Heights University Hospital

All Charges

Charge

Type

Setting

Price

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.30

Hospital Charge Code	270670534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$2,905.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

BONE MATRIX ALLOGRAFT 10CC

Facility

$12,006.25

Hospital Charge Code	270680534
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$2,905.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,401.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,905.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.94

BONE MATRIX ALLOGRAFT 1CC

Facility

$1,200.00

Service Code	HCPCS C1762
Hospital Charge Code	270673101
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

BONE MATRIX ALLOGRAFT 1CC

Facility

$1,200.00

Service Code	HCPCS C1762
Hospital Charge Code	270673101
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

BONE MATRIX ALLOGRAFT 20CC

Facility

$21,335.00

Hospital Charge Code	270670533
Hospital Revenue Code	278
Min. Negotiated Rate	$3,200.25
Max. Negotiated Rate	$5,163.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,163.07
Rate for Payer: Qualcare PPO/HMO/WC	$3,200.25

BONE MATRIX ALLOGRAFT 20CC

Facility

$21,335.00

Hospital Charge Code	270670533
Hospital Revenue Code	278
Min. Negotiated Rate	$3,200.25
Max. Negotiated Rate	$10,667.50
Rate for Payer: Aetna Commercial	$6,400.50
Rate for Payer: Aetna Medicare Advantage	$6,400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,440.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,440.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,440.43
Rate for Payer: Cigna Commercial	$10,667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,163.07
Rate for Payer: Qualcare PPO/HMO/WC	$3,200.25

BONE MATRIX ALLOGRAFT 2CC RT

Facility

$2,362.50

Hospital Charge Code	270674031
Hospital Revenue Code	278
Min. Negotiated Rate	$354.38
Max. Negotiated Rate	$1,181.25
Rate for Payer: Aetna Commercial	$708.75
Rate for Payer: Aetna Medicare Advantage	$708.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$602.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$602.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$602.44
Rate for Payer: Cigna Commercial	$1,181.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.73
Rate for Payer: Qualcare PPO/HMO/WC	$354.38

BONE MATRIX ALLOGRAFT 2CC RT

Facility

$2,362.50

Hospital Charge Code	270674031
Hospital Revenue Code	278
Min. Negotiated Rate	$354.38
Max. Negotiated Rate	$571.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.73
Rate for Payer: Qualcare PPO/HMO/WC	$354.38

BONE MATRIX ALLOGRAFT 5CC

Facility

$6,318.75

Service Code	HCPCS C1713
Hospital Charge Code	270675888
Hospital Revenue Code	278
Min. Negotiated Rate	$947.81
Max. Negotiated Rate	$3,159.38
Rate for Payer: Aetna Commercial	$1,895.62
Rate for Payer: Aetna Medicare Advantage	$1,895.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,611.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,611.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,611.28
Rate for Payer: Cigna Commercial	$3,159.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,529.14
Rate for Payer: Qualcare PPO/HMO/WC	$947.81

BONE MATRIX ALLOGRAFT 5CC

Facility

$6,318.75

Service Code	HCPCS C1713
Hospital Charge Code	270675888
Hospital Revenue Code	278
Min. Negotiated Rate	$947.81
Max. Negotiated Rate	$1,529.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,263.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,529.14
Rate for Payer: Qualcare PPO/HMO/WC	$947.81

BONE MATRIX BIO4 5CC

Facility

$11,254.50

Service Code	HCPCS C1713
Hospital Charge Code	270692780
Hospital Revenue Code	278
Min. Negotiated Rate	$1,688.17
Max. Negotiated Rate	$2,723.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,723.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.17

BONE MATRIX BIO4 5CC

Facility

$11,254.50

Service Code	HCPCS C1713
Hospital Charge Code	270692780
Hospital Revenue Code	278
Min. Negotiated Rate	$1,688.17
Max. Negotiated Rate	$5,627.25
Rate for Payer: Aetna Commercial	$3,376.35
Rate for Payer: Aetna Medicare Advantage	$3,376.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,869.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,869.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,869.90
Rate for Payer: Cigna Commercial	$5,627.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,723.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.17

BONE MATRIX GEL 10CC

Facility

$9,375.00

Hospital Charge Code	270672815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$4,687.50
Rate for Payer: Aetna Commercial	$2,812.50
Rate for Payer: Aetna Medicare Advantage	$2,812.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,390.62
Rate for Payer: Cigna Commercial	$4,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,268.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BONE MATRIX GEL 10CC

Facility

$9,375.00

Hospital Charge Code	270672815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$2,268.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,268.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BONE MILL BLADES MEDIUM

Facility

$2,000.00

Hospital Charge Code	270673057
Hospital Revenue Code	270
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

BONE MILL BLADES MEDIUM

Facility

$2,000.00

Hospital Charge Code	270673057
Hospital Revenue Code	270
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00

BONE NUT EXTERNAL FIXAT

Facility

$416.35

Hospital Charge Code	270693745
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$208.18
Rate for Payer: Aetna Commercial	$124.91
Rate for Payer: Aetna Medicare Advantage	$124.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.17
Rate for Payer: Cigna Commercial	$208.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.13
Rate for Payer: Oxford Commercial	$208.18
Rate for Payer: Qualcare PPO/HMO/WC	$62.45
Rate for Payer: UnitedHealthcare Commercial	$208.18

BONE NUT EXTERNAL FIXAT

Facility

$416.35

Hospital Charge Code	270693745
Hospital Revenue Code	272
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$62.45
Rate for Payer: Qualcare PPO/HMO/WC	$62.45

BONE OSTEO-LINK CUBE 12MM

Facility

$7,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270699215
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.25
Max. Negotiated Rate	$1,881.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,881.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.25

BONE OSTEO-LINK CUBE 12MM

Facility

$7,775.00

Service Code	HCPCS C1713
Hospital Charge Code	270699215
Hospital Revenue Code	278
Min. Negotiated Rate	$1,166.25
Max. Negotiated Rate	$3,887.50
Rate for Payer: Aetna Commercial	$2,332.50
Rate for Payer: Aetna Medicare Advantage	$2,332.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,982.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,982.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,982.62
Rate for Payer: Cigna Commercial	$3,887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,881.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.25

BONE OSTEO-LINK MATRIX 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699237
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

BONE OSTEO-LINK MATRIX 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699237
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

BONE PASTE OSTEOFIL 10CC 02410

Facility

$3,387.25

Hospital Charge Code	270614975
Hospital Revenue Code	272
Min. Negotiated Rate	$508.09
Max. Negotiated Rate	$508.09
Rate for Payer: Qualcare PPO/HMO/WC	$508.09

BONE PASTE OSTEOFIL 10CC 02410

Facility

$3,387.25

Hospital Charge Code	270614975
Hospital Revenue Code	272
Min. Negotiated Rate	$440.34
Max. Negotiated Rate	$1,693.62
Rate for Payer: Aetna Commercial	$1,016.17
Rate for Payer: Aetna Medicare Advantage	$1,016.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$863.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$863.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$863.75
Rate for Payer: Cigna Commercial	$1,693.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.34
Rate for Payer: Oxford Commercial	$1,693.62
Rate for Payer: Qualcare PPO/HMO/WC	$508.09
Rate for Payer: UnitedHealthcare Commercial	$1,693.62

BONE PASTE OSTEOFIL 1CC 002401

Facility

$996.85

Hospital Charge Code	270614654
Hospital Revenue Code	272
Min. Negotiated Rate	$129.59
Max. Negotiated Rate	$498.43
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$299.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.20
Rate for Payer: Cigna Commercial	$498.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.59
Rate for Payer: Oxford Commercial	$498.43
Rate for Payer: Qualcare PPO/HMO/WC	$149.53
Rate for Payer: UnitedHealthcare Commercial	$498.43

Know your out-of-pocket cost for care.

All Charges