Heights University Hospital

All Charges

Charge

Type

Setting

Price

WIRE PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$109.39
Max. Negotiated Rate	$364.62
Rate for Payer: Aetna Commercial	$218.78
Rate for Payer: Aetna Medicare Advantage	$218.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.96
Rate for Payer: Cigna Commercial	$364.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: Qualcare PPO/HMO/WC	$109.39

WIRE PLATE REDUCTN 1.25x150MM

Facility

$751.15

Service Code	HCPCS C1713
Hospital Charge Code	270645541
Hospital Revenue Code	278
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$225.34
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.78
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

WIRE PLATE REDUCTN 1.25x150MM

Facility

$751.15

Service Code	HCPCS C1713
Hospital Charge Code	270645541
Hospital Revenue Code	278
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.78
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

WIRE POSER CRONIOTOME

Facility

$600.00

Hospital Charge Code	270664476
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

WIRE POSER CRONIOTOME

Facility

$600.00

Hospital Charge Code	270664476
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

WIRE POST 4 HOLE

Facility

$1,101.20

Service Code	HCPCS C1713
Hospital Charge Code	270683955
Hospital Revenue Code	278
Min. Negotiated Rate	$165.18
Max. Negotiated Rate	$550.60
Rate for Payer: Aetna Commercial	$330.36
Rate for Payer: Aetna Medicare Advantage	$330.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.81
Rate for Payer: Cigna Commercial	$550.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Qualcare PPO/HMO/WC	$165.18

WIRE POST 4 HOLE

Facility

$1,101.20

Service Code	HCPCS C1713
Hospital Charge Code	270683955
Hospital Revenue Code	278
Min. Negotiated Rate	$165.18
Max. Negotiated Rate	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Qualcare PPO/HMO/WC	$165.18

WIRE POST TALL

Facility

$991.90

Hospital Charge Code	270678085
Hospital Revenue Code	278
Min. Negotiated Rate	$148.78
Max. Negotiated Rate	$240.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.04
Rate for Payer: Qualcare PPO/HMO/WC	$148.78

WIRE POST TALL

Facility

$991.90

Hospital Charge Code	270678085
Hospital Revenue Code	278
Min. Negotiated Rate	$148.78
Max. Negotiated Rate	$495.95
Rate for Payer: Aetna Commercial	$297.57
Rate for Payer: Aetna Medicare Advantage	$297.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.93
Rate for Payer: Cigna Commercial	$495.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.04
Rate for Payer: Qualcare PPO/HMO/WC	$148.78

WIRE PRECUT .05 X 24 G

Facility

$540.00

Hospital Charge Code	270666929
Hospital Revenue Code	272
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.20
Rate for Payer: Oxford Commercial	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$270.00

WIRE PRECUT .05 X 24 G

Facility

$540.00

Hospital Charge Code	270666929
Hospital Revenue Code	272
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

WIRE PROSTR INF 12x145 4127401

Facility

$1,029.00

Service Code	HCPCS C1769
Hospital Charge Code	270637236
Hospital Revenue Code	278
Min. Negotiated Rate	$154.35
Max. Negotiated Rate	$514.50
Rate for Payer: Aetna Commercial	$308.70
Rate for Payer: Aetna Medicare Advantage	$308.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.39
Rate for Payer: Cigna Commercial	$514.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.02
Rate for Payer: Qualcare PPO/HMO/WC	$154.35

WIRE PROSTR INF 12x145 4127401

Facility

$1,029.00

Service Code	HCPCS C1769
Hospital Charge Code	270637236
Hospital Revenue Code	278
Min. Negotiated Rate	$154.35
Max. Negotiated Rate	$249.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.02
Rate for Payer: Qualcare PPO/HMO/WC	$154.35

WIRE PVASC 40x22x200

Facility

$19,975.00

Hospital Charge Code	270705436
Hospital Revenue Code	279
Min. Negotiated Rate	$2,596.75
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,596.75
Rate for Payer: Oxford Commercial	$9,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$9,987.50

WIRE PVASC 40x22x200

Facility

$19,975.00

Hospital Charge Code	270705436
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 40x30x200

Facility

$19,975.00

Hospital Charge Code	270705437
Hospital Revenue Code	279
Min. Negotiated Rate	$2,596.75
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,596.75
Rate for Payer: Oxford Commercial	$9,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$9,987.50

WIRE PVASC 40x30x200

Facility

$19,975.00

Hospital Charge Code	270705437
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 40x38x200

Facility

$19,975.00

Hospital Charge Code	270705438
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 40x38x200

Facility

$19,975.00

Hospital Charge Code	270705438
Hospital Revenue Code	279
Min. Negotiated Rate	$2,596.75
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,596.75
Rate for Payer: Oxford Commercial	$9,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$9,987.50

WIRE PVASC 60x44x200

Facility

$19,975.00

Hospital Charge Code	270705439
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 60x44x200

Facility

$19,975.00

Hospital Charge Code	270705439
Hospital Revenue Code	279
Min. Negotiated Rate	$2,596.75
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,596.75
Rate for Payer: Oxford Commercial	$9,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$9,987.50

WIRE REDUCTION 1.8MM

Facility

$1,094.05

Service Code	HCPCS C1713
Hospital Charge Code	270691907
Hospital Revenue Code	278
Min. Negotiated Rate	$164.11
Max. Negotiated Rate	$264.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.76
Rate for Payer: Qualcare PPO/HMO/WC	$164.11

WIRE REDUCTION 1.8MM

Facility

$1,094.05

Service Code	HCPCS C1713
Hospital Charge Code	270691907
Hospital Revenue Code	278
Min. Negotiated Rate	$164.11
Max. Negotiated Rate	$547.02
Rate for Payer: Aetna Commercial	$328.21
Rate for Payer: Aetna Medicare Advantage	$328.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.98
Rate for Payer: Cigna Commercial	$547.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.76
Rate for Payer: Qualcare PPO/HMO/WC	$164.11

WIRE REDUCTION 1.8MM D 400mm L

Facility

$1,091.65

Hospital Charge Code	270681238
Hospital Revenue Code	272
Min. Negotiated Rate	$141.91
Max. Negotiated Rate	$545.83
Rate for Payer: Aetna Commercial	$327.50
Rate for Payer: Aetna Medicare Advantage	$327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$278.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$278.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$278.37
Rate for Payer: Cigna Commercial	$545.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.91
Rate for Payer: Oxford Commercial	$545.83
Rate for Payer: Qualcare PPO/HMO/WC	$163.75
Rate for Payer: UnitedHealthcare Commercial	$545.83

WIRE REDUCTION 1.8MM D 400mm L

Facility

$1,091.65

Hospital Charge Code	270681238
Hospital Revenue Code	272
Min. Negotiated Rate	$163.75
Max. Negotiated Rate	$163.75
Rate for Payer: Qualcare PPO/HMO/WC	$163.75

Know your out-of-pocket cost for care.

All Charges