Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$8,500.00
Rate for Payer: Aetna Commercial	$5,100.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

STEM HUMERAL 5MM FIXED 155 DEG

Facility

$17,000.00

Hospital Charge Code	270672283
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$5,100.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

STEM HUMERAL 5MM FIXED 155 DEG

Facility

$17,000.00

Hospital Charge Code	270672283
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

STEM HUMERAL 6MM

Facility

$11,175.00

Hospital Charge Code	270672284
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 6MM

Facility

$11,175.00

Hospital Charge Code	270672284
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 7MM

Facility

$11,175.00

Hospital Charge Code	270672285
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 7MM

Facility

$11,175.00

Hospital Charge Code	270672285
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 7x120mm CEMENTED

Facility

$26,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270679733
Hospital Revenue Code	278
Min. Negotiated Rate	$4,005.00
Max. Negotiated Rate	$6,461.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,461.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.00

STEM HUMERAL 7x120mm CEMENTED

Facility

$26,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270679733
Hospital Revenue Code	278
Min. Negotiated Rate	$4,005.00
Max. Negotiated Rate	$13,350.00
Rate for Payer: Aetna Commercial	$8,010.00
Rate for Payer: Aetna Medicare Advantage	$8,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,808.50
Rate for Payer: Cigna Commercial	$13,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,461.40
Rate for Payer: Qualcare PPO/HMO/WC	$4,005.00

STEM HUMERAL 8MM

Facility

$11,175.00

Hospital Charge Code	270672286
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 8MM

Facility

$11,175.00

Hospital Charge Code	270672286
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 8mm 11-113558

Facility

$10,316.00

Hospital Charge Code	27063968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,547.40
Max. Negotiated Rate	$2,496.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,063.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,496.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,547.40

STEM HUMERAL 8mm 11-113558

Facility

$10,316.00

Hospital Charge Code	27063968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,547.40
Max. Negotiated Rate	$5,158.00
Rate for Payer: Aetna Commercial	$3,094.80
Rate for Payer: Aetna Medicare Advantage	$3,094.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,630.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,630.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,063.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,630.58
Rate for Payer: Cigna Commercial	$5,158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,496.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,547.40

STEM HUMERAL 8mm 11-113558

Facility

$12,895.00

Hospital Charge Code	270639968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,934.25
Max. Negotiated Rate	$6,447.50
Rate for Payer: Aetna Commercial	$3,868.50
Rate for Payer: Aetna Medicare Advantage	$3,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,288.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,288.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,579.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,288.22
Rate for Payer: Cigna Commercial	$6,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,120.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.25

STEM HUMERAL 8mm 11-113558

Facility

$12,895.00

Hospital Charge Code	270639968
Hospital Revenue Code	278
Min. Negotiated Rate	$1,934.25
Max. Negotiated Rate	$3,120.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,579.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,120.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,934.25

STEM HUMERAL 9MM

Facility

$11,175.00

Hospital Charge Code	270672287
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 9MM

Facility

$11,175.00

Hospital Charge Code	270672287
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 CEMENTED RIGHT 8.

Facility

$9,170.00

Service Code	HCPCS C1776
Hospital Charge Code	270678475
Hospital Revenue Code	278
Min. Negotiated Rate	$1,375.50
Max. Negotiated Rate	$2,219.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,834.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,219.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,375.50

STEM HUMERAL CEMENTED RIGHT 8.

Facility

$9,170.00

Service Code	HCPCS C1776
Hospital Charge Code	270678475
Hospital Revenue Code	278
Min. Negotiated Rate	$1,375.50
Max. Negotiated Rate	$4,585.00
Rate for Payer: Aetna Commercial	$2,751.00
Rate for Payer: Aetna Medicare Advantage	$2,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,338.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,338.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,834.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,338.35
Rate for Payer: Cigna Commercial	$4,585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,219.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,375.50

STEM HUMERAL COMP7x130 4065-40

Facility

$7,043.25

Hospital Charge Code	270612879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,056.49
Max. Negotiated Rate	$1,704.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,408.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,704.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,056.49

STEM HUMERAL COMP7x130 4065-40

Facility

$7,043.25

Hospital Charge Code	270612879
Hospital Revenue Code	278
Min. Negotiated Rate	$1,056.49
Max. Negotiated Rate	$3,521.62
Rate for Payer: Aetna Commercial	$2,112.97
Rate for Payer: Aetna Medicare Advantage	$2,112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,796.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,796.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,408.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,796.03
Rate for Payer: Cigna Commercial	$3,521.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,704.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,056.49

STEM HUMERAL FRACTURE 10x122mm

Facility

$19,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270674698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$4,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,598.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

STEM HUMERAL FRACTURE 10x122mm

Facility

$19,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270674698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,850.00
Max. Negotiated Rate	$9,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$5,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,845.00
Rate for Payer: Cigna Commercial	$9,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,598.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,850.00

STEM HUMERAL HEAD FLEXPTC 82MM

Facility

$20,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698766
Hospital Revenue Code	278
Min. Negotiated Rate	$3,075.00
Max. Negotiated Rate	$4,961.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00

STEM HUMERAL HEAD FLEXPTC 82MM

Facility

$20,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270698766
Hospital Revenue Code	278
Min. Negotiated Rate	$3,075.00
Max. Negotiated Rate	$10,250.00
Rate for Payer: Aetna Commercial	$6,150.00
Rate for Payer: Aetna Medicare Advantage	$6,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,227.50
Rate for Payer: Cigna Commercial	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00

Know your out-of-pocket cost for care.

All Charges