Heights University Hospital

All Charges

Charge

Type

Setting

Price

BRACE KNEE CUSTOM FOR LEG

Facility

$23,139.80

Hospital Charge Code	270521757
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	270521757
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

BRACE KNEE LG

Facility

$49.55

Hospital Charge Code	270649575
Hospital Revenue Code	272
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$24.77
Rate for Payer: Aetna Commercial	$14.87
Rate for Payer: Aetna Medicare Advantage	$14.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.64
Rate for Payer: Cigna Commercial	$24.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.44
Rate for Payer: Oxford Commercial	$24.77
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$24.77

BRACE KNEE LG

Facility

$49.55

Hospital Charge Code	270649575
Hospital Revenue Code	272
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

BRACE KNEE MEDIUM

Facility

$49.55

Hospital Charge Code	270649576
Hospital Revenue Code	272
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$24.77
Rate for Payer: Aetna Commercial	$14.87
Rate for Payer: Aetna Medicare Advantage	$14.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.64
Rate for Payer: Cigna Commercial	$24.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.44
Rate for Payer: Oxford Commercial	$24.77
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$24.77

BRACE KNEE MEDIUM

Facility

$49.55

Hospital Charge Code	270649576
Hospital Revenue Code	272
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

BRACE KNEE POST OP LARGE FULL

Facility

$610.15

Hospital Charge Code	270636638
Hospital Revenue Code	270
Min. Negotiated Rate	$91.52
Max. Negotiated Rate	$91.52
Rate for Payer: Qualcare PPO/HMO/WC	$91.52

BRACE KNEE POST OP LARGE FULL

Facility

$610.15

Hospital Charge Code	270636638
Hospital Revenue Code	270
Min. Negotiated Rate	$79.32
Max. Negotiated Rate	$305.07
Rate for Payer: Aetna Commercial	$183.04
Rate for Payer: Aetna Medicare Advantage	$183.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.59
Rate for Payer: Cigna Commercial	$305.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.32
Rate for Payer: Oxford Commercial	$305.07
Rate for Payer: Qualcare PPO/HMO/WC	$91.52
Rate for Payer: UnitedHealthcare Commercial	$305.07

BRACE KNEE POST-OP LG 19

Facility

$74.90

Hospital Charge Code	270649581N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

BRACE KNEE POST-OP LG 19

Facility

$74.70

Hospital Charge Code	270649581S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

BRACE KNEE POST-OP LG 19

Facility

$74.70

Hospital Charge Code	270649581
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP LG 19

Facility

$74.70

Hospital Charge Code	270649581
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

BRACE KNEE POST-OP LG 19

Facility

$74.90

Hospital Charge Code	270649581N
Hospital Revenue Code	272
Min. Negotiated Rate	$9.74
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$22.47
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: Oxford Commercial	$37.45
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$37.45

BRACE KNEE POST-OP LG 19

Facility

$74.70

Hospital Charge Code	270649581S
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP MED 19

Facility

$74.00

Hospital Charge Code	270649582
Hospital Revenue Code	272
Min. Negotiated Rate	$11.10
Max. Negotiated Rate	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.10

BRACE KNEE POST-OP MED 19

Facility

$74.00

Hospital Charge Code	270649582
Hospital Revenue Code	272
Min. Negotiated Rate	$9.62
Max. Negotiated Rate	$37.00
Rate for Payer: Aetna Commercial	$22.20
Rate for Payer: Aetna Medicare Advantage	$22.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.87
Rate for Payer: Cigna Commercial	$37.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: Oxford Commercial	$37.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.10
Rate for Payer: UnitedHealthcare Commercial	$37.00

BRACE KNEE POST-OP SM 19

Facility

$74.70

Hospital Charge Code	270649583
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP SM 19

Facility

$74.70

Hospital Charge Code	270649583
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

BRACE KNEE POST OP SMALL FULL

Facility

$610.15

Hospital Charge Code	270636639
Hospital Revenue Code	270
Min. Negotiated Rate	$91.52
Max. Negotiated Rate	$91.52
Rate for Payer: Qualcare PPO/HMO/WC	$91.52

BRACE KNEE POST OP SMALL FULL

Facility

$610.15

Hospital Charge Code	270636639
Hospital Revenue Code	270
Min. Negotiated Rate	$79.32
Max. Negotiated Rate	$305.07
Rate for Payer: Aetna Commercial	$183.04
Rate for Payer: Aetna Medicare Advantage	$183.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.59
Rate for Payer: Cigna Commercial	$305.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.32
Rate for Payer: Oxford Commercial	$305.07
Rate for Payer: Qualcare PPO/HMO/WC	$91.52
Rate for Payer: UnitedHealthcare Commercial	$305.07

BRACE KNEE POST-OP XL 19

Facility

$74.70

Hospital Charge Code	270649584
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

BRACE KNEE POST-OP XL 19

Facility

$74.70

Hospital Charge Code	270649584
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$37.35
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.05
Rate for Payer: Cigna Commercial	$37.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.71
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$37.35

BRACE KNEE SMALL

Facility

$50.20

Hospital Charge Code	270649577
Hospital Revenue Code	272
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$25.10
Rate for Payer: Aetna Commercial	$15.06
Rate for Payer: Aetna Medicare Advantage	$15.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.80
Rate for Payer: Cigna Commercial	$25.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.53
Rate for Payer: Oxford Commercial	$25.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.53
Rate for Payer: UnitedHealthcare Commercial	$25.10

BRACE KNEE SMALL

Facility

$50.20

Hospital Charge Code	270649577
Hospital Revenue Code	272
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$7.53

BRACE KNEE XL

Facility

$49.55

Hospital Charge Code	270649578
Hospital Revenue Code	272
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

Know your out-of-pocket cost for care.

All Charges