Heights University Hospital

All Charges

Charge

Type

Setting

Price

SYSTEM DISPOSABLE AC JOINT

Facility

$4,360.00

Hospital Charge Code	270665365
Hospital Revenue Code	278
Min. Negotiated Rate	$654.00
Max. Negotiated Rate	$2,180.00
Rate for Payer: Aetna Commercial	$1,308.00
Rate for Payer: Aetna Medicare Advantage	$1,308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,111.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,111.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$872.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,111.80
Rate for Payer: Cigna Commercial	$2,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,055.12
Rate for Payer: Qualcare PPO/HMO/WC	$654.00

SYSTEM DPY PLTLT CNC 276040103

Facility

$2,912.85

Hospital Charge Code	270628748
Hospital Revenue Code	272
Min. Negotiated Rate	$436.93
Max. Negotiated Rate	$436.93
Rate for Payer: Qualcare PPO/HMO/WC	$436.93

SYSTEM DPY PLTLT CNC 276040103

Facility

$2,912.85

Hospital Charge Code	270628748
Hospital Revenue Code	272
Min. Negotiated Rate	$378.67
Max. Negotiated Rate	$1,456.42
Rate for Payer: Aetna Commercial	$873.86
Rate for Payer: Aetna Medicare Advantage	$873.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.78
Rate for Payer: Cigna Commercial	$1,456.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.67
Rate for Payer: Oxford Commercial	$1,456.42
Rate for Payer: Qualcare PPO/HMO/WC	$436.93
Rate for Payer: UnitedHealthcare Commercial	$1,456.42

SYSTEM FIBULINK SYNDESMOSIS

Facility

$6,016.00

Service Code	HCPCS C1713
Hospital Charge Code	270690528
Hospital Revenue Code	278
Min. Negotiated Rate	$902.40
Max. Negotiated Rate	$3,008.00
Rate for Payer: Aetna Commercial	$1,804.80
Rate for Payer: Aetna Medicare Advantage	$1,804.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,534.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,534.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,203.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,534.08
Rate for Payer: Cigna Commercial	$3,008.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,455.87
Rate for Payer: Qualcare PPO/HMO/WC	$902.40

SYSTEM FIBULINK SYNDESMOSIS

Facility

$6,016.00

Service Code	HCPCS C1713
Hospital Charge Code	270690528
Hospital Revenue Code	278
Min. Negotiated Rate	$902.40
Max. Negotiated Rate	$1,455.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,203.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,455.87
Rate for Payer: Qualcare PPO/HMO/WC	$902.40

SYSTEM FIXATION MENISCAL ULTRA

Facility

$1,595.00

Hospital Charge Code	270656316
Hospital Revenue Code	272
Min. Negotiated Rate	$207.35
Max. Negotiated Rate	$797.50
Rate for Payer: Aetna Commercial	$478.50
Rate for Payer: Aetna Medicare Advantage	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.73
Rate for Payer: Cigna Commercial	$797.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.35
Rate for Payer: Oxford Commercial	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$239.25
Rate for Payer: UnitedHealthcare Commercial	$797.50

SYSTEM FIXATION MENISCAL ULTRA

Facility

$1,595.00

Hospital Charge Code	270656314
Hospital Revenue Code	272
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$239.25
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

SYSTEM FIXATION MENISCAL ULTRA

Facility

$1,595.00

Hospital Charge Code	270656314
Hospital Revenue Code	272
Min. Negotiated Rate	$207.35
Max. Negotiated Rate	$797.50
Rate for Payer: Aetna Commercial	$478.50
Rate for Payer: Aetna Medicare Advantage	$478.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.73
Rate for Payer: Cigna Commercial	$797.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.35
Rate for Payer: Oxford Commercial	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$239.25
Rate for Payer: UnitedHealthcare Commercial	$797.50

SYSTEM FIXATION MENISCAL ULTRA

Facility

$1,595.00

Hospital Charge Code	270656316
Hospital Revenue Code	272
Min. Negotiated Rate	$239.25
Max. Negotiated Rate	$239.25
Rate for Payer: Qualcare PPO/HMO/WC	$239.25

SYSTEM FLUID MGMT 16001302

Facility

$2,618.95

Hospital Charge Code	270630299
Hospital Revenue Code	272
Min. Negotiated Rate	$340.46
Max. Negotiated Rate	$1,309.47
Rate for Payer: Aetna Commercial	$785.68
Rate for Payer: Aetna Medicare Advantage	$785.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.83
Rate for Payer: Cigna Commercial	$1,309.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.46
Rate for Payer: Oxford Commercial	$1,309.47
Rate for Payer: Qualcare PPO/HMO/WC	$392.84
Rate for Payer: UnitedHealthcare Commercial	$1,309.47

SYSTEM FLUID MGMT 16001302

Facility

$2,618.95

Hospital Charge Code	270630299
Hospital Revenue Code	272
Min. Negotiated Rate	$392.84
Max. Negotiated Rate	$392.84
Rate for Payer: Qualcare PPO/HMO/WC	$392.84

SYSTEM FORCE TRIAD RENTAL FEE

Facility

$2,975.00

Hospital Charge Code	270643234
Hospital Revenue Code	272
Min. Negotiated Rate	$386.75
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.75
Rate for Payer: Oxford Commercial	$1,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$1,487.50

SYSTEM FORCE TRIAD RENTAL FEE

Facility

$2,975.00

Hospital Charge Code	270643234
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

SYSTEM GELPORT HAND ACCESS

Facility

$2,875.00

Hospital Charge Code	270639482
Hospital Revenue Code	272
Min. Negotiated Rate	$373.75
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$862.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.75
Rate for Payer: Oxford Commercial	$1,437.50
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$1,437.50

SYSTEM GELPORT HAND ACCESS

Facility

$2,875.00

Hospital Charge Code	270639482
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SYSTEM IMPLANT LNT 4.75 BC

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270692479
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

SYSTEM IMPLANT LNT 4.75 BC

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270692479
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

SYSTEM INDIGO 12 LIGHTING ASPI

Facility

$34,050.00

Hospital Charge Code	270689719
Hospital Revenue Code	272
Min. Negotiated Rate	$5,107.50
Max. Negotiated Rate	$5,107.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,107.50

SYSTEM INDIGO 12 LIGHTING ASPI

Facility

$34,050.00

Hospital Charge Code	270689719
Hospital Revenue Code	272
Min. Negotiated Rate	$4,426.50
Max. Negotiated Rate	$17,025.00
Rate for Payer: Aetna Commercial	$10,215.00
Rate for Payer: Aetna Medicare Advantage	$10,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,682.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,682.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,682.75
Rate for Payer: Cigna Commercial	$17,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,426.50
Rate for Payer: Oxford Commercial	$17,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,107.50
Rate for Payer: UnitedHealthcare Commercial	$17,025.00

SYSTEM INTRASCAN ULTRSND

Facility

$5,376.00

Hospital Charge Code	270607646
Hospital Revenue Code	270
Min. Negotiated Rate	$698.88
Max. Negotiated Rate	$2,688.00
Rate for Payer: Aetna Commercial	$1,612.80
Rate for Payer: Aetna Medicare Advantage	$1,612.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.88
Rate for Payer: Cigna Commercial	$2,688.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$698.88
Rate for Payer: Oxford Commercial	$2,688.00
Rate for Payer: Qualcare PPO/HMO/WC	$806.40
Rate for Payer: UnitedHealthcare Commercial	$2,688.00

SYSTEM INTRASCAN ULTRSND

Facility

$5,376.00

Hospital Charge Code	270607646
Hospital Revenue Code	270
Min. Negotiated Rate	$806.40
Max. Negotiated Rate	$806.40
Rate for Payer: Qualcare PPO/HMO/WC	$806.40

SYSTEM INZONE DETACHMENT

Facility

$1,068.75

Hospital Charge Code	270689820
Hospital Revenue Code	272
Min. Negotiated Rate	$160.31
Max. Negotiated Rate	$160.31
Rate for Payer: Qualcare PPO/HMO/WC	$160.31

SYSTEM INZONE DETACHMENT

Facility

$1,068.75

Hospital Charge Code	270689820S
Hospital Revenue Code	272
Min. Negotiated Rate	$160.31
Max. Negotiated Rate	$160.31
Rate for Payer: Qualcare PPO/HMO/WC	$160.31

SYSTEM INZONE DETACHMENT

Facility

$1,068.75

Hospital Charge Code	270689820S
Hospital Revenue Code	272
Min. Negotiated Rate	$138.94
Max. Negotiated Rate	$534.38
Rate for Payer: Aetna Commercial	$320.62
Rate for Payer: Aetna Medicare Advantage	$320.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.53
Rate for Payer: Cigna Commercial	$534.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.94
Rate for Payer: Oxford Commercial	$534.38
Rate for Payer: Qualcare PPO/HMO/WC	$160.31
Rate for Payer: UnitedHealthcare Commercial	$534.38

SYSTEM INZONE DETACHMENT

Facility

$1,068.75

Hospital Charge Code	270689820
Hospital Revenue Code	272
Min. Negotiated Rate	$138.94
Max. Negotiated Rate	$534.38
Rate for Payer: Aetna Commercial	$320.62
Rate for Payer: Aetna Medicare Advantage	$320.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.53
Rate for Payer: Cigna Commercial	$534.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.94
Rate for Payer: Oxford Commercial	$534.38
Rate for Payer: Qualcare PPO/HMO/WC	$160.31
Rate for Payer: UnitedHealthcare Commercial	$534.38

Know your out-of-pocket cost for care.

All Charges