Heights University Hospital

All Charges

Charge

Type

Setting

Price

TROCHANTERIC REATTACH DEV LNG

Facility

$11,893.40

Service Code	HCPCS C1713
Hospital Charge Code	270674368
Hospital Revenue Code	278
Min. Negotiated Rate	$1,784.01
Max. Negotiated Rate	$5,946.70
Rate for Payer: Aetna Commercial	$3,568.02
Rate for Payer: Aetna Medicare Advantage	$3,568.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,032.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,032.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,032.82
Rate for Payer: Cigna Commercial	$5,946.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,878.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,784.01

TROCHANTERIC REATTACH DEV STD

Facility

$8,253.40

Service Code	HCPCS C1713
Hospital Charge Code	270674358
Hospital Revenue Code	278
Min. Negotiated Rate	$1,238.01
Max. Negotiated Rate	$4,126.70
Rate for Payer: Aetna Commercial	$2,476.02
Rate for Payer: Aetna Medicare Advantage	$2,476.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,104.62
Rate for Payer: Cigna Commercial	$4,126.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,997.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,238.01

TROCHANTERIC REATTACH DEV STD

Facility

$8,253.40

Service Code	HCPCS C1713
Hospital Charge Code	270674358
Hospital Revenue Code	278
Min. Negotiated Rate	$1,238.01
Max. Negotiated Rate	$1,997.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,997.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,238.01

TROCH FIT NAIL

Facility

$5,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270656702
Hospital Revenue Code	278
Min. Negotiated Rate	$836.10
Max. Negotiated Rate	$2,787.00
Rate for Payer: Aetna Commercial	$1,672.20
Rate for Payer: Aetna Medicare Advantage	$1,672.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,421.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,421.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,114.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,421.37
Rate for Payer: Cigna Commercial	$2,787.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.91
Rate for Payer: Qualcare PPO/HMO/WC	$836.10

TROCH FIT NAIL

Facility

$5,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270656702
Hospital Revenue Code	278
Min. Negotiated Rate	$836.10
Max. Negotiated Rate	$1,348.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,114.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.91
Rate for Payer: Qualcare PPO/HMO/WC	$836.10

TROCH GRIP PLATE 100MM

Facility

$8,019.00

Service Code	HCPCS C1713
Hospital Charge Code	270669263
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.85
Max. Negotiated Rate	$1,940.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.85

TROCH GRIP PLATE 100MM

Facility

$8,019.00

Service Code	HCPCS C1713
Hospital Charge Code	270669263
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.85
Max. Negotiated Rate	$4,009.50
Rate for Payer: Aetna Commercial	$2,405.70
Rate for Payer: Aetna Medicare Advantage	$2,405.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,044.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,044.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,044.85
Rate for Payer: Cigna Commercial	$4,009.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.85

TROCH GRIP PLATE 150MM

Facility

$10,525.50

Hospital Charge Code	270669264
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.83
Max. Negotiated Rate	$5,262.75
Rate for Payer: Aetna Commercial	$3,157.65
Rate for Payer: Aetna Medicare Advantage	$3,157.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,684.00
Rate for Payer: Cigna Commercial	$5,262.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.83

TROCH GRIP PLATE 150MM

Facility

$10,525.50

Hospital Charge Code	270669264
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.83
Max. Negotiated Rate	$2,547.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.83

TROCH GRIP SM W/2, 2MM CABLETR

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270669261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$5,010.00
Rate for Payer: Aetna Commercial	$3,006.00
Rate for Payer: Aetna Medicare Advantage	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,555.10
Rate for Payer: Cigna Commercial	$5,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TROCH GRIP SM W/2, 2MM CABLETR

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270669261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$2,424.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TROGLITAZONE TAB 200MG

Facility

$30.10

Hospital Charge Code	60628241
Hospital Revenue Code	250
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.51

TROGLITAZONE TAB 200MG

Facility

$30.10

Hospital Charge Code	60628241
Hospital Revenue Code	250
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$15.05
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.68
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.91
Rate for Payer: Oxford Commercial	$15.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.51
Rate for Payer: UnitedHealthcare Commercial	$15.05

TROGLITAZONE TAB 400MG

Facility

$44.80

Hospital Charge Code	60628242
Hospital Revenue Code	250
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$13.44
Rate for Payer: Aetna Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.42
Rate for Payer: Cigna Commercial	$22.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$22.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.72
Rate for Payer: UnitedHealthcare Commercial	$22.40

TROGLITAZONE TAB 400MG

Facility

$44.80

Hospital Charge Code	60628242
Hospital Revenue Code	250
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.72

TROGLITAZONE TAB 400MG REZULIN

Facility

$26.90

Hospital Charge Code	6017990
Hospital Revenue Code	252
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$13.45
Rate for Payer: Aetna Commercial	$8.07
Rate for Payer: Aetna Medicare Advantage	$8.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.86
Rate for Payer: Cigna Commercial	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.50
Rate for Payer: Oxford Commercial	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.04
Rate for Payer: UnitedHealthcare Commercial	$13.45

TROGLITAZONE TAB 400MG REZULIN

Facility

$26.90

Hospital Charge Code	6017990
Hospital Revenue Code	252
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$4.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.04

TROLAMINE SALIC CRM 10%

Facility

$33.65

Hospital Charge Code	60628460
Hospital Revenue Code	250
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

TROLAMINE SALIC CRM 10%

Facility

$33.65

Hospital Charge Code	60628460
Hospital Revenue Code	250
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

TROLAMINE SALIC CRM 10% 60GM

Facility

$30.10

Hospital Charge Code	6005540
Hospital Revenue Code	251
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Qualcare PPO/HMO/WC	$4.51

TROLAMINE SALIC CRM 10% 60GM

Facility

$30.10

Hospital Charge Code	6005540
Hospital Revenue Code	251
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$15.05
Rate for Payer: Aetna Commercial	$9.03
Rate for Payer: Aetna Medicare Advantage	$9.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.68
Rate for Payer: Cigna Commercial	$15.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.91
Rate for Payer: Oxford Commercial	$15.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.51
Rate for Payer: UnitedHealthcare Commercial	$15.05

TRONOLANE 1% CREAM

Facility

$4.00

Service Code	NDC 11868081401
Hospital Charge Code	60635736
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

TRONOLANE 1% CREAM

Facility

$4.00

Service Code	NDC 11868081401
Hospital Charge Code	60635736
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TROPCAMIDE 0.5%

Facility

$67.00

Service Code	NDC 17478010112
Hospital Charge Code	606390229
Hospital Revenue Code	250
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$20.10
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Oxford Commercial	$33.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$33.50

TROPCAMIDE 0.5%

Facility

$67.00

Service Code	NDC 17478010112
Hospital Charge Code	606390229
Hospital Revenue Code	250
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

Know your out-of-pocket cost for care.

All Charges