Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNLA ADULT SFT TIP 7.85 0556

Facility

$3.00

Hospital Charge Code	270653963
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

CANNLA ADULT SFT TIP 7.85 0556

Facility

$3.00

Hospital Charge Code	270653963
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

CANN NAIL SYS NAIL 4X100MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705014
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$5,475.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

CANN NAIL SYS NAIL 4X100MM

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270705014
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$4,416.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

CANN PROFILE DRILL 4.0MM

Facility

$1,440.00

Hospital Charge Code	270686587
Hospital Revenue Code	272
Min. Negotiated Rate	$187.20
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$720.00

CANN PROFILE DRILL 4.0MM

Facility

$1,440.00

Hospital Charge Code	270686587
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

CANN SCREW 6.5MM X 85MM X 40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688070
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$458.25
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5MM X 85MM X 40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688070
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5MM X 90MM X 16MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688069
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5MM X 90MM X 16MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688069
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$458.25
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5X70X40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270684881
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 6.5X70X40MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270684881
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$458.25
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW 8.0MMX80MMX 14MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704917
Hospital Revenue Code	278
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$1,254.55
Rate for Payer: Aetna Commercial	$752.73
Rate for Payer: Aetna Medicare Advantage	$752.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$639.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$639.82
Rate for Payer: Cigna Commercial	$1,254.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: Qualcare PPO/HMO/WC	$376.37

CANN SCREW 8.0MMX80MMX 14MM

Facility

$2,509.10

Service Code	HCPCS C1713
Hospital Charge Code	270704917
Hospital Revenue Code	278
Min. Negotiated Rate	$376.37
Max. Negotiated Rate	$607.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$501.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.20
Rate for Payer: Qualcare PPO/HMO/WC	$376.37

CANN SCREW FULL THD 6.5X45MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680498
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CANN SCREW FULL THD 6.5X45MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680498
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CANN SCREW FULL THD 6.5X50MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680497
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CANN SCREW FULL THD 6.5X50MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680497
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

CANN SCREW FULL THD 6.5 X 85MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688068
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCREW FULL THD 6.5 X 85MM

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270688068
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$458.25
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCRW FULL THD 6.5MM X 80M

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270680496
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$763.75
Rate for Payer: Aetna Commercial	$458.25
Rate for Payer: Aetna Medicare Advantage	$458.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.51
Rate for Payer: Cigna Commercial	$763.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN SCRW FULL THD 6.5MM X 80M

Facility

$1,527.50

Service Code	HCPCS C1713
Hospital Charge Code	270680496
Hospital Revenue Code	278
Min. Negotiated Rate	$229.12
Max. Negotiated Rate	$369.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.65
Rate for Payer: Qualcare PPO/HMO/WC	$229.12

CANN TFNA 11x360MM 130DEG RT

Facility

$9,942.75

Service Code	HCPCS C1713
Hospital Charge Code	270681181
Hospital Revenue Code	278
Min. Negotiated Rate	$1,491.41
Max. Negotiated Rate	$2,406.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.41

CANN TFNA 11x360MM 130DEG RT

Facility

$9,942.75

Service Code	HCPCS C1713
Hospital Charge Code	270681181
Hospital Revenue Code	278
Min. Negotiated Rate	$1,491.41
Max. Negotiated Rate	$4,971.38
Rate for Payer: Aetna Commercial	$2,982.82
Rate for Payer: Aetna Medicare Advantage	$2,982.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,535.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,535.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,988.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,535.40
Rate for Payer: Cigna Commercial	$4,971.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,406.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,491.41

CANN TRIPPLEDAM TWIST W/VALVE

Facility

$800.00

Hospital Charge Code	270682242
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

Know your out-of-pocket cost for care.

All Charges