Heights University Hospital

All Charges

Charge

Type

Setting

Price

T.R.A.C. PAD ONLY M6275051.10

Facility

$122.25

Hospital Charge Code	270633653
Hospital Revenue Code	272
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$18.34
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

T.R.A.C. PAD ONLY M6275051.10

Facility

$122.25

Hospital Charge Code	270633653
Hospital Revenue Code	272
Min. Negotiated Rate	$15.89
Max. Negotiated Rate	$61.12
Rate for Payer: Aetna Commercial	$36.67
Rate for Payer: Aetna Medicare Advantage	$36.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.17
Rate for Payer: Cigna Commercial	$61.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: Oxford Commercial	$61.12
Rate for Payer: Qualcare PPO/HMO/WC	$18.34
Rate for Payer: UnitedHealthcare Commercial	$61.12

T.R.A.C. PAD ONLY M6275057S

Facility

$86.95

Hospital Charge Code	270632067
Hospital Revenue Code	272
Min. Negotiated Rate	$11.30
Max. Negotiated Rate	$43.48
Rate for Payer: Aetna Commercial	$26.09
Rate for Payer: Aetna Medicare Advantage	$26.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.17
Rate for Payer: Cigna Commercial	$43.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.30
Rate for Payer: Oxford Commercial	$43.48
Rate for Payer: Qualcare PPO/HMO/WC	$13.04
Rate for Payer: UnitedHealthcare Commercial	$43.48

T.R.A.C. PAD ONLY M6275057S

Facility

$86.95

Hospital Charge Code	270632067
Hospital Revenue Code	272
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$13.04
Rate for Payer: Qualcare PPO/HMO/WC	$13.04

TRACRIUM/10MG/1ML

Facility

$250.00

Hospital Charge Code	60634046
Hospital Revenue Code	250
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

TRACRIUM/10MG/1ML

Facility

$250.00

Hospital Charge Code	60634046
Hospital Revenue Code	250
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

TRACTION BUCKS *****

Facility

$93.00

Hospital Charge Code	8001877
Hospital Revenue Code	279
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$46.50
Rate for Payer: Aetna Commercial	$27.90
Rate for Payer: Aetna Medicare Advantage	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.09
Rate for Payer: Oxford Commercial	$46.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$46.50

TRACTION BUCKS *****

Facility

$93.00

Hospital Charge Code	8001877
Hospital Revenue Code	279
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

TRACTION CERVICAL*******

Facility

$285.00

Hospital Charge Code	8002073
Hospital Revenue Code	279
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$142.50

TRACTION CERVICAL*******

Facility

$285.00

Hospital Charge Code	8002073
Hospital Revenue Code	279
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

TRACTION - MECHANICAL

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	9107005
Hospital Revenue Code	420
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

TRACTION - MECHANICAL

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	9107005
Hospital Revenue Code	420
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$686.00

TRACTION MECHANICAL CQ

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	409197012Q
Hospital Revenue Code	420
Min. Negotiated Rate	$19.24
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$44.40
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.24
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$686.00

TRACTION MECHANICAL CQ

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	409197012Q
Hospital Revenue Code	420
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

TRACTION PELVIC *******

Facility

$289.00

Hospital Charge Code	8001950
Hospital Revenue Code	279
Min. Negotiated Rate	$43.35
Max. Negotiated Rate	$43.35
Rate for Payer: Qualcare PPO/HMO/WC	$43.35

TRACTION PELVIC *******

Facility

$289.00

Hospital Charge Code	8001950
Hospital Revenue Code	279
Min. Negotiated Rate	$37.57
Max. Negotiated Rate	$144.50
Rate for Payer: Aetna Commercial	$86.70
Rate for Payer: Aetna Medicare Advantage	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.69
Rate for Payer: Cigna Commercial	$144.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.57
Rate for Payer: Oxford Commercial	$144.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.35
Rate for Payer: UnitedHealthcare Commercial	$144.50

TRACTION RUSSEL******

Facility

$60.00

Hospital Charge Code	8001943
Hospital Revenue Code	279
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

TRACTION RUSSEL******

Facility

$60.00

Hospital Charge Code	8001943
Hospital Revenue Code	279
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

TRACTION SKELETAL********

Facility

$60.00

Hospital Charge Code	8004509
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

TRACTION SKELETAL********

Facility

$60.00

Hospital Charge Code	8004509
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

TRAILBLAZER ANGLE .014X150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683674S
Hospital Revenue Code	278
Min. Negotiated Rate	$792.00
Max. Negotiated Rate	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76

TRAILBLAZER ANGLE .014X150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683674N
Hospital Revenue Code	278
Min. Negotiated Rate	$792.00
Max. Negotiated Rate	$2,640.00
Rate for Payer: Aetna Commercial	$1,584.00
Rate for Payer: Aetna Medicare Advantage	$1,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.40
Rate for Payer: Cigna Commercial	$2,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00

TRAILBLAZER ANGLE .014X150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683674S
Hospital Revenue Code	278
Min. Negotiated Rate	$792.00
Max. Negotiated Rate	$2,640.00
Rate for Payer: Aetna Commercial	$1,584.00
Rate for Payer: Aetna Medicare Advantage	$1,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.40
Rate for Payer: Cigna Commercial	$2,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00

TRAILBLAZER ANGLE .014X150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683674N
Hospital Revenue Code	278
Min. Negotiated Rate	$792.00
Max. Negotiated Rate	$1,277.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00

Trailblazer Angle .018 x 150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683675N
Hospital Revenue Code	278
Min. Negotiated Rate	$792.00
Max. Negotiated Rate	$2,640.00
Rate for Payer: Aetna Commercial	$1,584.00
Rate for Payer: Aetna Medicare Advantage	$1,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.40
Rate for Payer: Cigna Commercial	$2,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00

Know your out-of-pocket cost for care.

All Charges