Heights University Hospital

All Charges

Charge

Type

Setting

Price

BOLT SYN LOCK 4.9 38MM 459.38S

Facility

$668.85

Hospital Charge Code	270627053
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$334.43
Rate for Payer: Aetna Commercial	$200.66
Rate for Payer: Aetna Medicare Advantage	$200.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.56
Rate for Payer: Cigna Commercial	$334.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

BOLT SYN LOCK 4.9 38MM 459.38S

Facility

$668.85

Hospital Charge Code	270627053
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$161.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

BOLT SYN LOCK 4.9 46MM 459.46S

Facility

$918.45

Hospital Charge Code	270612126
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$222.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT SYN LOCK 4.9 46MM 459.46S

Facility

$918.45

Hospital Charge Code	270612126
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$459.23
Rate for Payer: Aetna Commercial	$275.54
Rate for Payer: Aetna Medicare Advantage	$275.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.20
Rate for Payer: Cigna Commercial	$459.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT SYN LOCK 4.9 48MM 459.48S

Facility

$918.45

Hospital Charge Code	270612127
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$222.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT SYN LOCK 4.9 48MM 459.48S

Facility

$918.45

Hospital Charge Code	270612127
Hospital Revenue Code	278
Min. Negotiated Rate	$137.77
Max. Negotiated Rate	$459.23
Rate for Payer: Aetna Commercial	$275.54
Rate for Payer: Aetna Medicare Advantage	$275.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.20
Rate for Payer: Cigna Commercial	$459.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.26
Rate for Payer: Qualcare PPO/HMO/WC	$137.77

BOLT Ti LOCKNG 5.0x58 33345460

Facility

$793.65

Hospital Charge Code	270632107
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

BOLT Ti LOCKNG 5.0x58 33345460

Facility

$793.65

Hospital Charge Code	270632107
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$238.09
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$33.18
Max. Negotiated Rate	$33.18
Rate for Payer: Qualcare PPO/HMO/WC	$33.18

BOLT WIRED T/SLOTTED

Facility

$221.20

Hospital Charge Code	270681229
Hospital Revenue Code	272
Min. Negotiated Rate	$28.76
Max. Negotiated Rate	$110.60
Rate for Payer: Aetna Commercial	$66.36
Rate for Payer: Aetna Medicare Advantage	$66.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.41
Rate for Payer: Cigna Commercial	$110.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.76
Rate for Payer: Oxford Commercial	$110.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.18
Rate for Payer: UnitedHealthcare Commercial	$110.60

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$26.69
Max. Negotiated Rate	$102.65
Rate for Payer: Aetna Commercial	$61.59
Rate for Payer: Aetna Medicare Advantage	$61.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.35
Rate for Payer: Cigna Commercial	$102.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.69
Rate for Payer: Oxford Commercial	$102.65
Rate for Payer: Qualcare PPO/HMO/WC	$30.80
Rate for Payer: UnitedHealthcare Commercial	$102.65

BOLT WIRE OFFSET 0 DEGREE

Facility

$205.30

Hospital Charge Code	270683951
Hospital Revenue Code	272
Min. Negotiated Rate	$30.80
Max. Negotiated Rate	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$30.80

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$378.00
Max. Negotiated Rate	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00

BONE ACCESS OSTEOCOOL

Facility

$2,520.00

Hospital Charge Code	270691563
Hospital Revenue Code	272
Min. Negotiated Rate	$327.60
Max. Negotiated Rate	$1,260.00
Rate for Payer: Aetna Commercial	$756.00
Rate for Payer: Aetna Medicare Advantage	$756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.60
Rate for Payer: Cigna Commercial	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.60
Rate for Payer: Oxford Commercial	$1,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00
Rate for Payer: UnitedHealthcare Commercial	$1,260.00

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BONE AGE

Facility

$5,100.00

Service Code	HCPCS 77072
Hospital Charge Code	94061193
Hospital Revenue Code	320
Min. Negotiated Rate	$30.01
Max. Negotiated Rate	$1,530.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: Aetna Better Health Medicaid	$399.88
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ANCHORS 3 W ARTHR DEL SYS

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687115
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ANCHORS 3 W ARTHRO DEL SY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270688655
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ANCHORS 3 W ARTHRO DEL SY

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270688655
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

BONE ASP NEEDLE

Facility

$875.00

Hospital Charge Code	270703140
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BONE ASP NEEDLE

Facility

$875.00

Hospital Charge Code	270703140
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BONE AWL 30 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683646
Hospital Revenue Code	272
Min. Negotiated Rate	$339.91
Max. Negotiated Rate	$339.91
Rate for Payer: Qualcare PPO/HMO/WC	$339.91

BONE AWL 30 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683646
Hospital Revenue Code	272
Min. Negotiated Rate	$294.59
Max. Negotiated Rate	$1,133.03
Rate for Payer: Aetna Commercial	$679.82
Rate for Payer: Aetna Medicare Advantage	$679.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.84
Rate for Payer: Cigna Commercial	$1,133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$294.59
Rate for Payer: Oxford Commercial	$1,133.03
Rate for Payer: Qualcare PPO/HMO/WC	$339.91
Rate for Payer: UnitedHealthcare Commercial	$1,133.03

BONE AWL 45 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683647
Hospital Revenue Code	272
Min. Negotiated Rate	$294.59
Max. Negotiated Rate	$1,133.03
Rate for Payer: Aetna Commercial	$679.82
Rate for Payer: Aetna Medicare Advantage	$679.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$577.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$577.84
Rate for Payer: Cigna Commercial	$1,133.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$294.59
Rate for Payer: Oxford Commercial	$1,133.03
Rate for Payer: Qualcare PPO/HMO/WC	$339.91
Rate for Payer: UnitedHealthcare Commercial	$1,133.03

Know your out-of-pocket cost for care.

All Charges