Heights University Hospital

All Charges

Charge

Type

Setting

Price

TARGET 360 ULTRA 4MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 4MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 4MM X 6CM

Facility

$10,426.25

Hospital Charge Code	270689883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 4MM X 6CM

Facility

$10,426.25

Hospital Charge Code	270689883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 4MM X 8CM

Facility

$10,426.25

Hospital Charge Code	270689884
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 4MM X 8CM

Facility

$10,426.25

Hospital Charge Code	270689884
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 10CM

Facility

$10,426.25

Hospital Charge Code	270689888
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 10CM

Facility

$10,426.25

Hospital Charge Code	270689888
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689889S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689889S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689889
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,127.88
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 ULTRA 5MM X 15CM

Facility

$10,426.25

Hospital Charge Code	270689889
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET HELICAL ULTRA 1 MM X 1

Facility

$7,125.00

Hospital Charge Code	270689890
Hospital Revenue Code	278
Min. Negotiated Rate	$1,068.75
Max. Negotiated Rate	$1,724.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,724.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,068.75

TARGET HELICAL ULTRA 1 MM X 1

Facility

$7,125.00

Hospital Charge Code	270689890
Hospital Revenue Code	278
Min. Negotiated Rate	$1,068.75
Max. Negotiated Rate	$3,562.50
Rate for Payer: Aetna Commercial	$2,137.50
Rate for Payer: Aetna Medicare Advantage	$2,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,816.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,816.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,816.88
Rate for Payer: Cigna Commercial	$3,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,724.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,068.75

TARGET HMD TARGET 38152100

Facility

$1,035.25

Hospital Charge Code	270621065
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

TARGET HMD TARGET 38152100

Facility

$1,035.25

Hospital Charge Code	270621065
Hospital Revenue Code	272
Min. Negotiated Rate	$134.58
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$310.57
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.58
Rate for Payer: Oxford Commercial	$517.62
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$517.62

TARGETING DEVICE RADIOL

Facility

$1,452.00

Hospital Charge Code	270606459
Hospital Revenue Code	270
Min. Negotiated Rate	$217.80
Max. Negotiated Rate	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$217.80

TARGETING DEVICE RADIOL

Facility

$1,452.00

Hospital Charge Code	270606459
Hospital Revenue Code	270
Min. Negotiated Rate	$188.76
Max. Negotiated Rate	$726.00
Rate for Payer: Aetna Commercial	$435.60
Rate for Payer: Aetna Medicare Advantage	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.26
Rate for Payer: Cigna Commercial	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: Oxford Commercial	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.80
Rate for Payer: UnitedHealthcare Commercial	$726.00

TARGETING DEVICE RADIOLUCENT

Facility

$1,800.00

Hospital Charge Code	270614628
Hospital Revenue Code	272
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$900.00

TARGETING DEVICE RADIOLUCENT

Facility

$1,800.00

Hospital Charge Code	270614628
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

TARSAL TUNNEL-RELEASE

Facility

$16,437.00

Service Code	HCPCS 28035
Hospital Charge Code	16000511
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,529.00
Rate for Payer: Aetna Commercial	$4,931.10
Rate for Payer: Aetna Medicare Advantage	$4,931.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,191.44
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,136.81
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

TARSAL TUNNEL-RELEASE

Facility

$16,437.00

Service Code	HCPCS 28035
Hospital Charge Code	16000511
Hospital Revenue Code	360
Min. Negotiated Rate	$2,465.55
Max. Negotiated Rate	$2,465.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55

TA SP BONE AGRFT LOCAL ADD-ON

Facility

$11,887.22

Service Code	HCPCS 20936
Hospital Charge Code	162005
Hospital Revenue Code	360
Min. Negotiated Rate	$1,783.08
Max. Negotiated Rate	$1,783.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08

TA SP BONE AGRFT LOCAL ADD-ON

Facility

$11,887.22

Service Code	HCPCS 20936
Hospital Charge Code	162005
Hospital Revenue Code	360
Min. Negotiated Rate	$1,545.34
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,566.17
Rate for Payer: Aetna Medicare Advantage	$3,566.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,031.24
Rate for Payer: Cigna Commercial	$5,943.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,545.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

TA SP BONE AGRFT LOCAL ADD-ONT

Facility

$11,887.22

Service Code	HCPCS 20936
Hospital Charge Code	16000286
Hospital Revenue Code	360
Min. Negotiated Rate	$1,545.34
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$3,566.17
Rate for Payer: Aetna Medicare Advantage	$3,566.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,031.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,031.24
Rate for Payer: Cigna Commercial	$5,943.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,545.34
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,783.08
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

Know your out-of-pocket cost for care.

All Charges