Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAGE CONC INLINE 5 LOR 9x9x25

Facility

$19,250.00

Hospital Charge Code	270669382
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$4,658.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CAGE CONCORDE INLINE 9X 10 MM

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684060
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$9,625.00
Rate for Payer: Aetna Commercial	$5,775.00
Rate for Payer: Aetna Medicare Advantage	$5,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,908.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,908.75
Rate for Payer: Cigna Commercial	$9,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CAGE CONCORDE INLINE 9X 10 MM

Facility

$19,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684060
Hospital Revenue Code	278
Min. Negotiated Rate	$2,887.50
Max. Negotiated Rate	$4,658.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,658.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,887.50

CAGE CORENT SM 7X15X12MM 10D

Facility

$17,495.00

Service Code	HCPCS C1889
Hospital Charge Code	270698448
Hospital Revenue Code	278
Min. Negotiated Rate	$2,624.25
Max. Negotiated Rate	$4,233.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,499.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,233.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,624.25

CAGE CORENT SM 7X15X12MM 10D

Facility

$17,495.00

Service Code	HCPCS C1889
Hospital Charge Code	270698448
Hospital Revenue Code	278
Min. Negotiated Rate	$2,624.25
Max. Negotiated Rate	$8,747.50
Rate for Payer: Aetna Commercial	$5,248.50
Rate for Payer: Aetna Medicare Advantage	$5,248.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,461.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,461.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,499.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,461.23
Rate for Payer: Cigna Commercial	$8,747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,233.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,624.25

CAGE CORPECT 12DX14WX27H6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694311
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Aetna Commercial	$9,000.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECT 12DX14WX27H6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694311
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECT 12X14MM 20-24MM0D

Facility

$29,950.00

Service Code	HCPCS C1889
Hospital Charge Code	270699463
Hospital Revenue Code	278
Min. Negotiated Rate	$4,492.50
Max. Negotiated Rate	$14,975.00
Rate for Payer: Aetna Commercial	$8,985.00
Rate for Payer: Aetna Medicare Advantage	$8,985.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,637.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,637.25
Rate for Payer: Cigna Commercial	$14,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,247.90
Rate for Payer: Qualcare PPO/HMO/WC	$4,492.50

CAGE CORPECT 12X14MM 20-24MM0D

Facility

$29,950.00

Service Code	HCPCS C1889
Hospital Charge Code	270699463
Hospital Revenue Code	278
Min. Negotiated Rate	$4,492.50
Max. Negotiated Rate	$7,247.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,247.90
Rate for Payer: Qualcare PPO/HMO/WC	$4,492.50

CAGE CORPECT MATRIXX14X16X196D

Facility

$39,990.00

Service Code	HCPCS C1889
Hospital Charge Code	270698813
Hospital Revenue Code	278
Min. Negotiated Rate	$5,998.50
Max. Negotiated Rate	$9,677.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,998.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,677.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,998.50

CAGE CORPECT MATRIXX14X16X196D

Facility

$39,990.00

Service Code	HCPCS C1889
Hospital Charge Code	270698813
Hospital Revenue Code	278
Min. Negotiated Rate	$5,998.50
Max. Negotiated Rate	$19,995.00
Rate for Payer: Aetna Commercial	$11,997.00
Rate for Payer: Aetna Medicare Advantage	$11,997.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,197.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,197.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,998.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,197.45
Rate for Payer: Cigna Commercial	$19,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,677.58
Rate for Payer: Qualcare PPO/HMO/WC	$5,998.50

CAGE CORPECTOMY 12DX14WX34H 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696966
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECTOMY 12DX14WX34H 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270696966
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Aetna Commercial	$9,000.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECTOMY 12X14X21 6D

Facility

$39,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270699208
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$9,673.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

CAGE CORPECTOMY 12X14X21 6D

Facility

$39,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270699208
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$19,987.50
Rate for Payer: Aetna Commercial	$11,992.50
Rate for Payer: Aetna Medicare Advantage	$11,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,193.62
Rate for Payer: Cigna Commercial	$19,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

CAGE CORPECTOMY 12X14X55 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694537
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$15,000.00
Rate for Payer: Aetna Commercial	$9,000.00
Rate for Payer: Aetna Medicare Advantage	$9,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,650.00
Rate for Payer: Cigna Commercial	$15,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CORPECTOMY 12X14X55 6D

Facility

$30,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270694537
Hospital Revenue Code	278
Min. Negotiated Rate	$4,500.00
Max. Negotiated Rate	$7,260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,260.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,500.00

CAGE CRYSTAL 7D 16X13X10MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694726
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$1,680.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE CRYSTAL 7D 16X13X10MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694726
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE CRYSTAL 7D 16X13X9MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694725
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$2,800.00
Rate for Payer: Aetna Commercial	$1,680.00
Rate for Payer: Aetna Medicare Advantage	$1,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,428.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,428.00
Rate for Payer: Cigna Commercial	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE CRYSTAL 7D 16X13X9MM

Facility

$5,600.00

Service Code	HCPCS C1889
Hospital Charge Code	270694725
Hospital Revenue Code	278
Min. Negotiated Rate	$840.00
Max. Negotiated Rate	$1,355.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,355.20
Rate for Payer: Qualcare PPO/HMO/WC	$840.00

CAGE DAKOTA 14X12X8MM 7D

Facility

$32,555.00

Service Code	HCPCS C1889
Hospital Charge Code	270698150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,883.25
Max. Negotiated Rate	$16,277.50
Rate for Payer: Aetna Commercial	$9,766.50
Rate for Payer: Aetna Medicare Advantage	$9,766.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,301.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,511.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,301.52
Rate for Payer: Cigna Commercial	$16,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,878.31
Rate for Payer: Qualcare PPO/HMO/WC	$4,883.25

CAGE DAKOTA 14X12X8MM 7D

Facility

$32,555.00

Service Code	HCPCS C1889
Hospital Charge Code	270698150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,883.25
Max. Negotiated Rate	$7,878.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,511.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,878.31
Rate for Payer: Qualcare PPO/HMO/WC	$4,883.25

CAGE DISC DEEP MED 14X15X6MM

Facility

$29,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$14,875.00
Rate for Payer: Aetna Commercial	$8,925.00
Rate for Payer: Aetna Medicare Advantage	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,586.25
Rate for Payer: Cigna Commercial	$14,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

CAGE DISC DEEP MED 14X15X6MM

Facility

$29,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693150
Hospital Revenue Code	278
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$7,199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

Know your out-of-pocket cost for care.

All Charges