Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRACE BME TLSO CUSTOM

Facility

$5,184.00

Hospital Charge Code	270612725
Hospital Revenue Code	274
Min. Negotiated Rate	$777.60
Max. Negotiated Rate	$2,592.00
Rate for Payer: Aetna Commercial	$1,555.20
Rate for Payer: Aetna Medicare Advantage	$1,555.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,321.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,321.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,036.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,321.92
Rate for Payer: Cigna Commercial	$2,592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,254.53
Rate for Payer: Qualcare PPO/HMO/WC	$777.60

BRACE HINGED KNEE

Facility

$1,250.00

Service Code	HCPCS L1833
Hospital Charge Code	270648595
Hospital Revenue Code	274
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BRACE HINGED KNEE

Facility

$1,250.00

Service Code	HCPCS L1833
Hospital Charge Code	270648595
Hospital Revenue Code	274
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$503.87
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$503.87
Rate for Payer: Cigna Medicare Advantage	$302.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BRACE HIP ABDUCTN W/PELVIC BND

Facility

$7,132.25

Hospital Charge Code	270643598
Hospital Revenue Code	272
Min. Negotiated Rate	$927.19
Max. Negotiated Rate	$3,566.12
Rate for Payer: Aetna Commercial	$2,139.68
Rate for Payer: Aetna Medicare Advantage	$2,139.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,818.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,818.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,818.72
Rate for Payer: Cigna Commercial	$3,566.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.19
Rate for Payer: Oxford Commercial	$3,566.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,069.84
Rate for Payer: UnitedHealthcare Commercial	$3,566.12

BRACE HIP ABDUCTN W/PELVIC BND

Facility

$7,132.25

Hospital Charge Code	270643598
Hospital Revenue Code	272
Min. Negotiated Rate	$1,069.84
Max. Negotiated Rate	$1,069.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,069.84

BRACE HIP SPICA

Facility

$1,564.55

Hospital Charge Code	270647425
Hospital Revenue Code	270
Min. Negotiated Rate	$203.39
Max. Negotiated Rate	$782.27
Rate for Payer: Aetna Commercial	$469.37
Rate for Payer: Aetna Medicare Advantage	$469.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$398.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$398.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$398.96
Rate for Payer: Cigna Commercial	$782.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.39
Rate for Payer: Oxford Commercial	$782.27
Rate for Payer: Qualcare PPO/HMO/WC	$234.68
Rate for Payer: UnitedHealthcare Commercial	$782.27

BRACE HIP SPICA

Facility

$1,564.55

Hospital Charge Code	270647425
Hospital Revenue Code	270
Min. Negotiated Rate	$234.68
Max. Negotiated Rate	$234.68
Rate for Payer: Qualcare PPO/HMO/WC	$234.68

BRACE HIP SPICA PELVIC BAND

Facility

$8,609.25

Hospital Charge Code	270647016
Hospital Revenue Code	278
Min. Negotiated Rate	$1,291.39
Max. Negotiated Rate	$2,083.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,721.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,083.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,291.39

BRACE HIP SPICA PELVIC BAND

Facility

$8,609.25

Hospital Charge Code	270647016
Hospital Revenue Code	278
Min. Negotiated Rate	$1,291.39
Max. Negotiated Rate	$4,304.62
Rate for Payer: Aetna Commercial	$2,582.78
Rate for Payer: Aetna Medicare Advantage	$2,582.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,195.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,195.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,721.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,195.36
Rate for Payer: Cigna Commercial	$4,304.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,083.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,291.39

BRACE HUMERAL

Facility

$224.75

Hospital Charge Code	270645092
Hospital Revenue Code	272
Min. Negotiated Rate	$33.71
Max. Negotiated Rate	$33.71
Rate for Payer: Qualcare PPO/HMO/WC	$33.71

BRACE HUMERAL

Facility

$224.75

Hospital Charge Code	270645092
Hospital Revenue Code	272
Min. Negotiated Rate	$29.22
Max. Negotiated Rate	$112.38
Rate for Payer: Aetna Commercial	$67.42
Rate for Payer: Aetna Medicare Advantage	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.31
Rate for Payer: Cigna Commercial	$112.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.22
Rate for Payer: Oxford Commercial	$112.38
Rate for Payer: Qualcare PPO/HMO/WC	$33.71
Rate for Payer: UnitedHealthcare Commercial	$112.38

BRACE HUMERUS FRACTURE XXL LFT

Facility

$380.75

Hospital Charge Code	270647900
Hospital Revenue Code	272
Min. Negotiated Rate	$57.11
Max. Negotiated Rate	$57.11
Rate for Payer: Qualcare PPO/HMO/WC	$57.11

BRACE HUMERUS FRACTURE XXL LFT

Facility

$380.75

Hospital Charge Code	270647900
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$190.38
Rate for Payer: Aetna Commercial	$114.22
Rate for Payer: Aetna Medicare Advantage	$114.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.09
Rate for Payer: Cigna Commercial	$190.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.50
Rate for Payer: Oxford Commercial	$190.38
Rate for Payer: Qualcare PPO/HMO/WC	$57.11
Rate for Payer: UnitedHealthcare Commercial	$190.38

BRACE IMPANT INTERNAL KIT

Facility

$4,875.00

Hospital Charge Code	270662540
Hospital Revenue Code	272
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$2,437.50
Rate for Payer: Aetna Commercial	$1,462.50
Rate for Payer: Aetna Medicare Advantage	$1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,243.12
Rate for Payer: Cigna Commercial	$2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.75
Rate for Payer: Oxford Commercial	$2,437.50
Rate for Payer: Qualcare PPO/HMO/WC	$731.25
Rate for Payer: UnitedHealthcare Commercial	$2,437.50

BRACE IMPANT INTERNAL KIT

Facility

$4,875.00

Hospital Charge Code	270662540
Hospital Revenue Code	272
Min. Negotiated Rate	$731.25
Max. Negotiated Rate	$731.25
Rate for Payer: Qualcare PPO/HMO/WC	$731.25

BRACE INTERNAL FOREFOOT

Facility

$6,975.00

Hospital Charge Code	270684478
Hospital Revenue Code	271
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,046.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

BRACE INTERNAL FOREFOOT

Facility

$6,975.00

Hospital Charge Code	270684478
Hospital Revenue Code	271
Min. Negotiated Rate	$906.75
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,092.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.75
Rate for Payer: Oxford Commercial	$3,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Commercial	$3,487.50

BRACE ISO-ULNAR FRACTURE *****

Facility

$276.00

Hospital Charge Code	8002966
Hospital Revenue Code	279
Min. Negotiated Rate	$35.88
Max. Negotiated Rate	$138.00
Rate for Payer: Aetna Commercial	$82.80
Rate for Payer: Aetna Medicare Advantage	$82.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.38
Rate for Payer: Cigna Commercial	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.88
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.40
Rate for Payer: UnitedHealthcare Commercial	$138.00

BRACE ISO-ULNAR FRACTURE *****

Facility

$276.00

Hospital Charge Code	8002966
Hospital Revenue Code	279
Min. Negotiated Rate	$41.40
Max. Negotiated Rate	$41.40
Rate for Payer: Qualcare PPO/HMO/WC	$41.40

BRACE JEWETT

Facility

$2,476.85

Hospital Charge Code	270606585
Hospital Revenue Code	270
Min. Negotiated Rate	$371.53
Max. Negotiated Rate	$371.53
Rate for Payer: Qualcare PPO/HMO/WC	$371.53

BRACE JEWETT

Facility

$2,476.85

Hospital Charge Code	270606585
Hospital Revenue Code	270
Min. Negotiated Rate	$321.99
Max. Negotiated Rate	$1,238.42
Rate for Payer: Aetna Commercial	$743.05
Rate for Payer: Aetna Medicare Advantage	$743.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.60
Rate for Payer: Cigna Commercial	$1,238.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.99
Rate for Payer: Oxford Commercial	$1,238.42
Rate for Payer: Qualcare PPO/HMO/WC	$371.53
Rate for Payer: UnitedHealthcare Commercial	$1,238.42

BRACE KNEE COOL X-ACT

Facility

$625.00

Hospital Charge Code	270678079
Hospital Revenue Code	270
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BRACE KNEE COOL X-ACT

Facility

$625.00

Hospital Charge Code	270678079
Hospital Revenue Code	270
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BRACE KNEE CUSTOM FOR LEG

Facility

$23,139.80

Hospital Charge Code	270651757
Hospital Revenue Code	274
Min. Negotiated Rate	$3,470.97
Max. Negotiated Rate	$5,599.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,627.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,599.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,470.97

BRACE KNEE CUSTOM FOR LEG

Facility

$23,139.80

Hospital Charge Code	270651757
Hospital Revenue Code	274
Min. Negotiated Rate	$3,470.97
Max. Negotiated Rate	$11,569.90
Rate for Payer: Aetna Commercial	$6,941.94
Rate for Payer: Aetna Medicare Advantage	$6,941.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,900.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,900.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,627.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,900.65
Rate for Payer: Cigna Commercial	$11,569.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,599.83
Rate for Payer: Qualcare PPO/HMO/WC	$3,470.97

Know your out-of-pocket cost for care.

All Charges