Heights University Hospital

All Charges

Charge

Type

Setting

Price

80X4.0CANCELLOUS SCREW

Facility

$145.00

Hospital Charge Code	270656464
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

80X4.0CANCELLOUS SCREW

Facility

$145.00

Hospital Charge Code	270656464
Hospital Revenue Code	278
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$43.50
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.09
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

8.23MM BIOCOMPOSITE SCREW

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656483
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

8.23MM BIOCOMPOSITE SCREW

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656483
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

8.5X35MM GRAFT BOLT

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705947
Hospital Revenue Code	278
Min. Negotiated Rate	$768.75
Max. Negotiated Rate	$2,562.50
Rate for Payer: Aetna Commercial	$1,537.50
Rate for Payer: Aetna Medicare Advantage	$1,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,306.88
Rate for Payer: Cigna Commercial	$2,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,240.25
Rate for Payer: Qualcare PPO/HMO/WC	$768.75

8.5X35MM GRAFT BOLT

Facility

$5,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270705947
Hospital Revenue Code	278
Min. Negotiated Rate	$768.75
Max. Negotiated Rate	$1,240.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,240.25
Rate for Payer: Qualcare PPO/HMO/WC	$768.75

8.5X35MM SCREW

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703976
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

8.5X35MM SCREW

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703976
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
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) NJ Health	$400.00
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	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

.86 K-WIRE

Facility

$50.00

Hospital Charge Code	270656150
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$25.00

.86 K-WIRE

Facility

$50.00

Hospital Charge Code	270656150
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

88141,PAP W/MD INTERP

Facility

$139.25

Service Code	HCPCS 88141
Hospital Charge Code	39900310
Hospital Revenue Code	311
Min. Negotiated Rate	$13.53
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$27.06
Rate for Payer: Cigna Medicare Advantage	$13.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$114.00

88141,PAP W/MD INTERP

Facility

$139.25

Service Code	HCPCS 88141
Hospital Charge Code	39900310
Hospital Revenue Code	311
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

8 FR DIGNITY MID-SIZED CT PORT

Facility

$950.00

Service Code	HCPCS C1788
Hospital Charge Code	270680658
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

8 FR DIGNITY MID-SIZED CT PORT

Facility

$950.00

Service Code	HCPCS C1788
Hospital Charge Code	270680658
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

8 FR PRO-FUSECT PORT

Facility

$950.00

Service Code	HCPCS C1788
Hospital Charge Code	270680659
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

8 FR PRO-FUSECT PORT

Facility

$8.82

Service Code	HCPCS C1751
Hospital Charge Code	270680569
Hospital Revenue Code	278
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

8 FR PRO-FUSECT PORT

Facility

$8.82

Service Code	HCPCS C1751
Hospital Charge Code	270680569
Hospital Revenue Code	278
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$4.41
Rate for Payer: Aetna Commercial	$2.65
Rate for Payer: Aetna Medicare Advantage	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.25
Rate for Payer: Cigna Commercial	$4.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

8 FR PRO-FUSECT PORT

Facility

$950.00

Service Code	HCPCS C1788
Hospital Charge Code	270680659
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

8 HOLE LAP PLATE

Facility

$5,345.80

Hospital Charge Code	270656667
Hospital Revenue Code	278
Min. Negotiated Rate	$801.87
Max. Negotiated Rate	$2,672.90
Rate for Payer: Aetna Commercial	$1,603.74
Rate for Payer: Aetna Medicare Advantage	$1,603.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,363.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,363.18
Rate for Payer: Cigna Commercial	$2,672.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.68
Rate for Payer: Qualcare PPO/HMO/WC	$801.87

8 HOLE LAP PLATE

Facility

$5,345.80

Hospital Charge Code	270656667
Hospital Revenue Code	278
Min. Negotiated Rate	$801.87
Max. Negotiated Rate	$1,293.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.68
Rate for Payer: Qualcare PPO/HMO/WC	$801.87

8 HOLE PERI PROX HUMERUS

Facility

$7,511.15

Service Code	HCPCS C1713
Hospital Charge Code	270686573
Hospital Revenue Code	278
Min. Negotiated Rate	$1,126.67
Max. Negotiated Rate	$1,817.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,502.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,817.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.67

8 HOLE PERI PROX HUMERUS

Facility

$7,511.15

Service Code	HCPCS C1713
Hospital Charge Code	270686573
Hospital Revenue Code	278
Min. Negotiated Rate	$1,126.67
Max. Negotiated Rate	$3,755.57
Rate for Payer: Aetna Commercial	$2,253.34
Rate for Payer: Aetna Medicare Advantage	$2,253.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,915.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,915.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,502.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,915.34
Rate for Payer: Cigna Commercial	$3,755.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,817.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.67

8 HOLE VDF PLATE

Facility

$5,430.00

Hospital Charge Code	270665463
Hospital Revenue Code	278
Min. Negotiated Rate	$814.50
Max. Negotiated Rate	$1,314.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,086.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,314.06
Rate for Payer: Qualcare PPO/HMO/WC	$814.50

8 HOLE VDF PLATE

Facility

$5,430.00

Hospital Charge Code	270665463
Hospital Revenue Code	278
Min. Negotiated Rate	$814.50
Max. Negotiated Rate	$2,715.00
Rate for Payer: Aetna Commercial	$1,629.00
Rate for Payer: Aetna Medicare Advantage	$1,629.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,384.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,384.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,086.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,384.65
Rate for Payer: Cigna Commercial	$2,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,314.06
Rate for Payer: Qualcare PPO/HMO/WC	$814.50

8MM 10DEG ZAVATION CAGE

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705535
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

Know your out-of-pocket cost for care.

All Charges