Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

BEARING ARCOM XL 28 MM X 46 MM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270683723
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BEARING ARCOM XL 28 MM X 46 MM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270683723
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BEARING ART SURF 16 MM

Facility

$18,668.75

Hospital Charge Code	270703333
Hospital Revenue Code	278
Min. Negotiated Rate	$2,800.31
Max. Negotiated Rate	$4,517.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,733.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,517.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,800.31

BEARING ART SURF 16 MM

Facility

$18,668.75

Hospital Charge Code	270703333
Hospital Revenue Code	278
Min. Negotiated Rate	$2,800.31
Max. Negotiated Rate	$9,334.38
Rate for Payer: Aetna Commercial	$5,600.62
Rate for Payer: Aetna Medicare Advantage	$5,600.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,760.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,760.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,733.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,760.53
Rate for Payer: Cigna Commercial	$9,334.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,517.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,800.31

BEARING BMT P/S 14mm 183644

Facility

$5,596.90

Hospital Charge Code	270638610
Hospital Revenue Code	278
Min. Negotiated Rate	$839.53
Max. Negotiated Rate	$2,798.45
Rate for Payer: Aetna Commercial	$1,679.07
Rate for Payer: Aetna Medicare Advantage	$1,679.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,427.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,427.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,427.21
Rate for Payer: Cigna Commercial	$2,798.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.45
Rate for Payer: Qualcare PPO/HMO/WC	$839.53

BEARING BMT P/S 14mm 183644

Facility

$5,596.90

Hospital Charge Code	270638610
Hospital Revenue Code	278
Min. Negotiated Rate	$839.53
Max. Negotiated Rate	$1,354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.45
Rate for Payer: Qualcare PPO/HMO/WC	$839.53

BEARING BMT TIBIAL 10MM 146530

Facility

$3,833.65

Hospital Charge Code	270629061
Hospital Revenue Code	278
Min. Negotiated Rate	$575.05
Max. Negotiated Rate	$1,916.83
Rate for Payer: Aetna Commercial	$1,150.10
Rate for Payer: Aetna Medicare Advantage	$1,150.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$977.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$977.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$977.58
Rate for Payer: Cigna Commercial	$1,916.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.74
Rate for Payer: Qualcare PPO/HMO/WC	$575.05

BEARING BMT TIBIAL 10MM 146530

Facility

$3,833.65

Hospital Charge Code	270629061
Hospital Revenue Code	278
Min. Negotiated Rate	$575.05
Max. Negotiated Rate	$927.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.74
Rate for Payer: Qualcare PPO/HMO/WC	$575.05

BEARING BMT TIBIAL 10MM 146570

Facility

$4,682.25

Hospital Charge Code	270621915
Hospital Revenue Code	278
Min. Negotiated Rate	$702.34
Max. Negotiated Rate	$1,133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,133.10
Rate for Payer: Qualcare PPO/HMO/WC	$702.34

BEARING BMT TIBIAL 10MM 146570

Facility

$4,682.25

Hospital Charge Code	270621915
Hospital Revenue Code	278
Min. Negotiated Rate	$702.34
Max. Negotiated Rate	$2,341.12
Rate for Payer: Aetna Commercial	$1,404.67
Rate for Payer: Aetna Medicare Advantage	$1,404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,193.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,193.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$936.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,193.97
Rate for Payer: Cigna Commercial	$2,341.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,133.10
Rate for Payer: Qualcare PPO/HMO/WC	$702.34

BEARING BMT TIBIAL 12MM 146532

Facility

$4,440.00

Hospital Charge Code	270606314
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,332.00
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146532

Facility

$4,440.00

Hospital Charge Code	270606314
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146552

Facility

$4,440.00

Hospital Charge Code	270609396
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,332.00
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146552

Facility

$4,440.00

Hospital Charge Code	270609396
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 12MM 146572

Facility

$3,110.00

Hospital Charge Code	270618751
Hospital Revenue Code	278
Min. Negotiated Rate	$466.50
Max. Negotiated Rate	$1,555.00
Rate for Payer: Aetna Commercial	$933.00
Rate for Payer: Aetna Medicare Advantage	$933.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$793.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$793.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$793.05
Rate for Payer: Cigna Commercial	$1,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.62
Rate for Payer: Qualcare PPO/HMO/WC	$466.50

BEARING BMT TIBIAL 12MM 146572

Facility

$3,110.00

Hospital Charge Code	270618751
Hospital Revenue Code	278
Min. Negotiated Rate	$466.50
Max. Negotiated Rate	$752.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$752.62
Rate for Payer: Qualcare PPO/HMO/WC	$466.50

BEARING BMT TIBIAL 146592

Facility

$4,440.00

Hospital Charge Code	270606319
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 146592

Facility

$4,440.00

Hospital Charge Code	270606319
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,332.00
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 14MM 146554

Facility

$4,622.45

Hospital Charge Code	270613046
Hospital Revenue Code	278
Min. Negotiated Rate	$693.37
Max. Negotiated Rate	$2,311.22
Rate for Payer: Aetna Commercial	$1,386.73
Rate for Payer: Aetna Medicare Advantage	$1,386.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,178.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,178.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$924.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,178.72
Rate for Payer: Cigna Commercial	$2,311.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,118.63
Rate for Payer: Qualcare PPO/HMO/WC	$693.37

BEARING BMT TIBIAL 14MM 146554

Facility

$4,622.45

Hospital Charge Code	270613046
Hospital Revenue Code	278
Min. Negotiated Rate	$693.37
Max. Negotiated Rate	$1,118.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$924.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,118.63
Rate for Payer: Qualcare PPO/HMO/WC	$693.37

BEARING BMT TIBIAL 16MM 146556

Facility

$5,072.85

Hospital Charge Code	270617365
Hospital Revenue Code	278
Min. Negotiated Rate	$760.93
Max. Negotiated Rate	$1,227.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,014.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,227.63
Rate for Payer: Qualcare PPO/HMO/WC	$760.93

BEARING BMT TIBIAL 16MM 146556

Facility

$5,072.85

Hospital Charge Code	270617365
Hospital Revenue Code	278
Min. Negotiated Rate	$760.93
Max. Negotiated Rate	$2,536.43
Rate for Payer: Aetna Commercial	$1,521.86
Rate for Payer: Aetna Medicare Advantage	$1,521.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,293.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,293.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,014.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,293.58
Rate for Payer: Cigna Commercial	$2,536.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,227.63
Rate for Payer: Qualcare PPO/HMO/WC	$760.93

BEARING BMT TIBIAL 71MM 146550

Facility

$4,440.00

Hospital Charge Code	270609079
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$1,074.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

BEARING BMT TIBIAL 71MM 146550

Facility

$4,440.00

Hospital Charge Code	270609079
Hospital Revenue Code	278
Min. Negotiated Rate	$666.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,332.00
Rate for Payer: Aetna Medicare Advantage	$1,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,132.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,132.20
Rate for Payer: Cigna Commercial	$2,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.48
Rate for Payer: Qualcare PPO/HMO/WC	$666.00

Know your out-of-pocket cost for care.

All Charges