Heights University Hospital

All Charges

Charge

Type

Setting

Price

BEARING TIBL 12x71/75 11146552

Facility

$4,720.00

Hospital Charge Code	270628235
Hospital Revenue Code	278
Min. Negotiated Rate	$708.00
Max. Negotiated Rate	$1,142.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$944.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,142.24
Rate for Payer: Qualcare PPO/HMO/WC	$708.00

BEARING TIBL 12x71/75 11146552

Facility

$4,720.00

Hospital Charge Code	270628235
Hospital Revenue Code	278
Min. Negotiated Rate	$708.00
Max. Negotiated Rate	$2,360.00
Rate for Payer: Aetna Commercial	$1,416.00
Rate for Payer: Aetna Medicare Advantage	$1,416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$944.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,203.60
Rate for Payer: Cigna Commercial	$2,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,142.24
Rate for Payer: Qualcare PPO/HMO/WC	$708.00

BEARING TIBL 14x71/75 11146554

Facility

$4,720.00

Hospital Charge Code	270621066
Hospital Revenue Code	278
Min. Negotiated Rate	$708.00
Max. Negotiated Rate	$2,360.00
Rate for Payer: Aetna Commercial	$1,416.00
Rate for Payer: Aetna Medicare Advantage	$1,416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,203.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$944.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,203.60
Rate for Payer: Cigna Commercial	$2,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,142.24
Rate for Payer: Qualcare PPO/HMO/WC	$708.00

BEARING TIBL 14x71/75 11146554

Facility

$4,720.00

Hospital Charge Code	270621066
Hospital Revenue Code	278
Min. Negotiated Rate	$708.00
Max. Negotiated Rate	$1,142.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$944.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,142.24
Rate for Payer: Qualcare PPO/HMO/WC	$708.00

BEARING TIB LG SIZE 4 Z000243

Facility

$3,350.00

Hospital Charge Code	270638797
Hospital Revenue Code	278
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$810.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.70
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

BEARING TIB LG SIZE 4 Z000243

Facility

$3,350.00

Hospital Charge Code	270638797
Hospital Revenue Code	278
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$1,675.00
Rate for Payer: Aetna Commercial	$1,005.00
Rate for Payer: Aetna Medicare Advantage	$1,005.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$854.25
Rate for Payer: Cigna Commercial	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.70
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

BEARING TIB SIAPH C LEFT 16MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270680032
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

BEARING TIB SIAPH C LEFT 16MM

Facility

$3,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270680032
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

BEARING TIB SSK 12X 63 67

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270692328
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 TIB SSK 12X 63 67

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270692328
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 TIB SSK 16X63/67

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270692340
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 TIB SSK 16X63/67

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270692340
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 VIVACIT-E DM 28X38MM

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270693270
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$4,050.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

BEARING VIVACIT-E DM 28X38MM

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270693270
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 VNGD SSK PSC TIB 18X71

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270687241
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 VNGD SSK PSC TIB 18X71

Facility

$11,880.00

Service Code	HCPCS C1776
Hospital Charge Code	270687241
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 VNGD TIB 16X71/75 MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270683980
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 VNGD TIB 16X71/75 MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270683980
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

BEARIN TIB PS+ 18x79/83 183768

Facility

$5,875.00

Hospital Charge Code	270640151
Hospital Revenue Code	278
Min. Negotiated Rate	$881.25
Max. Negotiated Rate	$2,937.50
Rate for Payer: Aetna Commercial	$1,762.50
Rate for Payer: Aetna Medicare Advantage	$1,762.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,498.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,498.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,498.12
Rate for Payer: Cigna Commercial	$2,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,421.75
Rate for Payer: Qualcare PPO/HMO/WC	$881.25

BEARIN TIB PS+ 18x79/83 183768

Facility

$5,875.00

Hospital Charge Code	270640151
Hospital Revenue Code	278
Min. Negotiated Rate	$881.25
Max. Negotiated Rate	$1,421.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,421.75
Rate for Payer: Qualcare PPO/HMO/WC	$881.25

BEAR OXFORD RT 4mm MED 159576

Facility

$3,605.00

Hospital Charge Code	270639866
Hospital Revenue Code	278
Min. Negotiated Rate	$540.75
Max. Negotiated Rate	$872.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$721.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.41
Rate for Payer: Qualcare PPO/HMO/WC	$540.75

BEAR OXFORD RT 4mm MED 159576

Facility

$3,605.00

Hospital Charge Code	270639866
Hospital Revenue Code	278
Min. Negotiated Rate	$540.75
Max. Negotiated Rate	$1,802.50
Rate for Payer: Aetna Commercial	$1,081.50
Rate for Payer: Aetna Medicare Advantage	$1,081.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$721.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.27
Rate for Payer: Cigna Commercial	$1,802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.41
Rate for Payer: Qualcare PPO/HMO/WC	$540.75

BEAR TIB 10mmk X 71/75m 183540

Facility

$5,260.00

Hospital Charge Code	270639971
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

BEAR TIB 10mmk X 71/75m 183540

Facility

$5,260.00

Hospital Charge Code	270639971
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 TIB 16x63/67 MAX11146736

Facility

$7,628.50

Hospital Charge Code	270635584
Hospital Revenue Code	278
Min. Negotiated Rate	$1,144.28
Max. Negotiated Rate	$1,846.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,525.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,846.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.28

Know your out-of-pocket cost for care.

All Charges