Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYS COAXIAL BONE BIOPSY 11Gx12

Facility

$750.00

Hospital Charge Code	270650183
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

SYS COBAN COMPRESS 4509002094

Facility

$55.65

Hospital Charge Code	270641454W
Hospital Revenue Code	272
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$27.82
Rate for Payer: Aetna Commercial	$16.70
Rate for Payer: Aetna Medicare Advantage	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.19
Rate for Payer: Cigna Commercial	$27.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.23
Rate for Payer: Oxford Commercial	$27.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.35
Rate for Payer: UnitedHealthcare Commercial	$27.82

SYS COBAN COMPRESS 4509002094

Facility

$55.65

Hospital Charge Code	270641454W
Hospital Revenue Code	272
Min. Negotiated Rate	$8.35
Max. Negotiated Rate	$8.35
Rate for Payer: Qualcare PPO/HMO/WC	$8.35

SYS COMP FEMOSTOP PLUS 11160

Facility

$335.25

Hospital Charge Code	270623731
Hospital Revenue Code	272
Min. Negotiated Rate	$50.29
Max. Negotiated Rate	$50.29
Rate for Payer: Qualcare PPO/HMO/WC	$50.29

SYS COMP FEMOSTOP PLUS 11160

Facility

$335.25

Hospital Charge Code	270623731
Hospital Revenue Code	272
Min. Negotiated Rate	$43.58
Max. Negotiated Rate	$167.62
Rate for Payer: Aetna Commercial	$100.58
Rate for Payer: Aetna Medicare Advantage	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.49
Rate for Payer: Cigna Commercial	$167.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.58
Rate for Payer: Oxford Commercial	$167.62
Rate for Payer: Qualcare PPO/HMO/WC	$50.29
Rate for Payer: UnitedHealthcare Commercial	$167.62

SYS DELIV F/OSTEOPLAST 100.500

Facility

$7,250.00

Hospital Charge Code	270637812
Hospital Revenue Code	272
Min. Negotiated Rate	$942.50
Max. Negotiated Rate	$3,625.00
Rate for Payer: Aetna Commercial	$2,175.00
Rate for Payer: Aetna Medicare Advantage	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,848.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,848.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,848.75
Rate for Payer: Cigna Commercial	$3,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$942.50
Rate for Payer: Oxford Commercial	$3,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,087.50
Rate for Payer: UnitedHealthcare Commercial	$3,625.00

SYS DELIV F/OSTEOPLAST 100.500

Facility

$7,250.00

Hospital Charge Code	270637812
Hospital Revenue Code	272
Min. Negotiated Rate	$1,087.50
Max. Negotiated Rate	$1,087.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,087.50

SYS DEVICE CLOSURE RAD ARTERY

Facility

$135.00

Service Code	HCPCS C1760
Hospital Charge Code	270658210
Hospital Revenue Code	278
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

SYS DEVICE CLOSURE RAD ARTERY

Facility

$135.00

Service Code	HCPCS C1760
Hospital Charge Code	270658210
Hospital Revenue Code	278
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$40.50
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

SYS FIX LAP 36 CM DEV W/30 FST

Facility

$1,975.00

Hospital Charge Code	270644532
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SYS FIX LAP 36 CM DEV W/30 FST

Facility

$1,975.00

Hospital Charge Code	270644532
Hospital Revenue Code	272
Min. Negotiated Rate	$256.75
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.75
Rate for Payer: Oxford Commercial	$987.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$987.50

SYS JETSTREAM 2.1-3.0 PV31300

Facility

$16,625.00

Hospital Charge Code	270643857V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,493.75
Max. Negotiated Rate	$4,023.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75

SYS JETSTREAM 2.1-3.0 PV31300

Facility

$16,625.00

Hospital Charge Code	270643857V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,493.75
Max. Negotiated Rate	$8,312.50
Rate for Payer: Aetna Commercial	$4,987.50
Rate for Payer: Aetna Medicare Advantage	$4,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,239.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,239.38
Rate for Payer: Cigna Commercial	$8,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,023.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,493.75

SYS PARTIAL KNEE FEMORAL SMALL

Facility

$20,345.00

Hospital Charge Code	270645452
Hospital Revenue Code	278
Min. Negotiated Rate	$3,051.75
Max. Negotiated Rate	$4,923.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,069.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,923.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,051.75

SYS PARTIAL KNEE FEMORAL SMALL

Facility

$20,345.00

Hospital Charge Code	270645452
Hospital Revenue Code	278
Min. Negotiated Rate	$3,051.75
Max. Negotiated Rate	$10,172.50
Rate for Payer: Aetna Commercial	$6,103.50
Rate for Payer: Aetna Medicare Advantage	$6,103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,187.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,187.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,069.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,187.98
Rate for Payer: Cigna Commercial	$10,172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,923.49
Rate for Payer: Qualcare PPO/HMO/WC	$3,051.75

SYS PLUS BONE CEMENT DELIVERY

Facility

$3,250.00

Hospital Charge Code	270650181
Hospital Revenue Code	272
Min. Negotiated Rate	$422.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$1,625.00

SYS PLUS BONE CEMENT DELIVERY

Facility

$3,250.00

Hospital Charge Code	270650181
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

SYS SMALL BONE FIXATION

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270652902
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SYS SMALL BONE FIXATION

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270652902
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SYS SUPPORT AVAULTA 486010

Facility

$7,688.00

Hospital Charge Code	27063632
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,306.40
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

SYS SUPPORT AVAULTA 486010

Facility

$7,688.00

Hospital Charge Code	27063632
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,860.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

SYS SUPPORT AVLTA BISYN 486010

Facility

$7,688.00

Hospital Charge Code	270636320
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,153.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

SYS SUPPORT AVLTA BISYN 486010

Facility

$7,688.00

Hospital Charge Code	270636320
Hospital Revenue Code	272
Min. Negotiated Rate	$999.44
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,306.40
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$999.44
Rate for Payer: Oxford Commercial	$3,844.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20
Rate for Payer: UnitedHealthcare Commercial	$3,844.00

SYSTEM ACCUMIX MIXING

Facility

$1,350.00

Hospital Charge Code	270678976
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$405.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$675.00

SYSTEM ACCUMIX MIXING

Facility

$1,350.00

Hospital Charge Code	270678976
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

Know your out-of-pocket cost for care.

All Charges