Heights University Hospital

All Charges

Charge

Type

Setting

Price

BEARING TIBIAL 10mm X 71/75MM

Facility

$11,205.00

Hospital Charge Code	270645008
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$2,711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 10mm X 71/75MM

Facility

$11,205.00

Hospital Charge Code	270645008
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$5,602.50
Rate for Payer: Aetna Commercial	$3,361.50
Rate for Payer: Aetna Medicare Advantage	$3,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.28
Rate for Payer: Cigna Commercial	$5,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 10x240x25mm

Facility

$5,070.00

Hospital Charge Code	270673872
Hospital Revenue Code	278
Min. Negotiated Rate	$760.50
Max. Negotiated Rate	$2,535.00
Rate for Payer: Aetna Commercial	$1,521.00
Rate for Payer: Aetna Medicare Advantage	$1,521.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,292.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,292.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,014.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,292.85
Rate for Payer: Cigna Commercial	$2,535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.94
Rate for Payer: Qualcare PPO/HMO/WC	$760.50

BEARING TIBIAL 10x240x25mm

Facility

$5,070.00

Hospital Charge Code	270673872
Hospital Revenue Code	278
Min. Negotiated Rate	$760.50
Max. Negotiated Rate	$1,226.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,014.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.94
Rate for Payer: Qualcare PPO/HMO/WC	$760.50

BEARING TIBIAL 10x63/67mm

Facility

$12,930.00

Hospital Charge Code	270675558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,939.50
Max. Negotiated Rate	$3,129.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,129.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,939.50

BEARING TIBIAL 10x63/67mm

Facility

$12,930.00

Hospital Charge Code	270675558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,939.50
Max. Negotiated Rate	$6,465.00
Rate for Payer: Aetna Commercial	$3,879.00
Rate for Payer: Aetna Medicare Advantage	$3,879.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,297.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,297.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,586.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,297.15
Rate for Payer: Cigna Commercial	$6,465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,129.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,939.50

BEARING TIBIAL 10X71/75 183640

Facility

$11,205.00

Service Code	HCPCS C1776
Hospital Charge Code	270636756
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$2,711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 10X71/75 183640

Facility

$6,169.00

Hospital Charge Code	27063675
Hospital Revenue Code	278
Min. Negotiated Rate	$925.35
Max. Negotiated Rate	$3,084.50
Rate for Payer: Aetna Commercial	$1,850.70
Rate for Payer: Aetna Medicare Advantage	$1,850.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,573.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,573.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,233.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,573.10
Rate for Payer: Cigna Commercial	$3,084.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.90
Rate for Payer: Qualcare PPO/HMO/WC	$925.35

BEARING TIBIAL 10X71/75 183640

Facility

$6,169.00

Hospital Charge Code	27063675
Hospital Revenue Code	278
Min. Negotiated Rate	$925.35
Max. Negotiated Rate	$1,492.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,233.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.90
Rate for Payer: Qualcare PPO/HMO/WC	$925.35

BEARING TIBIAL 10X71/75 183640

Facility

$11,205.00

Service Code	HCPCS C1776
Hospital Charge Code	270636756
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$5,602.50
Rate for Payer: Aetna Commercial	$3,361.50
Rate for Payer: Aetna Medicare Advantage	$3,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.28
Rate for Payer: Cigna Commercial	$5,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 10x71/75mm

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270647563
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$5,940.00
Rate for Payer: Aetna Commercial	$3,564.00
Rate for Payer: Aetna Medicare Advantage	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,029.40
Rate for Payer: Cigna Commercial	$5,940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

BEARING TIBIAL 10x71/75mm

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270647563
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$2,874.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

BEARING TIBIAL 12mm x 71/75

Facility

$11,205.00

Hospital Charge Code	270644716
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$2,711.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 12mm x 71/75

Facility

$11,205.00

Hospital Charge Code	270644716
Hospital Revenue Code	278
Min. Negotiated Rate	$1,680.75
Max. Negotiated Rate	$5,602.50
Rate for Payer: Aetna Commercial	$3,361.50
Rate for Payer: Aetna Medicare Advantage	$3,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,857.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,857.28
Rate for Payer: Cigna Commercial	$5,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,711.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.75

BEARING TIBIAL 12x71/75 146152

Facility

$2,673.50

Hospital Charge Code	270612921
Hospital Revenue Code	278
Min. Negotiated Rate	$401.02
Max. Negotiated Rate	$1,336.75
Rate for Payer: Aetna Commercial	$802.05
Rate for Payer: Aetna Medicare Advantage	$802.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$681.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$681.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$534.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$681.74
Rate for Payer: Cigna Commercial	$1,336.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$401.02

BEARING TIBIAL 12x71/75 146152

Facility

$2,673.50

Hospital Charge Code	270612921
Hospital Revenue Code	278
Min. Negotiated Rate	$401.02
Max. Negotiated Rate	$646.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$534.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$401.02

BEARING TIBIAL 12x79/83mm

Facility

$13,195.00

Hospital Charge Code	270669892
Hospital Revenue Code	278
Min. Negotiated Rate	$1,979.25
Max. Negotiated Rate	$6,597.50
Rate for Payer: Aetna Commercial	$3,958.50
Rate for Payer: Aetna Medicare Advantage	$3,958.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,364.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,364.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,639.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,364.72
Rate for Payer: Cigna Commercial	$6,597.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,193.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,979.25

BEARING TIBIAL 12x79/83mm

Facility

$13,195.00

Hospital Charge Code	270669892
Hospital Revenue Code	278
Min. Negotiated Rate	$1,979.25
Max. Negotiated Rate	$3,193.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,639.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,193.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,979.25

BEARING TIBIAL 14mm 63/6mm

Facility

$5,135.00

Hospital Charge Code	270646587
Hospital Revenue Code	278
Min. Negotiated Rate	$770.25
Max. Negotiated Rate	$2,567.50
Rate for Payer: Aetna Commercial	$1,540.50
Rate for Payer: Aetna Medicare Advantage	$1,540.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,309.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,309.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,309.42
Rate for Payer: Cigna Commercial	$2,567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.67
Rate for Payer: Qualcare PPO/HMO/WC	$770.25

BEARING TIBIAL 14mm 63/6mm

Facility

$5,135.00

Hospital Charge Code	270646587
Hospital Revenue Code	278
Min. Negotiated Rate	$770.25
Max. Negotiated Rate	$1,242.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,027.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.67
Rate for Payer: Qualcare PPO/HMO/WC	$770.25

BEARING TIBIAL 14mm X 79/83mm

Facility

$4,885.00

Hospital Charge Code	270637462
Hospital Revenue Code	278
Min. Negotiated Rate	$732.75
Max. Negotiated Rate	$2,442.50
Rate for Payer: Aetna Commercial	$1,465.50
Rate for Payer: Aetna Medicare Advantage	$1,465.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,245.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,245.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,245.67
Rate for Payer: Cigna Commercial	$2,442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.17
Rate for Payer: Qualcare PPO/HMO/WC	$732.75

BEARING TIBIAL 14mm X 79/83mm

Facility

$4,885.00

Hospital Charge Code	270637462
Hospital Revenue Code	278
Min. Negotiated Rate	$732.75
Max. Negotiated Rate	$1,182.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$977.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,182.17
Rate for Payer: Qualcare PPO/HMO/WC	$732.75

BEARING TIBIAL 14x79/83MM

Facility

$4,000.00

Hospital Charge Code	270676549
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

BEARING TIBIAL 14x79/83MM

Facility

$4,000.00

Hospital Charge Code	270676549
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

BEARING TIBIAL 16x59mm SMALL

Facility

$12,565.00

Hospital Charge Code	270665690
Hospital Revenue Code	278
Min. Negotiated Rate	$1,884.75
Max. Negotiated Rate	$6,282.50
Rate for Payer: Aetna Commercial	$3,769.50
Rate for Payer: Aetna Medicare Advantage	$3,769.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,204.07
Rate for Payer: Cigna Commercial	$6,282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,040.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,884.75

Know your out-of-pocket cost for care.

All Charges