Heights University Hospital

All Charges

Charge

Type

Setting

Price

STEM NXG TIBIAL PLATE SZ4 5970

Facility

$8,235.30

Hospital Charge Code	270607473
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.30
Max. Negotiated Rate	$1,992.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.94
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.30

STEM NXG TIBIAL PLATE SZ4 5980

Facility

$8,017.25

Hospital Charge Code	270608720
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.59
Max. Negotiated Rate	$1,940.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59

STEM NXG TIBIAL PLATE SZ4 5980

Facility

$8,017.25

Hospital Charge Code	270608720
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.59
Max. Negotiated Rate	$4,008.62
Rate for Payer: Aetna Commercial	$2,405.18
Rate for Payer: Aetna Medicare Advantage	$2,405.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,044.40
Rate for Payer: Cigna Commercial	$4,008.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59

STEM NXG TIBIAL PLATE SZ5 5980

Facility

$8,017.25

Hospital Charge Code	270608659
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.59
Max. Negotiated Rate	$1,940.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59

STEM NXG TIBIAL PLATE SZ5 5980

Facility

$8,017.25

Hospital Charge Code	270608659
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.59
Max. Negotiated Rate	$4,008.62
Rate for Payer: Aetna Commercial	$2,405.18
Rate for Payer: Aetna Medicare Advantage	$2,405.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,044.40
Rate for Payer: Cigna Commercial	$4,008.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59

STEM NXG TIBIAL PLATE SZ7 5970

Facility

$4,948.85

Hospital Charge Code	270606758
Hospital Revenue Code	278
Min. Negotiated Rate	$742.33
Max. Negotiated Rate	$1,197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$989.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.62
Rate for Payer: Qualcare PPO/HMO/WC	$742.33

STEM NXG TIBIAL PLATE SZ7 5970

Facility

$4,948.85

Hospital Charge Code	270606758
Hospital Revenue Code	278
Min. Negotiated Rate	$742.33
Max. Negotiated Rate	$2,474.43
Rate for Payer: Aetna Commercial	$1,484.65
Rate for Payer: Aetna Medicare Advantage	$1,484.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,261.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,261.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$989.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,261.96
Rate for Payer: Cigna Commercial	$2,474.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.62
Rate for Payer: Qualcare PPO/HMO/WC	$742.33

STEM NXG TIBIAL PLATE SZ7 5980

Facility

$7,647.25

Hospital Charge Code	270607175
Hospital Revenue Code	278
Min. Negotiated Rate	$1,147.09
Max. Negotiated Rate	$3,823.62
Rate for Payer: Aetna Commercial	$2,294.18
Rate for Payer: Aetna Medicare Advantage	$2,294.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,950.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,950.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,529.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,950.05
Rate for Payer: Cigna Commercial	$3,823.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,850.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,147.09

STEM NXG TIBIAL PLATE SZ7 5980

Facility

$7,647.25

Hospital Charge Code	270607175
Hospital Revenue Code	278
Min. Negotiated Rate	$1,147.09
Max. Negotiated Rate	$1,850.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,529.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,850.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,147.09

STEM NXG TIBIAL PLATE SZ8 5980

Facility

$7,353.15

Hospital Charge Code	270606476
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.97
Max. Negotiated Rate	$3,676.57
Rate for Payer: Aetna Commercial	$2,205.95
Rate for Payer: Aetna Medicare Advantage	$2,205.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,875.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,875.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,875.05
Rate for Payer: Cigna Commercial	$3,676.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,779.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.97

STEM NXG TIBIAL PLATE SZ8 5980

Facility

$7,353.15

Hospital Charge Code	270606476
Hospital Revenue Code	278
Min. Negotiated Rate	$1,102.97
Max. Negotiated Rate	$1,779.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,470.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,779.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,102.97

STEM OSSINTERLOCK BOWD W/SCREW

Facility

$9,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270664285
Hospital Revenue Code	278
Min. Negotiated Rate	$1,484.25
Max. Negotiated Rate	$4,947.50
Rate for Payer: Aetna Commercial	$2,968.50
Rate for Payer: Aetna Medicare Advantage	$2,968.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,523.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,523.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,979.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,523.22
Rate for Payer: Cigna Commercial	$4,947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,394.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,484.25

STEM OSSINTERLOCK BOWD W/SCREW

Facility

$9,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270664285
Hospital Revenue Code	278
Min. Negotiated Rate	$1,484.25
Max. Negotiated Rate	$2,394.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,979.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,394.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,484.25

STEM OSS RESURFACING 6cm RIGHT

Facility

$39,710.00

Hospital Charge Code	270673874
Hospital Revenue Code	278
Min. Negotiated Rate	$5,956.50
Max. Negotiated Rate	$19,855.00
Rate for Payer: Aetna Commercial	$11,913.00
Rate for Payer: Aetna Medicare Advantage	$11,913.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,126.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,126.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,126.05
Rate for Payer: Cigna Commercial	$19,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,609.82
Rate for Payer: Qualcare PPO/HMO/WC	$5,956.50

STEM OSS RESURFACING 6cm RIGHT

Facility

$39,710.00

Hospital Charge Code	270673874
Hospital Revenue Code	278
Min. Negotiated Rate	$5,956.50
Max. Negotiated Rate	$9,609.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,609.82
Rate for Payer: Qualcare PPO/HMO/WC	$5,956.50

STEM PERSONA CEMENTE SZ 5

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689501
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,000.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA CEMENTE SZ 5

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689501
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA CEMENTE SZ 6

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689590
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,000.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA CEMENTE SZ 6

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689590
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA CEMENTE SZ 7

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686536
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$5,000.00
Rate for Payer: Aetna Commercial	$3,000.00
Rate for Payer: Aetna Medicare Advantage	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,550.00
Rate for Payer: Cigna Commercial	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA CEMENTE SZ 7

Facility

$10,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686536
Hospital Revenue Code	278
Min. Negotiated Rate	$1,500.00
Max. Negotiated Rate	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,500.00

STEM PERSONA TIBIAL 5 DEG SZ1

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686543
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

STEM PERSONA TIBIAL 5 DEG SZ1

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270686543
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

STEM PERSONA TIBIAL 5 DEG SZD

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689500
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

STEM PERSONA TIBIAL 5 DEG SZD

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270689500
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

Know your out-of-pocket cost for care.

All Charges