Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$374.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$309.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.33
Rate for Payer: Qualcare PPO/HMO/WC	$232.02

T-PLATE LCP 3.5x56MM 4H/4H RT

Facility

$1,384.30

Hospital Charge Code	270675318
Hospital Revenue Code	278
Min. Negotiated Rate	$207.65
Max. Negotiated Rate	$692.15
Rate for Payer: Aetna Commercial	$415.29
Rate for Payer: Aetna Medicare Advantage	$415.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.00
Rate for Payer: Cigna Commercial	$692.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.65

T-PLATE LCP 3.5x56MM 4H/4H RT

Facility

$1,384.30

Hospital Charge Code	270675318
Hospital Revenue Code	278
Min. Negotiated Rate	$207.65
Max. Negotiated Rate	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.65

T-PLATE LCP 3.5x63MM 3H/4H RT

Facility

$1,569.70

Hospital Charge Code	270656699
Hospital Revenue Code	278
Min. Negotiated Rate	$235.46
Max. Negotiated Rate	$784.85
Rate for Payer: Aetna Commercial	$470.91
Rate for Payer: Aetna Medicare Advantage	$470.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.27
Rate for Payer: Cigna Commercial	$784.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.87
Rate for Payer: Qualcare PPO/HMO/WC	$235.46

T-PLATE LCP 3.5x63MM 3H/4H RT

Facility

$1,569.70

Hospital Charge Code	270656699
Hospital Revenue Code	278
Min. Negotiated Rate	$235.46
Max. Negotiated Rate	$379.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.87
Rate for Payer: Qualcare PPO/HMO/WC	$235.46

T-PLATE LCP 3.5x78MM 4H/6H RT

Facility

$1,773.65

Hospital Charge Code	270656700
Hospital Revenue Code	278
Min. Negotiated Rate	$266.05
Max. Negotiated Rate	$429.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.22
Rate for Payer: Qualcare PPO/HMO/WC	$266.05

T-PLATE LCP 3.5x78MM 4H/6H RT

Facility

$1,773.65

Hospital Charge Code	270656700
Hospital Revenue Code	278
Min. Negotiated Rate	$266.05
Max. Negotiated Rate	$886.83
Rate for Payer: Aetna Commercial	$532.10
Rate for Payer: Aetna Medicare Advantage	$532.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$354.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.28
Rate for Payer: Cigna Commercial	$886.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.22
Rate for Payer: Qualcare PPO/HMO/WC	$266.05

T-PLATE LCP 4.5x147MM 8HOLE

Facility

$3,411.35

Hospital Charge Code	270666772
Hospital Revenue Code	278
Min. Negotiated Rate	$511.70
Max. Negotiated Rate	$825.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.70

T-PLATE LCP 4.5x147MM 8HOLE

Facility

$3,411.35

Hospital Charge Code	270666772
Hospital Revenue Code	278
Min. Negotiated Rate	$511.70
Max. Negotiated Rate	$1,705.67
Rate for Payer: Aetna Commercial	$1,023.40
Rate for Payer: Aetna Medicare Advantage	$1,023.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.89
Rate for Payer: Cigna Commercial	$1,705.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.55
Rate for Payer: Qualcare PPO/HMO/WC	$511.70

T-PLATE LCP 4.5x83MM 4HOLE

Facility

$2,577.05

Hospital Charge Code	270671990
Hospital Revenue Code	278
Min. Negotiated Rate	$386.56
Max. Negotiated Rate	$623.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.65
Rate for Payer: Qualcare PPO/HMO/WC	$386.56

T-PLATE LCP 4.5x83MM 4HOLE

Facility

$2,577.05

Hospital Charge Code	270671990
Hospital Revenue Code	278
Min. Negotiated Rate	$386.56
Max. Negotiated Rate	$1,288.53
Rate for Payer: Aetna Commercial	$773.12
Rate for Payer: Aetna Medicare Advantage	$773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.15
Rate for Payer: Cigna Commercial	$1,288.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.65
Rate for Payer: Qualcare PPO/HMO/WC	$386.56

T-PLATE LKG NARROW 5H 34MM

Facility

$4,565.20

Service Code	HCPCS C1713
Hospital Charge Code	270700479
Hospital Revenue Code	278
Min. Negotiated Rate	$684.78
Max. Negotiated Rate	$1,104.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.78
Rate for Payer: Qualcare PPO/HMO/WC	$684.78

T-PLATE LKG NARROW 5H 34MM

Facility

$4,565.20

Service Code	HCPCS C1713
Hospital Charge Code	270700479
Hospital Revenue Code	278
Min. Negotiated Rate	$684.78
Max. Negotiated Rate	$2,282.60
Rate for Payer: Aetna Commercial	$1,369.56
Rate for Payer: Aetna Medicare Advantage	$1,369.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,164.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,164.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$913.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,164.13
Rate for Payer: Cigna Commercial	$2,282.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.78
Rate for Payer: Qualcare PPO/HMO/WC	$684.78

T-PLATE LOW PRO 3-HOLE TI 3MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270666083
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 LOW PRO 3-HOLE TI 3MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270666083
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 LOW PROFILE 2.4MM 3H

Facility

$3,475.00

Hospital Charge Code	270674261
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

T-PLATE LOW PROFILE 2.4MM 3H

Facility

$3,475.00

Hospital Charge Code	270674261
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

T-PLATE LOW PROFILE 2.4MM 4H

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679307
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

T-PLATE LOW PROFILE 2.4MM 4H

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679307
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

T-PLATE NARROW 6 HOLE

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270673830
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

T-PLATE NARROW 6 HOLE

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270673830
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

T PLATE TI 5 HOLES/100 MM

Facility

$1,308.00

Service Code	HCPCS C1713
Hospital Charge Code	270675393
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$654.00
Rate for Payer: Aetna Commercial	$392.40
Rate for Payer: Aetna Medicare Advantage	$392.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.54
Rate for Payer: Cigna Commercial	$654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

T PLATE TI 5 HOLES/100 MM

Facility

$1,308.00

Service Code	HCPCS C1713
Hospital Charge Code	270675393
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$316.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

TPMT ACTIVITY

Facility

$390.00

Service Code	HCPCS 83789
Hospital Charge Code	39900340
Hospital Revenue Code	301
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$78.12
Rate for Payer: Aetna Medicare Advantage	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$24.11
Rate for Payer: Cigna Medicare Advantage	$12.05
Rate for Payer: Clover Medicare Advantage	$22.90
Rate for Payer: EmblemHealth Commercial	$72.33
Rate for Payer: Humana Medicare Advantage	$24.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25.56
Rate for Payer: Wellcare Medicare Advantage	$24.11

TPMT ACTIVITY

Facility

$390.00

Service Code	HCPCS 83789
Hospital Charge Code	39900340
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges