Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAGE PEEK 6 MM LARDATH

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690707
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 7MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690566
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 7MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690566
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690199
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270689968
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270689968
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690199
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8 MM SMALL

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690568
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK 8 MM SMALL

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690568
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK ACIF 2C WIDE 5D 7MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695981
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK ACIF 2C WIDE 5D 7MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695981
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$7,275.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK ACIF 2C WIDE 5D 9MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695982
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK ACIF 2C WIDE 5D 9MM

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695982
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$7,275.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK COATED ACIF 7MM5D

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695495
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$5,868.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK COATED ACIF 7MM5D

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695495
Hospital Revenue Code	278
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$7,275.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,868.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

CAGE PEEK LORDOTIC 8 MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690570
Hospital Revenue Code	278
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK LORDOTIC 8 MM

Facility

$0.01

Service Code	HCPCS C1889
Hospital Charge Code	270690570
Hospital Revenue Code	278
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CAGE PEEK PTC 14X11X7MM

Facility

$11,880.00

Service Code	HCPCS C1889
Hospital Charge Code	270695965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$2,874.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

CAGE PEEK PTC 14X11X7MM

Facility

$11,880.00

Service Code	HCPCS C1889
Hospital Charge Code	270695965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$5,940.00
Rate for Payer: Aetna Commercial	$3,564.00
Rate for Payer: Aetna Medicare Advantage	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,029.40
Rate for Payer: Cigna Commercial	$5,940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

CAGE PEEK PTC 6X14X11MM

Facility

$11,880.00

Service Code	HCPCS C1889
Hospital Charge Code	270695966
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$2,874.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

CAGE PEEK PTC 6X14X11MM

Facility

$11,880.00

Service Code	HCPCS C1889
Hospital Charge Code	270695966
Hospital Revenue Code	278
Min. Negotiated Rate	$1,782.00
Max. Negotiated Rate	$5,940.00
Rate for Payer: Aetna Commercial	$3,564.00
Rate for Payer: Aetna Medicare Advantage	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,029.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,029.40
Rate for Payer: Cigna Commercial	$5,940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,874.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,782.00

CAGE PIVOX 20X12X60 12DEG

Facility

$36,145.00

Service Code	HCPCS C1889
Hospital Charge Code	270692665
Hospital Revenue Code	278
Min. Negotiated Rate	$5,421.75
Max. Negotiated Rate	$8,747.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,747.09
Rate for Payer: Qualcare PPO/HMO/WC	$5,421.75

CAGE PIVOX 20X12X60 12DEG

Facility

$36,145.00

Service Code	HCPCS C1889
Hospital Charge Code	270692665
Hospital Revenue Code	278
Min. Negotiated Rate	$5,421.75
Max. Negotiated Rate	$18,072.50
Rate for Payer: Aetna Commercial	$10,843.50
Rate for Payer: Aetna Medicare Advantage	$10,843.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,216.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,216.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,229.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,216.98
Rate for Payer: Cigna Commercial	$18,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,747.09
Rate for Payer: Qualcare PPO/HMO/WC	$5,421.75

CAGE PIVOX 20X12X60 6 DEG

Facility

$36,145.00

Service Code	HCPCS C1889
Hospital Charge Code	270692664
Hospital Revenue Code	278
Min. Negotiated Rate	$5,421.75
Max. Negotiated Rate	$18,072.50
Rate for Payer: Aetna Commercial	$10,843.50
Rate for Payer: Aetna Medicare Advantage	$10,843.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,216.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,216.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,229.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,216.98
Rate for Payer: Cigna Commercial	$18,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,747.09
Rate for Payer: Qualcare PPO/HMO/WC	$5,421.75

CAGE PIVOX 20X12X60 6 DEG

Facility

$36,145.00

Service Code	HCPCS C1889
Hospital Charge Code	270692664
Hospital Revenue Code	278
Min. Negotiated Rate	$5,421.75
Max. Negotiated Rate	$8,747.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,229.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,747.09
Rate for Payer: Qualcare PPO/HMO/WC	$5,421.75

Know your out-of-pocket cost for care.

All Charges