Heights University Hospital

All Charges

Charge

Type

Setting

Price

STRT STEM EXT15MM DI 145 100MM

Facility

$6,690.00

Service Code	HCPCS C1776
Hospital Charge Code	270686881
Hospital Revenue Code	278
Min. Negotiated Rate	$1,003.50
Max. Negotiated Rate	$3,345.00
Rate for Payer: Aetna Commercial	$2,007.00
Rate for Payer: Aetna Medicare Advantage	$2,007.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,705.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,338.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,705.95
Rate for Payer: Cigna Commercial	$3,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,618.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,003.50

STRUT CORTICAL TIBIAL 20x200MM

Facility

$2,872.50

Service Code	HCPCS C1776
Hospital Charge Code	270675966
Hospital Revenue Code	278
Min. Negotiated Rate	$430.88
Max. Negotiated Rate	$1,436.25
Rate for Payer: Aetna Commercial	$861.75
Rate for Payer: Aetna Medicare Advantage	$861.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.49
Rate for Payer: Cigna Commercial	$1,436.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.14
Rate for Payer: Qualcare PPO/HMO/WC	$430.88

STRUT CORTICAL TIBIAL 20x200MM

Facility

$2,872.50

Service Code	HCPCS C1776
Hospital Charge Code	270675966
Hospital Revenue Code	278
Min. Negotiated Rate	$430.88
Max. Negotiated Rate	$695.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.14
Rate for Payer: Qualcare PPO/HMO/WC	$430.88

STRUT FEM CORTL THIRDS 850486

Facility

$3,293.50

Hospital Charge Code	270633403
Hospital Revenue Code	272
Min. Negotiated Rate	$428.15
Max. Negotiated Rate	$1,646.75
Rate for Payer: Aetna Commercial	$988.05
Rate for Payer: Aetna Medicare Advantage	$988.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.84
Rate for Payer: Cigna Commercial	$1,646.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.15
Rate for Payer: Oxford Commercial	$1,646.75
Rate for Payer: Qualcare PPO/HMO/WC	$494.02
Rate for Payer: UnitedHealthcare Commercial	$1,646.75

STRUT FEM CORTL THIRDS 850486

Facility

$3,293.50

Hospital Charge Code	270633403
Hospital Revenue Code	272
Min. Negotiated Rate	$494.02
Max. Negotiated Rate	$494.02
Rate for Payer: Qualcare PPO/HMO/WC	$494.02

STRUT FEMORAL CORTICAL 20CM

Facility

$4,540.00

Hospital Charge Code	270645276
Hospital Revenue Code	278
Min. Negotiated Rate	$681.00
Max. Negotiated Rate	$2,270.00
Rate for Payer: Aetna Commercial	$1,362.00
Rate for Payer: Aetna Medicare Advantage	$1,362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,157.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,157.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$908.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,157.70
Rate for Payer: Cigna Commercial	$2,270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,098.68
Rate for Payer: Qualcare PPO/HMO/WC	$681.00

STRUT FEMORAL CORTICAL 20CM

Facility

$4,540.00

Hospital Charge Code	270645276
Hospital Revenue Code	278
Min. Negotiated Rate	$681.00
Max. Negotiated Rate	$1,098.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$908.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,098.68
Rate for Payer: Qualcare PPO/HMO/WC	$681.00

STRUT FIBULAR 10CM LONG

Facility

$4,400.00

Hospital Charge Code	270663749
Hospital Revenue Code	270
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

STRUT FIBULAR 10CM LONG

Facility

$4,400.00

Hospital Charge Code	270663749
Hospital Revenue Code	270
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,320.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.00
Rate for Payer: Oxford Commercial	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00
Rate for Payer: UnitedHealthcare Commercial	$2,200.00

STRUT MAXFRAME MEDIUM

Facility

$5,559.90

Hospital Charge Code	270691899
Hospital Revenue Code	272
Min. Negotiated Rate	$722.79
Max. Negotiated Rate	$2,779.95
Rate for Payer: Aetna Commercial	$1,667.97
Rate for Payer: Aetna Medicare Advantage	$1,667.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,417.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,417.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,417.77
Rate for Payer: Cigna Commercial	$2,779.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.79
Rate for Payer: Oxford Commercial	$2,779.95
Rate for Payer: Qualcare PPO/HMO/WC	$833.99
Rate for Payer: UnitedHealthcare Commercial	$2,779.95

STRUT MAXFRAME MEDIUM

Facility

$5,559.90

Hospital Charge Code	270691899
Hospital Revenue Code	272
Min. Negotiated Rate	$833.99
Max. Negotiated Rate	$833.99
Rate for Payer: Qualcare PPO/HMO/WC	$833.99

STRUT MTF FEMORAL CORT 550486

Facility

$2,995.90

Hospital Charge Code	270627392
Hospital Revenue Code	272
Min. Negotiated Rate	$449.38
Max. Negotiated Rate	$449.38
Rate for Payer: Qualcare PPO/HMO/WC	$449.38

STRUT MTF FEMORAL CORT 550486

Facility

$2,995.90

Hospital Charge Code	270627392
Hospital Revenue Code	272
Min. Negotiated Rate	$389.47
Max. Negotiated Rate	$1,497.95
Rate for Payer: Aetna Commercial	$898.77
Rate for Payer: Aetna Medicare Advantage	$898.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.95
Rate for Payer: Cigna Commercial	$1,497.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.47
Rate for Payer: Oxford Commercial	$1,497.95
Rate for Payer: Qualcare PPO/HMO/WC	$449.38
Rate for Payer: UnitedHealthcare Commercial	$1,497.95

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683947
Hospital Revenue Code	272
Min. Negotiated Rate	$998.55
Max. Negotiated Rate	$998.55
Rate for Payer: Qualcare PPO/HMO/WC	$998.55

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683947
Hospital Revenue Code	272
Min. Negotiated Rate	$865.41
Max. Negotiated Rate	$3,328.50
Rate for Payer: Aetna Commercial	$1,997.10
Rate for Payer: Aetna Medicare Advantage	$1,997.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.54
Rate for Payer: Cigna Commercial	$3,328.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.41
Rate for Payer: Oxford Commercial	$3,328.50
Rate for Payer: Qualcare PPO/HMO/WC	$998.55
Rate for Payer: UnitedHealthcare Commercial	$3,328.50

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683946
Hospital Revenue Code	272
Min. Negotiated Rate	$998.55
Max. Negotiated Rate	$998.55
Rate for Payer: Qualcare PPO/HMO/WC	$998.55

STRUT QUICK ADJUST-X SHORT

Facility

$6,657.00

Hospital Charge Code	270683946
Hospital Revenue Code	272
Min. Negotiated Rate	$865.41
Max. Negotiated Rate	$3,328.50
Rate for Payer: Aetna Commercial	$1,997.10
Rate for Payer: Aetna Medicare Advantage	$1,997.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.54
Rate for Payer: Cigna Commercial	$3,328.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$865.41
Rate for Payer: Oxford Commercial	$3,328.50
Rate for Payer: Qualcare PPO/HMO/WC	$998.55
Rate for Payer: UnitedHealthcare Commercial	$3,328.50

STRUTS MEDIUM

Facility

$6,565.00

Hospital Charge Code	270684450
Hospital Revenue Code	272
Min. Negotiated Rate	$853.45
Max. Negotiated Rate	$3,282.50
Rate for Payer: Aetna Commercial	$1,969.50
Rate for Payer: Aetna Medicare Advantage	$1,969.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,674.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,674.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,674.08
Rate for Payer: Cigna Commercial	$3,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.45
Rate for Payer: Oxford Commercial	$3,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$984.75
Rate for Payer: UnitedHealthcare Commercial	$3,282.50

STRUTS MEDIUM

Facility

$6,565.00

Hospital Charge Code	270684450
Hospital Revenue Code	272
Min. Negotiated Rate	$984.75
Max. Negotiated Rate	$984.75
Rate for Payer: Qualcare PPO/HMO/WC	$984.75

STRUT X SHORT STANDARD MAX

Facility

$6,471.00

Hospital Charge Code	270681228
Hospital Revenue Code	272
Min. Negotiated Rate	$970.65
Max. Negotiated Rate	$970.65
Rate for Payer: Qualcare PPO/HMO/WC	$970.65

STRUT X SHORT STANDARD MAX

Facility

$6,471.00

Hospital Charge Code	270681228
Hospital Revenue Code	272
Min. Negotiated Rate	$841.23
Max. Negotiated Rate	$3,235.50
Rate for Payer: Aetna Commercial	$1,941.30
Rate for Payer: Aetna Medicare Advantage	$1,941.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.11
Rate for Payer: Cigna Commercial	$3,235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.23
Rate for Payer: Oxford Commercial	$3,235.50
Rate for Payer: Qualcare PPO/HMO/WC	$970.65
Rate for Payer: UnitedHealthcare Commercial	$3,235.50

STR WEIL BLAKESLEY THUCUT

Facility

$3,432.65

Hospital Charge Code	270689939
Hospital Revenue Code	272
Min. Negotiated Rate	$514.90
Max. Negotiated Rate	$514.90
Rate for Payer: Qualcare PPO/HMO/WC	$514.90

STR WEIL BLAKESLEY THUCUT

Facility

$3,432.65

Hospital Charge Code	270689939
Hospital Revenue Code	272
Min. Negotiated Rate	$446.24
Max. Negotiated Rate	$1,716.33
Rate for Payer: Aetna Commercial	$1,029.80
Rate for Payer: Aetna Medicare Advantage	$1,029.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$875.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$875.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$875.33
Rate for Payer: Cigna Commercial	$1,716.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$446.24
Rate for Payer: Oxford Commercial	$1,716.33
Rate for Payer: Qualcare PPO/HMO/WC	$514.90
Rate for Payer: UnitedHealthcare Commercial	$1,716.33

STRYKER 266-628 25MM MICRO****

Facility

$216.00

Hospital Charge Code	1607266
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER 266-628 25MM MICRO****

Facility

$216.00

Hospital Charge Code	1607266
Hospital Revenue Code	251
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.08
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$108.00

Know your out-of-pocket cost for care.

All Charges