Heights University Hospital

All Charges

Charge

Type

Setting

Price

BONE CHIPS CANCELLOUS 30CC 4MM

Facility

$2,800.00

Hospital Charge Code	270673970
Hospital Revenue Code	272
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

BONE CHIPS CANCELLOUS 5CC

Facility

$670.00

Hospital Charge Code	270673108
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$201.00
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

BONE CHIPS CANCELLOUS 5CC

Facility

$670.00

Hospital Charge Code	270673108
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

BONE CLAMP W MARKER-MEDIUM

Facility

$7,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270698381
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$3,712.50
Rate for Payer: Aetna Commercial	$2,227.50
Rate for Payer: Aetna Medicare Advantage	$2,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,893.38
Rate for Payer: Cigna Commercial	$3,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

BONE CLAMP W MARKER-MEDIUM

Facility

$7,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270698381
Hospital Revenue Code	278
Min. Negotiated Rate	$1,113.75
Max. Negotiated Rate	$1,796.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,796.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,113.75

BONE CORTICAL CANC CHIPS 15CC

Facility

$1,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270673112
Hospital Revenue Code	278
Min. Negotiated Rate	$233.25
Max. Negotiated Rate	$376.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.31
Rate for Payer: Qualcare PPO/HMO/WC	$233.25

BONE CORTICAL CANC CHIPS 15CC

Facility

$1,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270673112
Hospital Revenue Code	278
Min. Negotiated Rate	$233.25
Max. Negotiated Rate	$777.50
Rate for Payer: Aetna Commercial	$466.50
Rate for Payer: Aetna Medicare Advantage	$466.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.52
Rate for Payer: Cigna Commercial	$777.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.31
Rate for Payer: Qualcare PPO/HMO/WC	$233.25

BONE CORTICAL CANC CRUSH 15CC

Facility

$1,245.00

Service Code	HCPCS C1713
Hospital Charge Code	270673111
Hospital Revenue Code	278
Min. Negotiated Rate	$186.75
Max. Negotiated Rate	$301.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.29
Rate for Payer: Qualcare PPO/HMO/WC	$186.75

BONE CORTICAL CANC CRUSH 15CC

Facility

$1,245.00

Service Code	HCPCS C1713
Hospital Charge Code	270673111
Hospital Revenue Code	278
Min. Negotiated Rate	$186.75
Max. Negotiated Rate	$622.50
Rate for Payer: Aetna Commercial	$373.50
Rate for Payer: Aetna Medicare Advantage	$373.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.48
Rate for Payer: Cigna Commercial	$622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.29
Rate for Payer: Qualcare PPO/HMO/WC	$186.75

BONE CRUSH CANCELLOUS 15CC

Facility

$1,890.00

Hospital Charge Code	270673110
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$457.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

BONE CRUSH CANCELLOUS 15CC

Facility

$1,890.00

Hospital Charge Code	270673110
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$567.00
Rate for Payer: Aetna Medicare Advantage	$567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.95
Rate for Payer: Cigna Commercial	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

BONE CUBE CONFORM 13MM

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665054
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$871.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

BONE CUBE CONFORM 13MM

Facility

$3,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270665054
Hospital Revenue Code	278
Min. Negotiated Rate	$540.00
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) NJ Health	$720.00
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	$871.20
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

BONE CUTTER 4 MM X 13 CM

Facility

$330.00

Hospital Charge Code	270688459
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

BONE CUTTER 4 MM X 13 CM

Facility

$330.00

Hospital Charge Code	270688459
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

BONE CUTTER HL 4.2 MM x 19 CM

Facility

$330.00

Hospital Charge Code	270681363
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

BONE CUTTER HL 4.2 MM x 19 CM

Facility

$330.00

Hospital Charge Code	270681363
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

BONE CUTTER TUBESET

Facility

$250.00

Hospital Charge Code	270663411
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

BONE CUTTER TUBESET

Facility

$250.00

Hospital Charge Code	270663411
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

BONE DEMINERALIZED BONE PUTT

Facility

$1,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270655823
Hospital Revenue Code	278
Min. Negotiated Rate	$190.50
Max. Negotiated Rate	$307.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.34
Rate for Payer: Qualcare PPO/HMO/WC	$190.50

BONE DEMINERALIZED BONE PUTT

Facility

$1,270.00

Service Code	HCPCS C1713
Hospital Charge Code	270655823
Hospital Revenue Code	278
Min. Negotiated Rate	$190.50
Max. Negotiated Rate	$635.00
Rate for Payer: Aetna Commercial	$381.00
Rate for Payer: Aetna Medicare Advantage	$381.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$323.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$323.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$323.85
Rate for Payer: Cigna Commercial	$635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.34
Rate for Payer: Qualcare PPO/HMO/WC	$190.50

BONE DENSI DEXA AXIAL SKELETON

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709002
Hospital Revenue Code	320
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$235.78
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

BONE DENSI DEXA AXIAL SKELETON

Facility

$1,571.90

Service Code	HCPCS 77080
Hospital Charge Code	2709002
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,489.00
Rate for Payer: Aetna Commercial	$471.57
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.35
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

BONE DENSITY

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	94061199
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

BONE DENSITY

Facility

$5,100.00

Service Code	HCPCS 77080
Hospital Charge Code	94061199
Hospital Revenue Code	320
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$1,530.00
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	$121.55
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: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00

Know your out-of-pocket cost for care.

All Charges