Heights University Hospital

All Charges

Charge

Type

Setting

Price

CAGE SHURFIT ACIF 2C 9MM10D

Facility

$24,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270695866
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 SHURFIT ACIF2C PEEK 5D6MM

Facility

$21,097.50

Service Code	HCPCS C1889
Hospital Charge Code	270698233
Hospital Revenue Code	278
Min. Negotiated Rate	$3,164.62
Max. Negotiated Rate	$10,548.75
Rate for Payer: Aetna Commercial	$6,329.25
Rate for Payer: Aetna Medicare Advantage	$6,329.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,379.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,379.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,219.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,379.86
Rate for Payer: Cigna Commercial	$10,548.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,105.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,164.62

CAGE SHURFIT ACIF2C PEEK 5D6MM

Facility

$21,097.50

Service Code	HCPCS C1889
Hospital Charge Code	270698233
Hospital Revenue Code	278
Min. Negotiated Rate	$3,164.62
Max. Negotiated Rate	$5,105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,219.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,105.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,164.62

CAGE SHURFIT TPLIF PEEK10X29MM

Facility

$31,320.00

Service Code	HCPCS C1889
Hospital Charge Code	270699943
Hospital Revenue Code	278
Min. Negotiated Rate	$4,698.00
Max. Negotiated Rate	$7,579.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,579.44
Rate for Payer: Qualcare PPO/HMO/WC	$4,698.00

CAGE SHURFIT TPLIF PEEK10X29MM

Facility

$31,320.00

Service Code	HCPCS C1889
Hospital Charge Code	270699943
Hospital Revenue Code	278
Min. Negotiated Rate	$4,698.00
Max. Negotiated Rate	$15,660.00
Rate for Payer: Aetna Commercial	$9,396.00
Rate for Payer: Aetna Medicare Advantage	$9,396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,986.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,986.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,986.60
Rate for Payer: Cigna Commercial	$15,660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,579.44
Rate for Payer: Qualcare PPO/HMO/WC	$4,698.00

CAGESPCRSABLE 10X22 7-13MM15D

Facility

$37,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270693573
Hospital Revenue Code	278
Min. Negotiated Rate	$5,625.00
Max. Negotiated Rate	$9,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

CAGESPCRSABLE 10X22 7-13MM15D

Facility

$37,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270693573
Hospital Revenue Code	278
Min. Negotiated Rate	$5,625.00
Max. Negotiated Rate	$18,750.00
Rate for Payer: Aetna Commercial	$11,250.00
Rate for Payer: Aetna Medicare Advantage	$11,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,562.50
Rate for Payer: Cigna Commercial	$18,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,625.00

CAGE SP TI ALLOY CERV DTRAX

Facility

$1,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270692495
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
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	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

CAGE SP TI ALLOY CERV DTRAX

Facility

$1,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270692495
Hospital Revenue Code	278
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

CAGE STALIF C ST PEEK 7.5X12MM

Facility

$22,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697639
Hospital Revenue Code	278
Min. Negotiated Rate	$3,300.00
Max. Negotiated Rate	$5,324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,324.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,300.00

CAGE STALIF C ST PEEK 7.5X12MM

Facility

$22,000.00

Service Code	HCPCS C1889
Hospital Charge Code	270697639
Hospital Revenue Code	278
Min. Negotiated Rate	$3,300.00
Max. Negotiated Rate	$11,000.00
Rate for Payer: Aetna Commercial	$6,600.00
Rate for Payer: Aetna Medicare Advantage	$6,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,610.00
Rate for Payer: Cigna Commercial	$11,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,324.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,300.00

CAGE STAND ALONE 7X14X16MM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704438
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$4,500.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

CAGE STAND ALONE 7X14X16MM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704438
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

CAGE STAND ALONE 8X14X16MM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704437
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$4,500.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

CAGE STAND ALONE 8X14X16MM

Facility

$15,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704437
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

CAGE SYSTEM BENGAL 4MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670996
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$1,950.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE SYSTEM BENGAL 4MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270670996
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE SYSTEM BENGAL 6mm

Facility

$6,500.00

Hospital Charge Code	270671113
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$1,950.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE SYSTEM BENGAL 6mm

Facility

$6,500.00

Hospital Charge Code	270671113
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

CAGE TAPERED STALIF 14MMX5.

Facility

$20,100.00

Hospital Charge Code	270667980
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$10,050.00
Rate for Payer: Aetna Commercial	$6,030.00
Rate for Payer: Aetna Medicare Advantage	$6,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,125.50
Rate for Payer: Cigna Commercial	$10,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TAPERED STALIF 14MMX5.

Facility

$20,100.00

Hospital Charge Code	270667980
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$4,864.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TAPERED STALIF 14MMX6.

Facility

$20,100.00

Hospital Charge Code	270667979
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$10,050.00
Rate for Payer: Aetna Commercial	$6,030.00
Rate for Payer: Aetna Medicare Advantage	$6,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,125.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,125.50
Rate for Payer: Cigna Commercial	$10,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TAPERED STALIF 14MMX6.

Facility

$20,100.00

Hospital Charge Code	270667979
Hospital Revenue Code	278
Min. Negotiated Rate	$3,015.00
Max. Negotiated Rate	$4,864.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,864.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.00

CAGE TETRA 14X22MM 6D

Facility

$21,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270694041
Hospital Revenue Code	278
Min. Negotiated Rate	$3,225.00
Max. Negotiated Rate	$10,750.00
Rate for Payer: Aetna Commercial	$6,450.00
Rate for Payer: Aetna Medicare Advantage	$6,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,482.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,482.50
Rate for Payer: Cigna Commercial	$10,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00

CAGE TETRA 14X22MM 6D

Facility

$21,500.00

Service Code	HCPCS C1889
Hospital Charge Code	270694041
Hospital Revenue Code	278
Min. Negotiated Rate	$3,225.00
Max. Negotiated Rate	$5,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,203.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,225.00

Know your out-of-pocket cost for care.

All Charges