Heights University Hospital

All Charges

Charge

Type

Setting

Price

TENDON POST TIBIALS 2000550000

Facility

$6,944.00

Hospital Charge Code	270634061
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

TENDON POST TIBIALS 2000550000

Facility

$6,944.00

Hospital Charge Code	270634061
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,083.20
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

TENDON PULLEY RECONSTRUCTION

Facility

$28,255.00

Service Code	HCPCS 26500
Hospital Charge Code	16000848
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$8,476.50
Rate for Payer: Aetna Medicare Advantage	$8,476.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,205.02
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	$7,205.02
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,673.15
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

TENDON PULLEY RECONSTRUCTION

Facility

$28,255.00

Service Code	HCPCS 26500
Hospital Charge Code	16000848
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.25
Max. Negotiated Rate	$4,238.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25

TENDON SEMITENDINOSIS 330170

Facility

$3,273.65

Hospital Charge Code	270621434
Hospital Revenue Code	278
Min. Negotiated Rate	$491.05
Max. Negotiated Rate	$1,636.83
Rate for Payer: Aetna Commercial	$982.10
Rate for Payer: Aetna Medicare Advantage	$982.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$834.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$834.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$654.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$834.78
Rate for Payer: Cigna Commercial	$1,636.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.22
Rate for Payer: Qualcare PPO/HMO/WC	$491.05

TENDON SEMITENDINOSIS 330170

Facility

$3,273.65

Hospital Charge Code	270621434
Hospital Revenue Code	278
Min. Negotiated Rate	$491.05
Max. Negotiated Rate	$792.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$654.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.22
Rate for Payer: Qualcare PPO/HMO/WC	$491.05

TENDON SEMITENDINOSUS 92-0784

Facility

$6,448.00

Hospital Charge Code	270628576
Hospital Revenue Code	278
Min. Negotiated Rate	$967.20
Max. Negotiated Rate	$1,560.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,289.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.42
Rate for Payer: Qualcare PPO/HMO/WC	$967.20

TENDON SEMITENDINOSUS 92-0784

Facility

$6,448.00

Hospital Charge Code	270628576
Hospital Revenue Code	278
Min. Negotiated Rate	$967.20
Max. Negotiated Rate	$3,224.00
Rate for Payer: Aetna Commercial	$1,934.40
Rate for Payer: Aetna Medicare Advantage	$1,934.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,289.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.24
Rate for Payer: Cigna Commercial	$3,224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,560.42
Rate for Payer: Qualcare PPO/HMO/WC	$967.20

TENDON SHEATH 1 DIG AND/PALM

Facility

$14,854.00

Service Code	HCPCS 26020
Hospital Charge Code	16000839
Hospital Revenue Code	360
Min. Negotiated Rate	$2,228.10
Max. Negotiated Rate	$2,228.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10

TENDON SHEATH 1 DIG AND/PALM

Facility

$14,854.00

Service Code	HCPCS 26020
Hospital Charge Code	16000839
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,456.20
Rate for Payer: Aetna Medicare Advantage	$4,456.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,787.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,787.77
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	$3,787.77
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,931.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

TENDON SHEATH INCISION

Facility

$14,854.00

Service Code	HCPCS 26055
Hospital Charge Code	16000224
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,456.20
Rate for Payer: Aetna Better Health Medicaid	$4,318.43
Rate for Payer: Aetna Commercial	$4,456.20
Rate for Payer: Aetna Medicare Advantage	$4,456.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,787.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,787.77
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	$3,787.77
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,931.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,318.43

TENDON SHEATH INCISION

Facility

$6,974.20

Service Code	HCPCS 26055
Hospital Charge Code	412325055
Hospital Revenue Code	361
Min. Negotiated Rate	$1,046.13
Max. Negotiated Rate	$1,046.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.13

TENDON SHEATH INCISION

Facility

$6,974.20

Service Code	HCPCS 26055
Hospital Charge Code	412325055
Hospital Revenue Code	361
Min. Negotiated Rate	$906.65
Max. Negotiated Rate	$4,404.80
Rate for Payer: Aetna Better Health Medicaid	$4,318.43
Rate for Payer: Aetna Commercial	$2,092.26
Rate for Payer: Aetna Medicare Advantage	$2,092.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.42
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	$1,778.42
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.65
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.13
Rate for Payer: UnitedHealthcare Commercial	$3,687.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,318.43

TENDON SHEATH INCISION

Facility

$14,854.00

Service Code	HCPCS 26055
Hospital Charge Code	16000224
Hospital Revenue Code	360
Min. Negotiated Rate	$2,228.10
Max. Negotiated Rate	$2,228.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10

TENDON SPACER HUNTER 4MMX24CM

Facility

$12,100.00

Service Code	HCPCS C1763
Hospital Charge Code	270696019
Hospital Revenue Code	278
Min. Negotiated Rate	$1,815.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Aetna Commercial	$3,630.00
Rate for Payer: Aetna Medicare Advantage	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,085.50
Rate for Payer: Cigna Commercial	$6,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,928.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,815.00

TENDON SPACER HUNTER 4MMX24CM

Facility

$12,100.00

Service Code	HCPCS C1763
Hospital Charge Code	270696019
Hospital Revenue Code	278
Min. Negotiated Rate	$1,815.00
Max. Negotiated Rate	$2,928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,928.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,815.00

TENDON TIBIAL POST 10.5x260MM

Facility

$8,415.00

Service Code	HCPCS C1762
Hospital Charge Code	270676202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,262.25
Max. Negotiated Rate	$2,036.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,683.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,036.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,262.25

TENDON TIBIAL POST 10.5x260MM

Facility

$8,415.00

Service Code	HCPCS C1762
Hospital Charge Code	270676202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,262.25
Max. Negotiated Rate	$4,207.50
Rate for Payer: Aetna Commercial	$2,524.50
Rate for Payer: Aetna Medicare Advantage	$2,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,145.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,145.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,683.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,145.82
Rate for Payer: Cigna Commercial	$4,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,036.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,262.25

TENDRIL LEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233S
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

TENDRIL LEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233N
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

TENDRIL LEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233S
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

TENDRIL LEADS U PR 46

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270671233N
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

TENDRIL LEADS U PR 52

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270668443S
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

TENDRIL LEADS U PR 52

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270668443N
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

TENDRIL LEADS U PR 52

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270668443N
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

Know your out-of-pocket cost for care.

All Charges