Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM HUM COMP PRIM STD 13MM

Facility

$14,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698391
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

STEM HUM COMP PRIM STD 13MM

Facility

$14,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698391
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

STEM HUM COMPR PPS 8X122MM

Facility

$17,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270695299
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$4,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

STEM HUM COMPR PPS 8X122MM

Facility

$17,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270695299
Hospital Revenue Code	278
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$5,250.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

STEM HUMERAL

Facility

$27,625.00

Hospital Charge Code	270661830
Hospital Revenue Code	278
Min. Negotiated Rate	$4,143.75
Max. Negotiated Rate	$6,685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,685.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,143.75

STEM HUMERAL

Facility

$27,640.00

Hospital Charge Code	270640742
Hospital Revenue Code	278
Min. Negotiated Rate	$4,146.00
Max. Negotiated Rate	$6,688.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,528.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,688.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,146.00

STEM HUMERAL

Facility

$27,625.00

Hospital Charge Code	270661830
Hospital Revenue Code	278
Min. Negotiated Rate	$4,143.75
Max. Negotiated Rate	$13,812.50
Rate for Payer: Aetna Commercial	$8,287.50
Rate for Payer: Aetna Medicare Advantage	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,044.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,044.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,044.38
Rate for Payer: Cigna Commercial	$13,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,685.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,143.75

STEM HUMERAL

Facility

$27,640.00

Hospital Charge Code	270640742
Hospital Revenue Code	278
Min. Negotiated Rate	$4,146.00
Max. Negotiated Rate	$13,820.00
Rate for Payer: Aetna Commercial	$8,292.00
Rate for Payer: Aetna Medicare Advantage	$8,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,048.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,048.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,048.20
Rate for Payer: Cigna Commercial	$13,820.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,688.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,146.00

STEM HUMERAL 10MM

Facility

$11,175.00

Hospital Charge Code	270672288
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 10MM

Facility

$11,175.00

Hospital Charge Code	270672288
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$3,352.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 10mm 11-113560

Facility

$14,185.00

Hospital Charge Code	270641405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,127.75
Max. Negotiated Rate	$3,432.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,837.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,432.77
Rate for Payer: Qualcare PPO/HMO/WC	$2,127.75

STEM HUMERAL 10mm 11-113560

Facility

$14,185.00

Hospital Charge Code	270641405
Hospital Revenue Code	278
Min. Negotiated Rate	$2,127.75
Max. Negotiated Rate	$7,092.50
Rate for Payer: Aetna Commercial	$4,255.50
Rate for Payer: Aetna Medicare Advantage	$4,255.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,617.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,617.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,837.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,617.18
Rate for Payer: Cigna Commercial	$7,092.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,432.77
Rate for Payer: Qualcare PPO/HMO/WC	$2,127.75

STEM HUMERAL 10x148MM

Facility

$18,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270672692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,756.25
Max. Negotiated Rate	$4,446.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,446.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,756.25

STEM HUMERAL 10x148MM

Facility

$18,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270672692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,756.25
Max. Negotiated Rate	$9,187.50
Rate for Payer: Aetna Commercial	$5,512.50
Rate for Payer: Aetna Medicare Advantage	$5,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,685.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,685.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,685.62
Rate for Payer: Cigna Commercial	$9,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,446.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,756.25

STEM HUMERAL 11MM

Facility

$11,175.00

Hospital Charge Code	270672289
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 11MM

Facility

$11,175.00

Hospital Charge Code	270672289
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$3,352.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 12MM

Facility

$11,175.00

Hospital Charge Code	270672290
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 12MM

Facility

$11,175.00

Hospital Charge Code	270672290
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$3,352.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 13MM

Facility

$11,175.00

Hospital Charge Code	270672291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$2,704.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 13MM

Facility

$11,175.00

Hospital Charge Code	270672291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,676.25
Max. Negotiated Rate	$5,587.50
Rate for Payer: Aetna Commercial	$3,352.50
Rate for Payer: Aetna Medicare Advantage	$3,352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,849.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,849.62
Rate for Payer: Cigna Commercial	$5,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,704.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,676.25

STEM HUMERAL 15X130mm 43001513

Facility

$14,620.00

Hospital Charge Code	270637579
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.00
Max. Negotiated Rate	$3,538.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00

STEM HUMERAL 15X130mm 43001513

Facility

$14,620.00

Hospital Charge Code	270637579
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.00
Max. Negotiated Rate	$7,310.00
Rate for Payer: Aetna Commercial	$4,386.00
Rate for Payer: Aetna Medicare Advantage	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,728.10
Rate for Payer: Cigna Commercial	$7,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00

STEM HUMERAL 2BSTD70MM132.5D

Facility

$45,220.00

Service Code	HCPCS C1776
Hospital Charge Code	270697094
Hospital Revenue Code	278
Min. Negotiated Rate	$6,783.00
Max. Negotiated Rate	$22,610.00
Rate for Payer: Aetna Commercial	$13,566.00
Rate for Payer: Aetna Medicare Advantage	$13,566.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,531.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,531.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,531.10
Rate for Payer: Cigna Commercial	$22,610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,943.24
Rate for Payer: Qualcare PPO/HMO/WC	$6,783.00

STEM HUMERAL 2BSTD70MM132.5D

Facility

$45,220.00

Service Code	HCPCS C1776
Hospital Charge Code	270697094
Hospital Revenue Code	278
Min. Negotiated Rate	$6,783.00
Max. Negotiated Rate	$10,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,044.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,943.24
Rate for Payer: Qualcare PPO/HMO/WC	$6,783.00

STEM HUMERAL 5MM FIXED 135 DEG

Facility

$17,000.00

Hospital Charge Code	270672282
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

Know your out-of-pocket cost for care.

All Charges