Heights University Hospital

All Charges

Charge

Type

Setting

Price

WASHER BMT 13MM 245890

Facility

$268.85

Hospital Charge Code	270618212
Hospital Revenue Code	278
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$65.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.06
Rate for Payer: Qualcare PPO/HMO/WC	$40.33

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$354.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

WASHER BUTTRESS 15MM

Facility

$1,465.00

Hospital Charge Code	270671020
Hospital Revenue Code	278
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$439.50
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.53
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

WASHER CANCELLOUS ALTA

Facility

$150.00

Hospital Charge Code	270335175
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

WASHER ECT SPIKED 13.50 MM

Facility

$67.25

Hospital Charge Code	270657929
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

WASHER ECT SPIKED 13.50 MM

Facility

$67.25

Hospital Charge Code	270657929
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

WASHER FOR BONE SCREW

Facility

$52.00

Hospital Charge Code	270335046
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

WASHER HMD 5212-9100

Facility

$246.45

Hospital Charge Code	270620201
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

WASHER HMD 5212-9100

Facility

$246.45

Hospital Charge Code	270620201
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$73.94
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$152.25
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

WASHER LAG SCREW STOP 3.5MM

Facility

$1,015.00

Hospital Charge Code	270698536
Hospital Revenue Code	272
Min. Negotiated Rate	$131.95
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$304.50
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.95
Rate for Payer: Oxford Commercial	$507.50
Rate for Payer: Qualcare PPO/HMO/WC	$152.25
Rate for Payer: UnitedHealthcare Commercial	$507.50

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$234.75
Max. Negotiated Rate	$234.75
Rate for Payer: Qualcare PPO/HMO/WC	$234.75

WASHER LAG SCREW STOP 4.5MM

Facility

$1,565.00

Hospital Charge Code	270698551
Hospital Revenue Code	272
Min. Negotiated Rate	$203.45
Max. Negotiated Rate	$782.50
Rate for Payer: Aetna Commercial	$469.50
Rate for Payer: Aetna Medicare Advantage	$469.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.07
Rate for Payer: Cigna Commercial	$782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.45
Rate for Payer: Oxford Commercial	$782.50
Rate for Payer: Qualcare PPO/HMO/WC	$234.75
Rate for Payer: UnitedHealthcare Commercial	$782.50

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

WASHER LOCKING RFNA 5DEG RT

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270695064
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

WASHER M/DN 2252-02

Facility

$315.80

Hospital Charge Code	270639517
Hospital Revenue Code	278
Min. Negotiated Rate	$47.37
Max. Negotiated Rate	$157.90
Rate for Payer: Aetna Commercial	$94.74
Rate for Payer: Aetna Medicare Advantage	$94.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.53
Rate for Payer: Cigna Commercial	$157.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.42
Rate for Payer: Qualcare PPO/HMO/WC	$47.37

WASHER M/DN 2252-02

Facility

$315.80

Hospital Charge Code	270639517
Hospital Revenue Code	278
Min. Negotiated Rate	$47.37
Max. Negotiated Rate	$76.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.42
Rate for Payer: Qualcare PPO/HMO/WC	$47.37

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$137.70
Max. Negotiated Rate	$222.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: Qualcare PPO/HMO/WC	$137.70

WASHER ORTHOLOC 3DI 3.5X4.0MM

Facility

$918.00

Service Code	HCPCS C1713
Hospital Charge Code	270700514
Hospital Revenue Code	278
Min. Negotiated Rate	$137.70
Max. Negotiated Rate	$459.00
Rate for Payer: Aetna Commercial	$275.40
Rate for Payer: Aetna Medicare Advantage	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.09
Rate for Payer: Cigna Commercial	$459.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.16
Rate for Payer: Qualcare PPO/HMO/WC	$137.70

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$136.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

WASHER SCREW CANN STAINLESS

Facility

$565.00

Hospital Charge Code	270663836
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$282.50
Rate for Payer: Aetna Commercial	$169.50
Rate for Payer: Aetna Medicare Advantage	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.07
Rate for Payer: Cigna Commercial	$282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

WASHER SDK FOR M-A SCRW 827160

Facility

$315.25

Hospital Charge Code	270617949
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

WASHER SDK FOR M-A SCRW 827160

Facility

$315.25

Hospital Charge Code	270617949
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

Know your out-of-pocket cost for care.

All Charges