Heights University Hospital

All Charges

Charge

Type

Setting

Price

STRIP FIBER FUSE 1X10CM

Facility

$10,318.75

Service Code	HCPCS C1713
Hospital Charge Code	270694063
Hospital Revenue Code	278
Min. Negotiated Rate	$1,547.81
Max. Negotiated Rate	$2,497.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,063.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,497.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,547.81

STRIP GRAFT BI-OSTETIC

Facility

$5,000.00

Hospital Charge Code	270656126
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

STRIP GRAFT BI-OSTETIC

Facility

$5,000.00

Hospital Charge Code	270656126
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

STRIP ILIUM TRCORT 45MM 100500

Facility

$4,316.85

Hospital Charge Code	270609381
Hospital Revenue Code	278
Min. Negotiated Rate	$647.53
Max. Negotiated Rate	$1,044.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$863.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,044.68
Rate for Payer: Qualcare PPO/HMO/WC	$647.53

STRIP ILIUM TRCORT 45MM 100500

Facility

$4,316.85

Hospital Charge Code	270609381
Hospital Revenue Code	278
Min. Negotiated Rate	$647.53
Max. Negotiated Rate	$2,158.43
Rate for Payer: Aetna Commercial	$1,295.06
Rate for Payer: Aetna Medicare Advantage	$1,295.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$863.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,100.80
Rate for Payer: Cigna Commercial	$2,158.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,044.68
Rate for Payer: Qualcare PPO/HMO/WC	$647.53

STRIP ILIUM TRCORT 45MM 500500

Facility

$3,407.25

Hospital Charge Code	270609329
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$824.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

STRIP ILIUM TRCORT 45MM 500500

Facility

$3,407.25

Hospital Charge Code	270609329
Hospital Revenue Code	278
Min. Negotiated Rate	$511.09
Max. Negotiated Rate	$1,703.62
Rate for Payer: Aetna Commercial	$1,022.17
Rate for Payer: Aetna Medicare Advantage	$1,022.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$868.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$681.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$868.85
Rate for Payer: Cigna Commercial	$1,703.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.09

STRIP ILIUM TRCORT 60MM 100530

Facility

$3,414.45

Hospital Charge Code	270609382
Hospital Revenue Code	278
Min. Negotiated Rate	$512.17
Max. Negotiated Rate	$826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.30
Rate for Payer: Qualcare PPO/HMO/WC	$512.17

STRIP ILIUM TRCORT 60MM 100530

Facility

$3,414.45

Hospital Charge Code	270609382
Hospital Revenue Code	278
Min. Negotiated Rate	$512.17
Max. Negotiated Rate	$1,707.22
Rate for Payer: Aetna Commercial	$1,024.34
Rate for Payer: Aetna Medicare Advantage	$1,024.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.68
Rate for Payer: Cigna Commercial	$1,707.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.30
Rate for Payer: Qualcare PPO/HMO/WC	$512.17

STRIP ILIUM TRICORT LG T-1551

Facility

$3,548.85

Hospital Charge Code	270615601
Hospital Revenue Code	272
Min. Negotiated Rate	$461.35
Max. Negotiated Rate	$1,774.42
Rate for Payer: Aetna Commercial	$1,064.65
Rate for Payer: Aetna Medicare Advantage	$1,064.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.96
Rate for Payer: Cigna Commercial	$1,774.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.35
Rate for Payer: Oxford Commercial	$1,774.42
Rate for Payer: Qualcare PPO/HMO/WC	$532.33
Rate for Payer: UnitedHealthcare Commercial	$1,774.42

STRIP ILIUM TRICORT LG T-1551

Facility

$3,548.85

Hospital Charge Code	270615601
Hospital Revenue Code	272
Min. Negotiated Rate	$532.33
Max. Negotiated Rate	$532.33
Rate for Payer: Qualcare PPO/HMO/WC	$532.33

STRIP OSTEO SPONGE 50x20x7MM

Facility

$11,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270664105
Hospital Revenue Code	278
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$2,776.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,776.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

STRIP OSTEO SPONGE 50x20x7MM

Facility

$11,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270664105
Hospital Revenue Code	278
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$5,737.50
Rate for Payer: Aetna Commercial	$3,442.50
Rate for Payer: Aetna Medicare Advantage	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,926.12
Rate for Payer: Cigna Commercial	$5,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,776.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

STRIPPER VEIN DISP

Facility

$26.40

Hospital Charge Code	270600422
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

STRIPPER VEIN DISP

Facility

$26.40

Hospital Charge Code	270600422
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$7.92
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.43
Rate for Payer: Oxford Commercial	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$13.20

STRIPS SURGICAL 3/4x6

Facility

$6.45

Hospital Charge Code	270608223
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$1.94
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.84
Rate for Payer: Oxford Commercial	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$3.23

STRIPS SURGICAL 3/4x6

Facility

$6.45

Hospital Charge Code	270608223
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

STRIP STOMAHESIVE 025542

Facility

$5.65

Hospital Charge Code	270611002
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

STRIP STOMAHESIVE 025542

Facility

$5.65

Hospital Charge Code	270611002
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

STRIP SURGICAL 1/2 X 6

Facility

$11.23

Hospital Charge Code	270607227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$3.37
Rate for Payer: Aetna Medicare Advantage	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.86
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.68
Rate for Payer: UnitedHealthcare Commercial	$5.62

STRIP SURGICAL 1/2 X 6

Facility

$11.23

Hospital Charge Code	270607227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.68

STRM MDS SCREW 3.5X12MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270694005
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

STRM MDS SCREW 3.5X12MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270694005
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$648.00
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.80
Rate for Payer: Oxford Commercial	$1,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$1,080.00

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

Know your out-of-pocket cost for care.

All Charges