492.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,452.30
Rate for Payer: Cigna Commercial	$8,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,225.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,619.00

STEM FEM WAGNER CN 125D 20MM

Facility

$17,460.00

Service Code	HCPCS C1776
Hospital Charge Code	270698589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,619.00
Max. Negotiated Rate	$4,225.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,492.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,225.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,619.00

STEM FINNED 14MM

Facility

$5,400.00

Hospital Charge Code	270666200
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

STEM FINNED 14MM

Facility

$5,400.00

Hospital Charge Code	270666200
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

STEM FINNED 14x80MM

Facility

$6,020.00

Service Code	HCPCS C1776
Hospital Charge Code	270672168
Hospital Revenue Code	278
Min. Negotiated Rate	$903.00
Max. Negotiated Rate	$3,010.00
Rate for Payer: Aetna Commercial	$1,806.00
Rate for Payer: Aetna Medicare Advantage	$1,806.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,535.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,535.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,535.10
Rate for Payer: Cigna Commercial	$3,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,456.84
Rate for Payer: Qualcare PPO/HMO/WC	$903.00

Know your out-of-pocket cost for care.

All Charges