Heights University Hospital

All Charges

Charge

Type

Setting

Price

TAPER ECCENTRICAL ADAPTOR +4MM

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270672316
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

TAPERED DRILL SIZE 3 AND 4

Facility

$1,375.00

Hospital Charge Code	270656324
Hospital Revenue Code	271
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

TAPERED DRILL SIZE 3 AND 4

Facility

$1,375.00

Hospital Charge Code	270656324
Hospital Revenue Code	271
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.75
Rate for Payer: Oxford Commercial	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$687.50

TAPERED ROUTER 2.3X22MM

Facility

$395.00

Hospital Charge Code	270691577
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

TAPERED ROUTER 2.3X22MM

Facility

$395.00

Hospital Charge Code	270691577
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$118.50
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$197.50
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$197.50

TAPERED ROUTER D-58 1.7X16MM

Facility

$603.75

Hospital Charge Code	270676208
Hospital Revenue Code	272
Min. Negotiated Rate	$78.49
Max. Negotiated Rate	$301.88
Rate for Payer: Aetna Commercial	$181.12
Rate for Payer: Aetna Medicare Advantage	$181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.96
Rate for Payer: Cigna Commercial	$301.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.49
Rate for Payer: Oxford Commercial	$301.88
Rate for Payer: Qualcare PPO/HMO/WC	$90.56
Rate for Payer: UnitedHealthcare Commercial	$301.88

TAPERED ROUTER D-58 1.7X16MM

Facility

$603.75

Hospital Charge Code	270676208
Hospital Revenue Code	272
Min. Negotiated Rate	$90.56
Max. Negotiated Rate	$90.56
Rate for Payer: Qualcare PPO/HMO/WC	$90.56

TAPE REESE DERMASTRIP

Facility

$335.25

Hospital Charge Code	270600397
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

TAPE REESE DERMASTRIP

Facility

$448.00

Hospital Charge Code	270600697
Hospital Revenue Code	272
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$67.20

TAPE REESE DERMASTRIP

Facility

$335.25

Hospital Charge Code	270600397
Hospital Revenue Code	272
Min. Negotiated Rate	$50.29
Max. Negotiated Rate	$50.29
Rate for Payer: Qualcare PPO/HMO/WC	$50.29

TAPE REESE DERMASTRIP

Facility

$448.00

Hospital Charge Code	270600697
Hospital Revenue Code	272
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$224.00
Rate for Payer: Aetna Commercial	$134.40
Rate for Payer: Aetna Medicare Advantage	$134.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.24
Rate for Payer: Cigna Commercial	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.24
Rate for Payer: Oxford Commercial	$224.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.20
Rate for Payer: UnitedHealthcare Commercial	$224.00

TAPER INSET M2A MAGNUM 139256

Facility

$1,681.50

Hospital Charge Code	270635323
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$406.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPER INSET M2A MAGNUM 139256

Facility

$1,681.50

Hospital Charge Code	270635323
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$840.75
Rate for Payer: Aetna Commercial	$504.45
Rate for Payer: Aetna Medicare Advantage	$504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.78
Rate for Payer: Cigna Commercial	$840.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPER INSET MAGNUM 42/50 -3mm

Facility

$1,681.50

Hospital Charge Code	270636872
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$840.75
Rate for Payer: Aetna Commercial	$504.45
Rate for Payer: Aetna Medicare Advantage	$504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.78
Rate for Payer: Cigna Commercial	$840.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPER INSET MAGNUM 42/50 -3mm

Facility

$1,681.50

Hospital Charge Code	270636872
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$406.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPERLOC COMPLETE PRIMARY FEM

Facility

$10,500.00

Hospital Charge Code	270702559
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC COMPLETE PRIMARY FEM

Facility

$10,500.00

Hospital Charge Code	270702559
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC FEM 7X134MM STD OFFST

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC FEM 7X134MM STD OFFST

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC TYPE 1 PPS 9X137MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270700153
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$2,617.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

TAPERLOC TYPE 1 PPS 9X137MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270700153
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$5,407.50
Rate for Payer: Aetna Commercial	$3,244.50
Rate for Payer: Aetna Medicare Advantage	$3,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,757.82
Rate for Payer: Cigna Commercial	$5,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

TAPERLOC TYPE PPS 11 MM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270678812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$3,675.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

TAPERLOC TYPE PPS 11 MM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270678812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

TAPER METAL VERSYS

Facility

$15,950.00

Hospital Charge Code	270658815
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.50
Max. Negotiated Rate	$3,859.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.50

TAPER METAL VERSYS

Facility

$15,950.00

Hospital Charge Code	270658815
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.50
Max. Negotiated Rate	$7,975.00
Rate for Payer: Aetna Commercial	$4,785.00
Rate for Payer: Aetna Medicare Advantage	$4,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,067.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,067.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,067.25
Rate for Payer: Cigna Commercial	$7,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.50

Know your out-of-pocket cost for care.

All Charges