Heights University Hospital

All Charges

Charge

Type

Setting

Price

BLADE HELICAL 100M

Facility

$600.00

Hospital Charge Code	270682304
Hospital Revenue Code	272
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$300.00
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: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$300.00

BLADE HELICAL11.0X100 456305S

Facility

$2,177.50

Hospital Charge Code	270933466
Hospital Revenue Code	272
Min. Negotiated Rate	$326.62
Max. Negotiated Rate	$326.62
Rate for Payer: Qualcare PPO/HMO/WC	$326.62

BLADE HELICAL11.0X100 456305S

Facility

$2,177.50

Hospital Charge Code	270933466
Hospital Revenue Code	272
Min. Negotiated Rate	$283.07
Max. Negotiated Rate	$1,088.75
Rate for Payer: Aetna Commercial	$653.25
Rate for Payer: Aetna Medicare Advantage	$653.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.26
Rate for Payer: Cigna Commercial	$1,088.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.07
Rate for Payer: Oxford Commercial	$1,088.75
Rate for Payer: Qualcare PPO/HMO/WC	$326.62
Rate for Payer: UnitedHealthcare Commercial	$1,088.75

BLADE HELICAL 11X 105

Facility

$3,290.85

Hospital Charge Code	270679365
Hospital Revenue Code	272
Min. Negotiated Rate	$427.81
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$987.25
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.81
Rate for Payer: Oxford Commercial	$1,645.42
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$1,645.42

BLADE HELICAL 11X 105

Facility

$3,290.85

Hospital Charge Code	270679365
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE HELICAL 85 mm 11mm

Facility

$2,536.90

Hospital Charge Code	270679028
Hospital Revenue Code	272
Min. Negotiated Rate	$380.54
Max. Negotiated Rate	$380.54
Rate for Payer: Qualcare PPO/HMO/WC	$380.54

BLADE HELICAL 85 mm 11mm

Facility

$2,536.90

Hospital Charge Code	270679028
Hospital Revenue Code	272
Min. Negotiated Rate	$329.80
Max. Negotiated Rate	$1,268.45
Rate for Payer: Aetna Commercial	$761.07
Rate for Payer: Aetna Medicare Advantage	$761.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.91
Rate for Payer: Cigna Commercial	$1,268.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.80
Rate for Payer: Oxford Commercial	$1,268.45
Rate for Payer: Qualcare PPO/HMO/WC	$380.54
Rate for Payer: UnitedHealthcare Commercial	$1,268.45

BLADE HELICAL COUPLING SCREW

Facility

$3,139.45

Service Code	HCPCS C1713
Hospital Charge Code	270651556
Hospital Revenue Code	278
Min. Negotiated Rate	$470.92
Max. Negotiated Rate	$1,569.72
Rate for Payer: Aetna Commercial	$941.84
Rate for Payer: Aetna Medicare Advantage	$941.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$800.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$800.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$800.56
Rate for Payer: Cigna Commercial	$1,569.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.75
Rate for Payer: Qualcare PPO/HMO/WC	$470.92

BLADE HELICAL COUPLING SCREW

Facility

$3,139.45

Service Code	HCPCS C1713
Hospital Charge Code	270651556
Hospital Revenue Code	278
Min. Negotiated Rate	$470.92
Max. Negotiated Rate	$759.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.75
Rate for Payer: Qualcare PPO/HMO/WC	$470.92

BLADE HELICAL FENS x 85MM STER

Facility

$3,600.00

Hospital Charge Code	270681821
Hospital Revenue Code	272
Min. Negotiated Rate	$468.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,080.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.00
Rate for Payer: Oxford Commercial	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$1,800.00

BLADE HELICAL FENS x 85MM STER

Facility

$3,600.00

Hospital Charge Code	270681821
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

BLADE HELICAL TI 11.0x100mm

Facility

$2,743.90

Hospital Charge Code	270633466
Hospital Revenue Code	272
Min. Negotiated Rate	$356.71
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$823.17
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.71
Rate for Payer: Oxford Commercial	$1,371.95
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$1,371.95

BLADE HELICAL TI 11.0x100mm

Facility

$2,743.90

Hospital Charge Code	270633466
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x105mm

Facility

$2,664.00

Hospital Charge Code	270656595
Hospital Revenue Code	272
Min. Negotiated Rate	$346.32
Max. Negotiated Rate	$1,332.00
Rate for Payer: Aetna Commercial	$799.20
Rate for Payer: Aetna Medicare Advantage	$799.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.32
Rate for Payer: Cigna Commercial	$1,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.32
Rate for Payer: Oxford Commercial	$1,332.00
Rate for Payer: Qualcare PPO/HMO/WC	$399.60
Rate for Payer: UnitedHealthcare Commercial	$1,332.00

BLADE HELICAL TI 11.0x105mm

Facility

$2,664.00

Hospital Charge Code	270656595
Hospital Revenue Code	272
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

BLADE HELICAL TI 11.0x110mm

Facility

$2,743.90

Hospital Charge Code	270646464
Hospital Revenue Code	272
Min. Negotiated Rate	$356.71
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$823.17
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.71
Rate for Payer: Oxford Commercial	$1,371.95
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$1,371.95

BLADE HELICAL TI 11.0x110mm

Facility

$2,743.90

Hospital Charge Code	270646464
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x115mm

Facility

$2,664.00

Hospital Charge Code	270664459
Hospital Revenue Code	272
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

BLADE HELICAL TI 11.0x115mm

Facility

$2,664.00

Hospital Charge Code	270664459
Hospital Revenue Code	272
Min. Negotiated Rate	$346.32
Max. Negotiated Rate	$1,332.00
Rate for Payer: Aetna Commercial	$799.20
Rate for Payer: Aetna Medicare Advantage	$799.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.32
Rate for Payer: Cigna Commercial	$1,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.32
Rate for Payer: Oxford Commercial	$1,332.00
Rate for Payer: Qualcare PPO/HMO/WC	$399.60
Rate for Payer: UnitedHealthcare Commercial	$1,332.00

BLADE HELICAL TI 11.0x85mm

Facility

$2,664.00

Hospital Charge Code	270656670
Hospital Revenue Code	272
Min. Negotiated Rate	$346.32
Max. Negotiated Rate	$1,332.00
Rate for Payer: Aetna Commercial	$799.20
Rate for Payer: Aetna Medicare Advantage	$799.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.32
Rate for Payer: Cigna Commercial	$1,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.32
Rate for Payer: Oxford Commercial	$1,332.00
Rate for Payer: Qualcare PPO/HMO/WC	$399.60
Rate for Payer: UnitedHealthcare Commercial	$1,332.00

BLADE HELICAL TI 11.0x85mm

Facility

$2,664.00

Hospital Charge Code	270656670
Hospital Revenue Code	272
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

BLADE HELICAL TI 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.02
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$823.17
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.02
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
Hospital Revenue Code	272
Min. Negotiated Rate	$356.71
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$823.17
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.71
Rate for Payer: Oxford Commercial	$1,371.95
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$1,371.95

BLADE HELICAL TI 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

Know your out-of-pocket cost for care.

All Charges