Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE KIRSCHNER NINE

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657305
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
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) NJ Health	$150.00
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	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WIRE KIRSCHNER NINE

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270657305
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WIRE KIRSCHNER STY 6 1.1X229MM

Facility

$28.49

Hospital Charge Code	270657653
Hospital Revenue Code	270
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$14.24
Rate for Payer: Aetna Commercial	$8.55
Rate for Payer: Aetna Medicare Advantage	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.70
Rate for Payer: Oxford Commercial	$14.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$14.24

WIRE KIRSCHNER STY 6 1.1X229MM

Facility

$28.49

Hospital Charge Code	270657653
Hospital Revenue Code	270
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

WIRE KIRSCHNER STYLE 1 0.9mm

Facility

$71.50

Service Code	HCPCS C1713
Hospital Charge Code	270610635
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

WIRE KIRSCHNER STYLE 1 0.9mm

Facility

$71.50

Service Code	HCPCS C1713
Hospital Charge Code	270610635
Hospital Revenue Code	278
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$35.75
Rate for Payer: Aetna Commercial	$21.45
Rate for Payer: Aetna Medicare Advantage	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.23
Rate for Payer: Cigna Commercial	$35.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

WIRE KIRSCHNER THREADED .035

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270638920
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$31.57
Rate for Payer: Aetna Commercial	$18.94
Rate for Payer: Aetna Medicare Advantage	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.10
Rate for Payer: Cigna Commercial	$31.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KIRSCHNER THREADED .035

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270638920
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KIRSCHNER THREADED .045

Facility

$421.15

Hospital Charge Code	270657968
Hospital Revenue Code	278
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$101.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.92
Rate for Payer: Qualcare PPO/HMO/WC	$63.17

WIRE KIRSCHNER THREADED .045

Facility

$421.15

Hospital Charge Code	270657968
Hospital Revenue Code	278
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$210.57
Rate for Payer: Aetna Commercial	$126.34
Rate for Payer: Aetna Medicare Advantage	$126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.39
Rate for Payer: Cigna Commercial	$210.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.92
Rate for Payer: Qualcare PPO/HMO/WC	$63.17

WIRE KIRSCHNER THREADED .045

Facility

$63.13

Service Code	HCPCS C1713
Hospital Charge Code	270615788
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KIRSCHNER THREADED .045

Facility

$63.13

Service Code	HCPCS C1713
Hospital Charge Code	270615788
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$31.57
Rate for Payer: Aetna Commercial	$18.94
Rate for Payer: Aetna Medicare Advantage	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.10
Rate for Payer: Cigna Commercial	$31.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE KLS STN STL 24G 01-003-07

Facility

$207.25

Hospital Charge Code	270612048
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$62.17
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE KLS STN STL 24G 01-003-07

Facility

$207.25

Hospital Charge Code	270612048
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE KLS STN STL 26G 01-003-05

Facility

$207.25

Hospital Charge Code	270612049
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE KLS STN STL 26G 01-003-05

Facility

$207.25

Hospital Charge Code	270612049
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$62.17
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

WIRE K SYN 1.25 150MM 492.12**

Facility

$18.00

Hospital Charge Code	1604024
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 1.25 150MM 492.12**

Facility

$18.00

Hospital Charge Code	1604024
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 1.6 150MM 492.16**

Facility

$18.00

Hospital Charge Code	1604016
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 1.6 150MM 492.16**

Facility

$18.00

Hospital Charge Code	1604016
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 2.0 150MM 492.20***

Facility

$18.00

Hospital Charge Code	1604008
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K SYN 2.0 150MM 492.20***

Facility

$18.00

Hospital Charge Code	1604008
Hospital Revenue Code	278
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

WIRE K TROCAR POINT BOTH ENDS

Facility

$31.25

Hospital Charge Code	270653113
Hospital Revenue Code	270
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

WIRE K TROCAR POINT BOTH ENDS

Facility

$31.25

Hospital Charge Code	270653113
Hospital Revenue Code	270
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$9.38
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.06
Rate for Payer: Oxford Commercial	$15.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Commercial	$15.62

WIRE K ZIM .032 .045 .062*****

Facility

$15.00

Hospital Charge Code	1601558
Hospital Revenue Code	278
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

Know your out-of-pocket cost for care.

All Charges