Heights University Hospital

All Charges

Charge

Type

Setting

Price

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$4,400.00
Rate for Payer: Aetna Commercial	$2,640.00
Rate for Payer: Aetna Medicare Advantage	$2,640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,244.00
Rate for Payer: Cigna Commercial	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

BEAM AXIS FIXATION 4.5X80MM

Facility

$8,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$2,129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.25
Max. Negotiated Rate	$5,117.50
Rate for Payer: Aetna Commercial	$3,070.50
Rate for Payer: Aetna Medicare Advantage	$3,070.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,609.93
Rate for Payer: Cigna Commercial	$5,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25

BEAM AXIS FIXATION 7.5X140MM

Facility

$10,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270698456
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.25
Max. Negotiated Rate	$2,476.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLES MED THD 5X85MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701410
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,534.50
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS FULL THD

Facility

$1,091.75

Service Code	HCPCS C1713
Hospital Charge Code	270701477
Hospital Revenue Code	278
Min. Negotiated Rate	$163.76
Max. Negotiated Rate	$264.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.20
Rate for Payer: Qualcare PPO/HMO/WC	$163.76

BEAM CAN HDLS FULL THD

Facility

$1,091.75

Service Code	HCPCS C1713
Hospital Charge Code	270701477
Hospital Revenue Code	278
Min. Negotiated Rate	$163.76
Max. Negotiated Rate	$545.88
Rate for Payer: Aetna Commercial	$327.52
Rate for Payer: Aetna Medicare Advantage	$327.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.40
Rate for Payer: Cigna Commercial	$545.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.20
Rate for Payer: Qualcare PPO/HMO/WC	$163.76

BEAM CAN HDLS FULL THD 5X90MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701674
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS FULL THD 5X90MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701674
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,534.50
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS MED THD

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701478
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM CAN HDLS MED THD

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701478
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,534.50
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM SALVATION TOE JT 7X120MM

Facility

$9,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270698683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$2,233.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

BEAM SALVATION TOE JT 7X120MM

Facility

$9,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270698683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$4,615.00
Rate for Payer: Aetna Commercial	$2,769.00
Rate for Payer: Aetna Medicare Advantage	$2,769.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,353.65
Rate for Payer: Cigna Commercial	$4,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

BEAM SLD HADL FULL THD 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701924
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$2,729.38
Rate for Payer: Aetna Commercial	$1,637.62
Rate for Payer: Aetna Medicare Advantage	$1,637.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.98
Rate for Payer: Cigna Commercial	$2,729.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HADL FULL THD 7.2X135

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701924
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$1,321.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HDLS FULL THD 7.2X125

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701673
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$2,729.38
Rate for Payer: Aetna Commercial	$1,637.62
Rate for Payer: Aetna Medicare Advantage	$1,637.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,391.98
Rate for Payer: Cigna Commercial	$2,729.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HDLS FULL THD 7.2X125

Facility

$5,458.75

Service Code	HCPCS C1713
Hospital Charge Code	270701673
Hospital Revenue Code	278
Min. Negotiated Rate	$818.81
Max. Negotiated Rate	$1,321.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,091.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.02
Rate for Payer: Qualcare PPO/HMO/WC	$818.81

BEAM SLD HDLS MD THD 7.2X120MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701411
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$2,557.50
Rate for Payer: Aetna Commercial	$1,534.50
Rate for Payer: Aetna Medicare Advantage	$1,534.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,304.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,304.33
Rate for Payer: Cigna Commercial	$2,557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAM SLD HDLS MD THD 7.2X120MM

Facility

$5,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270701411
Hospital Revenue Code	278
Min. Negotiated Rate	$767.25
Max. Negotiated Rate	$1,237.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,023.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,237.83
Rate for Payer: Qualcare PPO/HMO/WC	$767.25

BEAR CR LIPPED 14X71/75 183544

Facility

$5,260.00

Hospital Charge Code	270640106
Hospital Revenue Code	278
Min. Negotiated Rate	$789.00
Max. Negotiated Rate	$1,272.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,052.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,272.92
Rate for Payer: Qualcare PPO/HMO/WC	$789.00

BEAR CR LIPPED 14X71/75 183544

Facility

$5,260.00

Hospital Charge Code	270640106
Hospital Revenue Code	278
Min. Negotiated Rate	$789.00
Max. Negotiated Rate	$2,630.00
Rate for Payer: Aetna Commercial	$1,578.00
Rate for Payer: Aetna Medicare Advantage	$1,578.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,341.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,341.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,052.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,341.30
Rate for Payer: Cigna Commercial	$2,630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,272.92
Rate for Payer: Qualcare PPO/HMO/WC	$789.00

BEARING 10MM RIGHT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690963
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

BEARING 10MM RIGHT

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690963
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

BEARING ACT ARTIC HIP 28x42mm

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680835
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

Know your out-of-pocket cost for care.

All Charges