Heights University Hospital

All Charges

Charge

Type

Setting

Price

BMAC

Facility

$4,900.00

Hospital Charge Code	270686678
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

BMAC

Facility

$4,900.00

Hospital Charge Code	270686678
Hospital Revenue Code	272
Min. Negotiated Rate	$637.00
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,470.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.00
Rate for Payer: Oxford Commercial	$2,450.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$2,450.00

BME ELITE 5 X 15 X15

Facility

$6,822.35

Service Code	HCPCS C1713
Hospital Charge Code	270689663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,023.35
Max. Negotiated Rate	$1,651.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,364.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.35

BME ELITE 5 X 15 X15

Facility

$6,822.35

Service Code	HCPCS C1713
Hospital Charge Code	270689663
Hospital Revenue Code	278
Min. Negotiated Rate	$1,023.35
Max. Negotiated Rate	$3,411.18
Rate for Payer: Aetna Commercial	$2,046.70
Rate for Payer: Aetna Medicare Advantage	$2,046.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,739.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,739.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,364.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,739.70
Rate for Payer: Cigna Commercial	$3,411.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.01
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.35

BMT 360 TIB AUG 67 X 10MM

Facility

$5,670.00

Service Code	HCPCS C1776
Hospital Charge Code	270687530
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$2,835.00
Rate for Payer: Aetna Commercial	$1,701.00
Rate for Payer: Aetna Medicare Advantage	$1,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,445.85
Rate for Payer: Cigna Commercial	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

BMT 360 TIB AUG 67 X 10MM

Facility

$5,670.00

Service Code	HCPCS C1776
Hospital Charge Code	270687530
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$1,372.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

BMT 360 TIB AUG 71 X 10MM

Facility

$5,670.00

Service Code	HCPCS C1776
Hospital Charge Code	270687271
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$2,835.00
Rate for Payer: Aetna Commercial	$1,701.00
Rate for Payer: Aetna Medicare Advantage	$1,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,445.85
Rate for Payer: Cigna Commercial	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

BMT 360 TIB AUG 71 X 10MM

Facility

$5,670.00

Service Code	HCPCS C1776
Hospital Charge Code	270687271
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$1,372.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

BMT 360 TIB TRAY 67MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270687529
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

BMT 360 TIB TRAY 67MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270687529
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$4,248.00
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

BMT 360 TIOB TRAY 71MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270687272
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

BMT 360 TIOB TRAY 71MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270687272
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$4,248.00
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

BMT SMOOTH KNEE STM 14X120

Facility

$7,620.00

Service Code	HCPCS C1776
Hospital Charge Code	270679804
Hospital Revenue Code	278
Min. Negotiated Rate	$1,143.00
Max. Negotiated Rate	$1,844.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,524.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,844.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.00

BMT SMOOTH KNEE STM 14X120

Facility

$7,620.00

Service Code	HCPCS C1776
Hospital Charge Code	270679804
Hospital Revenue Code	278
Min. Negotiated Rate	$1,143.00
Max. Negotiated Rate	$3,810.00
Rate for Payer: Aetna Commercial	$2,286.00
Rate for Payer: Aetna Medicare Advantage	$2,286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,943.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,943.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,524.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,943.10
Rate for Payer: Cigna Commercial	$3,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,844.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.00

BMT SMOTH KNEE STM

Facility

$7,620.00

Service Code	HCPCS C1776
Hospital Charge Code	270684252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,143.00
Max. Negotiated Rate	$1,844.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,524.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,844.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.00

BMT SMOTH KNEE STM

Facility

$7,620.00

Service Code	HCPCS C1776
Hospital Charge Code	270684252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,143.00
Max. Negotiated Rate	$3,810.00
Rate for Payer: Aetna Commercial	$2,286.00
Rate for Payer: Aetna Medicare Advantage	$2,286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,943.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,943.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,524.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,943.10
Rate for Payer: Cigna Commercial	$3,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,844.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.00

BMW II ANGIOPLASTY WIRE

Facility

$375.00

Hospital Charge Code	2709006286
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BMW II ANGIOPLASTY WIRE

Facility

$375.00

Hospital Charge Code	2709006286
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

BN GFT OSTEOLINK STR 50X10X7MM

Facility

$13,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270699028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,036.25
Max. Negotiated Rate	$6,787.50
Rate for Payer: Aetna Commercial	$4,072.50
Rate for Payer: Aetna Medicare Advantage	$4,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,461.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,461.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,461.62
Rate for Payer: Cigna Commercial	$6,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,285.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,036.25

BN GFT OSTEOLINK STR 50X10X7MM

Facility

$13,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270699028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,036.25
Max. Negotiated Rate	$3,285.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,285.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,036.25

BNP

Facility

$240.40

Service Code	HCPCS 83880
Hospital Charge Code	38476795
Hospital Revenue Code	301
Min. Negotiated Rate	$36.06
Max. Negotiated Rate	$36.06
Rate for Payer: Qualcare PPO/HMO/WC	$36.06

BNP

Facility

$240.40

Service Code	HCPCS 83880
Hospital Charge Code	38476795
Hospital Revenue Code	301
Min. Negotiated Rate	$19.63
Max. Negotiated Rate	$143.85
Rate for Payer: Aetna Commercial	$127.20
Rate for Payer: Aetna Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.85
Rate for Payer: Cigna Commercial	$39.26
Rate for Payer: Cigna Medicare Advantage	$19.63
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.06
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$41.62
Rate for Payer: Wellcare Medicare Advantage	$39.26

BOARD SPECIMEN LOCAL

Facility

$100.00

Hospital Charge Code	270601221
Hospital Revenue Code	270
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

BOARD SPECIMEN LOCAL

Facility

$100.00

Hospital Charge Code	270601221
Hospital Revenue Code	270
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

BOBCOCK GRASPER 10 MM

Facility

$1,276.31

Hospital Charge Code	270669360
Hospital Revenue Code	272
Min. Negotiated Rate	$191.45
Max. Negotiated Rate	$191.45
Rate for Payer: Qualcare PPO/HMO/WC	$191.45

Know your out-of-pocket cost for care.

All Charges