Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIOGUARD CLEANING ADPT

Facility

$750.00

Hospital Charge Code	270687384
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

BIOGUARD CLEANING ADPT

Facility

$750.00

Hospital Charge Code	270687384
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIOGUARD VALVES

Facility

$47.50

Hospital Charge Code	270688404
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$23.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.11
Rate for Payer: Cigna Commercial	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.12
Rate for Payer: UnitedHealthcare Commercial	$23.75

BIOGUARD VALVES

Facility

$47.50

Hospital Charge Code	270688404
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Qualcare PPO/HMO/WC	$7.12

BIO-INTERFERENCE TRAY FEE

Facility

$500.00

Hospital Charge Code	270641555
Hospital Revenue Code	270
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

BIO-INTERFERENCE TRAY FEE

Facility

$500.00

Hospital Charge Code	270641555
Hospital Revenue Code	270
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$250.00

BIOLOX 36MM -3.0 FEM HD SYS

Facility

$13,528.35

Hospital Charge Code	270656961
Hospital Revenue Code	278
Min. Negotiated Rate	$2,029.25
Max. Negotiated Rate	$3,273.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,705.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,273.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,029.25

BIOLOX 36MM -3.0 FEM HD SYS

Facility

$13,528.35

Hospital Charge Code	270656961
Hospital Revenue Code	278
Min. Negotiated Rate	$2,029.25
Max. Negotiated Rate	$6,764.18
Rate for Payer: Aetna Commercial	$4,058.51
Rate for Payer: Aetna Medicare Advantage	$4,058.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,449.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,449.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,705.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,449.73
Rate for Payer: Cigna Commercial	$6,764.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,273.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,029.25

BIOLOX CERAMIC HEAD

Facility

$13,493.90

Hospital Charge Code	27065694
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$3,265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOX CERAMIC HEAD

Facility

$13,493.90

Service Code	HCPCS C1776
Hospital Charge Code	270656964
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$3,265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOX CERAMIC HEAD

Facility

$13,493.90

Service Code	HCPCS C1776
Hospital Charge Code	270656964
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$6,746.95
Rate for Payer: Aetna Commercial	$4,048.17
Rate for Payer: Aetna Medicare Advantage	$4,048.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,440.94
Rate for Payer: Cigna Commercial	$6,746.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOX CERAMIC HEAD

Facility

$13,493.90

Hospital Charge Code	27065694
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$6,746.95
Rate for Payer: Aetna Commercial	$4,048.17
Rate for Payer: Aetna Medicare Advantage	$4,048.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,440.94
Rate for Payer: Cigna Commercial	$6,746.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOX DELTA CERAMIC FE

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688885
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BIOLOX DELTA CERAMIC FE

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688885
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BIOLOX DELTA CERAMIC HEAD +8.5

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690556
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BIOLOX DELTA CERAMIC HEAD +8.5

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690556
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,500.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

BIOLOXDELTA FEM HEAD36MM-3.5MM

Facility

$13,493.90

Hospital Charge Code	270663139
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$6,746.95
Rate for Payer: Aetna Commercial	$4,048.17
Rate for Payer: Aetna Medicare Advantage	$4,048.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,440.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,440.94
Rate for Payer: Cigna Commercial	$6,746.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOXDELTA FEM HEAD36MM-3.5MM

Facility

$13,493.90

Hospital Charge Code	270663139
Hospital Revenue Code	278
Min. Negotiated Rate	$2,024.09
Max. Negotiated Rate	$3,265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,698.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,265.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,024.09

BIOLOX DELTA MOD HEAD 40MM MED

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706200
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

BIOLOX DELTA MOD HEAD 40MM MED

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706200
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

BIOLOX DELTA OPTION 36MM 3MM

Facility

$12,262.75

Service Code	HCPCS C1713
Hospital Charge Code	270706205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,839.41
Max. Negotiated Rate	$6,131.38
Rate for Payer: Aetna Commercial	$3,678.82
Rate for Payer: Aetna Medicare Advantage	$3,678.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,127.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,127.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,452.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,127.00
Rate for Payer: Cigna Commercial	$6,131.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,967.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,839.41

BIOLOX DELTA OPTION 36MM 3MM

Facility

$12,262.75

Service Code	HCPCS C1713
Hospital Charge Code	270706205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,839.41
Max. Negotiated Rate	$2,967.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,452.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,967.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,839.41

BIOLOX DELTA TA FEM HEAD 36

Facility

$7,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270667178
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

BIOLOX DELTA TA FEM HEAD 36

Facility

$7,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270667178
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

BIOLOX MOD CERAMIC HEAD36MM

Facility

$1,949.00

Service Code	HCPCS C1713
Hospital Charge Code	270702515
Hospital Revenue Code	278
Min. Negotiated Rate	$292.35
Max. Negotiated Rate	$974.50
Rate for Payer: Aetna Commercial	$584.70
Rate for Payer: Aetna Medicare Advantage	$584.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$389.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.00
Rate for Payer: Cigna Commercial	$974.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.66
Rate for Payer: Qualcare PPO/HMO/WC	$292.35

Know your out-of-pocket cost for care.

All Charges