Heights University Hospital

All Charges

Charge

Type

Setting

Price

T-PLATE 3.5MM 4H/4H RT ANG

Facility

$565.45

Service Code	HCPCS C1713
Hospital Charge Code	270604310
Hospital Revenue Code	278
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$282.73
Rate for Payer: Aetna Commercial	$169.63
Rate for Payer: Aetna Medicare Advantage	$169.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.19
Rate for Payer: Cigna Commercial	$282.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.84
Rate for Payer: Qualcare PPO/HMO/WC	$84.82

T-PLATE 3.5MM 4H/4H RT ANG

Facility

$565.45

Service Code	HCPCS C1713
Hospital Charge Code	270604310
Hospital Revenue Code	278
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$136.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.84
Rate for Payer: Qualcare PPO/HMO/WC	$84.82

T-PLATE 3 HOLE 2.7x32MM

Facility

$259.55

Service Code	HCPCS C1713
Hospital Charge Code	270604332
Hospital Revenue Code	278
Min. Negotiated Rate	$38.93
Max. Negotiated Rate	$62.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$38.93

T-PLATE 3 HOLE 2.7x32MM

Facility

$259.55

Service Code	HCPCS C1713
Hospital Charge Code	270604332
Hospital Revenue Code	278
Min. Negotiated Rate	$38.93
Max. Negotiated Rate	$129.78
Rate for Payer: Aetna Commercial	$77.86
Rate for Payer: Aetna Medicare Advantage	$77.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.19
Rate for Payer: Cigna Commercial	$129.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$38.93

T-PLATE 3 HOLEx5 HOLE 67 mm

Facility

$1,523.35

Service Code	HCPCS C1713
Hospital Charge Code	270679622
Hospital Revenue Code	278
Min. Negotiated Rate	$228.50
Max. Negotiated Rate	$368.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.65
Rate for Payer: Qualcare PPO/HMO/WC	$228.50

T-PLATE 3 HOLEx5 HOLE 67 mm

Facility

$1,523.35

Service Code	HCPCS C1713
Hospital Charge Code	270679622
Hospital Revenue Code	278
Min. Negotiated Rate	$228.50
Max. Negotiated Rate	$761.67
Rate for Payer: Aetna Commercial	$457.00
Rate for Payer: Aetna Medicare Advantage	$457.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.45
Rate for Payer: Cigna Commercial	$761.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.65
Rate for Payer: Qualcare PPO/HMO/WC	$228.50

T-PLATE 4 HOLE 20MM CLAW II

Facility

$8,715.00

Hospital Charge Code	270665926
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$4,357.50
Rate for Payer: Aetna Commercial	$2,614.50
Rate for Payer: Aetna Medicare Advantage	$2,614.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,222.32
Rate for Payer: Cigna Commercial	$4,357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4 HOLE 20MM CLAW II

Facility

$8,715.00

Hospital Charge Code	270665926
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$2,109.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4 HOLE 25MM CLAW II

Facility

$8,715.00

Service Code	HCPCS C1713
Hospital Charge Code	270673663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$2,109.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4 HOLE 25MM CLAW II

Facility

$8,715.00

Service Code	HCPCS C1713
Hospital Charge Code	270673663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$4,357.50
Rate for Payer: Aetna Commercial	$2,614.50
Rate for Payer: Aetna Medicare Advantage	$2,614.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,222.32
Rate for Payer: Cigna Commercial	$4,357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4 HOLE 30MM CLAW II

Facility

$8,715.00

Hospital Charge Code	270671024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$4,357.50
Rate for Payer: Aetna Commercial	$2,614.50
Rate for Payer: Aetna Medicare Advantage	$2,614.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,222.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,222.32
Rate for Payer: Cigna Commercial	$4,357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4 HOLE 30MM CLAW II

Facility

$8,715.00

Hospital Charge Code	270671024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.25
Max. Negotiated Rate	$2,109.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.25

T-PLATE 4HOLE 84MM

Facility

$1,248.35

Service Code	HCPCS C1713
Hospital Charge Code	270652907
Hospital Revenue Code	278
Min. Negotiated Rate	$187.25
Max. Negotiated Rate	$302.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.10
Rate for Payer: Qualcare PPO/HMO/WC	$187.25

T-PLATE 4HOLE 84MM

Facility

$1,248.35

Service Code	HCPCS C1713
Hospital Charge Code	270652907
Hospital Revenue Code	278
Min. Negotiated Rate	$187.25
Max. Negotiated Rate	$624.17
Rate for Payer: Aetna Commercial	$374.50
Rate for Payer: Aetna Medicare Advantage	$374.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.33
Rate for Payer: Cigna Commercial	$624.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.10
Rate for Payer: Qualcare PPO/HMO/WC	$187.25

T-PLATE 4 HOLES

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270670803
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

T-PLATE 4 HOLES

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270670803
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

T-PLATE 5H RS

Facility

$5,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270692249
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

T-PLATE 5H RS

Facility

$5,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270692249
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$1,680.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

T-PLATE LCP 2.0MM 2HOLE/9HOLE

Facility

$1,788.00

Service Code	HCPCS C1713
Hospital Charge Code	270659769
Hospital Revenue Code	278
Min. Negotiated Rate	$268.20
Max. Negotiated Rate	$894.00
Rate for Payer: Aetna Commercial	$536.40
Rate for Payer: Aetna Medicare Advantage	$536.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.94
Rate for Payer: Cigna Commercial	$894.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.70
Rate for Payer: Qualcare PPO/HMO/WC	$268.20

T-PLATE LCP 2.0MM 2HOLE/9HOLE

Facility

$1,788.00

Service Code	HCPCS C1713
Hospital Charge Code	270659769
Hospital Revenue Code	278
Min. Negotiated Rate	$268.20
Max. Negotiated Rate	$432.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.70
Rate for Payer: Qualcare PPO/HMO/WC	$268.20

T-PLATE LCP 2.4MM 3HOLE/7HOLE

Facility

$3,059.10

Service Code	HCPCS C1713
Hospital Charge Code	270676530
Hospital Revenue Code	278
Min. Negotiated Rate	$458.87
Max. Negotiated Rate	$1,529.55
Rate for Payer: Aetna Commercial	$917.73
Rate for Payer: Aetna Medicare Advantage	$917.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$780.07
Rate for Payer: Cigna Commercial	$1,529.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.30
Rate for Payer: Qualcare PPO/HMO/WC	$458.87

T-PLATE LCP 2.4MM 3HOLE/7HOLE

Facility

$3,059.10

Service Code	HCPCS C1713
Hospital Charge Code	270676530
Hospital Revenue Code	278
Min. Negotiated Rate	$458.87
Max. Negotiated Rate	$740.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.30
Rate for Payer: Qualcare PPO/HMO/WC	$458.87

T-PLATE LCP 2 HOLE 2.7MM

Facility

$3,059.10

Service Code	HCPCS C1713
Hospital Charge Code	270678174
Hospital Revenue Code	278
Min. Negotiated Rate	$458.87
Max. Negotiated Rate	$740.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.30
Rate for Payer: Qualcare PPO/HMO/WC	$458.87

T-PLATE LCP 2 HOLE 2.7MM

Facility

$3,059.10

Service Code	HCPCS C1713
Hospital Charge Code	270678174
Hospital Revenue Code	278
Min. Negotiated Rate	$458.87
Max. Negotiated Rate	$1,529.55
Rate for Payer: Aetna Commercial	$917.73
Rate for Payer: Aetna Medicare Advantage	$917.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$780.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$780.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$780.07
Rate for Payer: Cigna Commercial	$1,529.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.30
Rate for Payer: Qualcare PPO/HMO/WC	$458.87

T-PLATE LCP 3.5x52MM 3H/3H RT

Facility

$1,546.80

Service Code	HCPCS C1713
Hospital Charge Code	270656698
Hospital Revenue Code	278
Min. Negotiated Rate	$232.02
Max. Negotiated Rate	$773.40
Rate for Payer: Aetna Commercial	$464.04
Rate for Payer: Aetna Medicare Advantage	$464.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$394.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$394.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$309.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$394.43
Rate for Payer: Cigna Commercial	$773.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.33
Rate for Payer: Qualcare PPO/HMO/WC	$232.02

Know your out-of-pocket cost for care.

All Charges