Heights University Hospital

All Charges

Charge

Type

Setting

Price

BONE AWL 45 DEGREE

Facility

$2,266.05

Hospital Charge Code	270683647
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 90 DEGREEE

Facility

$2,266.05

Hospital Charge Code	270683648
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 90 DEGREEE

Facility

$2,266.05

Hospital Charge Code	270683648
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 BIOPSY SET 10.8 G03385

Facility

$1,625.00

Hospital Charge Code	270627836
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

BONE BIOPSY SET 10.8 G03385

Facility

$1,625.00

Hospital Charge Code	270627836
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

BONE BIOPSY SET 18.3 CM G03386

Facility

$1,625.00

Hospital Charge Code	270627835
Hospital Revenue Code	272
Min. Negotiated Rate	$211.25
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.25
Rate for Payer: Oxford Commercial	$812.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$812.50

BONE BIOPSY SET 18.3 CM G03386

Facility

$1,625.00

Hospital Charge Code	270627835
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

BONE BX TR/NDL; SUPERF

Facility

$6,876.40

Service Code	HCPCS 20220
Hospital Charge Code	16000299
Hospital Revenue Code	360
Min. Negotiated Rate	$1,031.46
Max. Negotiated Rate	$1,031.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.46

BONE BX TR/NDL; SUPERF

Facility

$6,876.40

Service Code	HCPCS 20220
Hospital Charge Code	16000299
Hospital Revenue Code	360
Min. Negotiated Rate	$893.93
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,062.92
Rate for Payer: Aetna Medicare Advantage	$2,062.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,753.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,753.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,753.48
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$893.93
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.46
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

BONE CEMENT 10CC STABILIT

Facility

$803.23

Hospital Charge Code	270670676
Hospital Revenue Code	272
Min. Negotiated Rate	$104.42
Max. Negotiated Rate	$401.62
Rate for Payer: Aetna Commercial	$240.97
Rate for Payer: Aetna Medicare Advantage	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.82
Rate for Payer: Cigna Commercial	$401.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.42
Rate for Payer: Oxford Commercial	$401.62
Rate for Payer: Qualcare PPO/HMO/WC	$120.48
Rate for Payer: UnitedHealthcare Commercial	$401.62

BONE CEMENT 10CC STABILIT

Facility

$803.23

Hospital Charge Code	270670676
Hospital Revenue Code	272
Min. Negotiated Rate	$120.48
Max. Negotiated Rate	$120.48
Rate for Payer: Qualcare PPO/HMO/WC	$120.48

BONE CEMENT 40G SIMPLEX SPDSET

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270673761
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$177.50
Rate for Payer: Aetna Commercial	$106.50
Rate for Payer: Aetna Medicare Advantage	$106.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.53
Rate for Payer: Cigna Commercial	$177.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

BONE CEMENT 40G SIMPLEX SPDSET

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270673761
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$85.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

BONE CEMENT 40G SIMPLEX SPDSET

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	270673760
Hospital Revenue Code	278
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$94.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BONE CEMENT 40G SIMPLEX SPDSET

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	270673760
Hospital Revenue Code	278
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BONE CEMENT HIGH VIS

Facility

$650.00

Hospital Charge Code	270651645
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

BONE CEMENT HIGH VIS

Facility

$650.00

Hospital Charge Code	270651645
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

BONE CEMENT MIXER MIXEVAC 3

Facility

$332.20

Hospital Charge Code	270668624
Hospital Revenue Code	272
Min. Negotiated Rate	$49.83
Max. Negotiated Rate	$49.83
Rate for Payer: Qualcare PPO/HMO/WC	$49.83

BONE CEMENT MIXER MIXEVAC 3

Facility

$332.20

Hospital Charge Code	270668624
Hospital Revenue Code	272
Min. Negotiated Rate	$43.19
Max. Negotiated Rate	$166.10
Rate for Payer: Aetna Commercial	$99.66
Rate for Payer: Aetna Medicare Advantage	$99.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.71
Rate for Payer: Cigna Commercial	$166.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.19
Rate for Payer: Oxford Commercial	$166.10
Rate for Payer: Qualcare PPO/HMO/WC	$49.83
Rate for Payer: UnitedHealthcare Commercial	$166.10

BONE CEMENT SAT MIXING SYS

Facility

$3,318.00

Hospital Charge Code	270670685
Hospital Revenue Code	272
Min. Negotiated Rate	$431.34
Max. Negotiated Rate	$1,659.00
Rate for Payer: Aetna Commercial	$995.40
Rate for Payer: Aetna Medicare Advantage	$995.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$846.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$846.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$846.09
Rate for Payer: Cigna Commercial	$1,659.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.34
Rate for Payer: Oxford Commercial	$1,659.00
Rate for Payer: Qualcare PPO/HMO/WC	$497.70
Rate for Payer: UnitedHealthcare Commercial	$1,659.00

BONE CEMENT SAT MIXING SYS

Facility

$3,318.00

Hospital Charge Code	270670685
Hospital Revenue Code	272
Min. Negotiated Rate	$497.70
Max. Negotiated Rate	$497.70
Rate for Payer: Qualcare PPO/HMO/WC	$497.70

BONE CEMENT SAT MIXING SYS 7CC

Facility

$3,505.00

Hospital Charge Code	270670688
Hospital Revenue Code	272
Min. Negotiated Rate	$525.75
Max. Negotiated Rate	$525.75
Rate for Payer: Qualcare PPO/HMO/WC	$525.75

BONE CEMENT SAT MIXING SYS 7CC

Facility

$3,505.00

Hospital Charge Code	270670688
Hospital Revenue Code	272
Min. Negotiated Rate	$455.65
Max. Negotiated Rate	$1,752.50
Rate for Payer: Aetna Commercial	$1,051.50
Rate for Payer: Aetna Medicare Advantage	$1,051.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.77
Rate for Payer: Cigna Commercial	$1,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.65
Rate for Payer: Oxford Commercial	$1,752.50
Rate for Payer: Qualcare PPO/HMO/WC	$525.75
Rate for Payer: UnitedHealthcare Commercial	$1,752.50

BONE CEMENT SIMPLEX FULL DOSE

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270651646
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$177.50
Rate for Payer: Aetna Commercial	$106.50
Rate for Payer: Aetna Medicare Advantage	$106.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.53
Rate for Payer: Cigna Commercial	$177.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

BONE CEMENT SIMPLEX FULL DOSE

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	270672934
Hospital Revenue Code	278
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges