Heights University Hospital

All Charges

Charge

Type

Setting

Price

CANNULATED DRILL 7MM X 200MM

Facility

$1,180.00

Hospital Charge Code	270659841
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

CANNULATED DRILL BIT

Facility

$1,445.50

Hospital Charge Code	270656401
Hospital Revenue Code	272
Min. Negotiated Rate	$216.82
Max. Negotiated Rate	$216.82
Rate for Payer: Qualcare PPO/HMO/WC	$216.82

CANNULATED DRILL BIT

Facility

$1,445.50

Hospital Charge Code	270656401
Hospital Revenue Code	272
Min. Negotiated Rate	$187.91
Max. Negotiated Rate	$722.75
Rate for Payer: Aetna Commercial	$433.65
Rate for Payer: Aetna Medicare Advantage	$433.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.60
Rate for Payer: Cigna Commercial	$722.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.91
Rate for Payer: Oxford Commercial	$722.75
Rate for Payer: Qualcare PPO/HMO/WC	$216.82
Rate for Payer: UnitedHealthcare Commercial	$722.75

CANNULATED DRILL BIT 7.0MM

Facility

$2,870.00

Hospital Charge Code	270692838
Hospital Revenue Code	272
Min. Negotiated Rate	$430.50
Max. Negotiated Rate	$430.50
Rate for Payer: Qualcare PPO/HMO/WC	$430.50

CANNULATED DRILL BIT 7.0MM

Facility

$2,870.00

Hospital Charge Code	270692838
Hospital Revenue Code	272
Min. Negotiated Rate	$373.10
Max. Negotiated Rate	$1,435.00
Rate for Payer: Aetna Commercial	$861.00
Rate for Payer: Aetna Medicare Advantage	$861.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$731.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$731.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$731.85
Rate for Payer: Cigna Commercial	$1,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.10
Rate for Payer: Oxford Commercial	$1,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$430.50
Rate for Payer: UnitedHealthcare Commercial	$1,435.00

CANNULATED NAIL SYSTEM 4X100M

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704014
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

CANNULATED NAIL SYSTEM 4X100M

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704014
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

CANNULATED POLYAXIAL SCREW

Facility

$745.00

Hospital Charge Code	270664359
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$372.50
Rate for Payer: Aetna Commercial	$223.50
Rate for Payer: Aetna Medicare Advantage	$223.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.97
Rate for Payer: Cigna Commercial	$372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

CANNULATED POLYAXIAL SCREW

Facility

$745.00

Hospital Charge Code	270664359
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$180.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

CANNULATED SCREW 2.0MM X 14MM

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270679141
Hospital Revenue Code	278
Min. Negotiated Rate	$161.21
Max. Negotiated Rate	$260.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: Qualcare PPO/HMO/WC	$161.21

CANNULATED SCREW 2.0MM X 14MM

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270679141
Hospital Revenue Code	278
Min. Negotiated Rate	$161.21
Max. Negotiated Rate	$537.38
Rate for Payer: Aetna Commercial	$322.43
Rate for Payer: Aetna Medicare Advantage	$322.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.06
Rate for Payer: Cigna Commercial	$537.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: Qualcare PPO/HMO/WC	$161.21

CANNULATED SCREW 75MM

Facility

$2,114.35

Service Code	HCPCS C1713
Hospital Charge Code	270704741
Hospital Revenue Code	278
Min. Negotiated Rate	$317.15
Max. Negotiated Rate	$511.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.67
Rate for Payer: Qualcare PPO/HMO/WC	$317.15

CANNULATED SCREW 75MM

Facility

$2,114.35

Service Code	HCPCS C1713
Hospital Charge Code	270704741
Hospital Revenue Code	278
Min. Negotiated Rate	$317.15
Max. Negotiated Rate	$1,057.17
Rate for Payer: Aetna Commercial	$634.30
Rate for Payer: Aetna Medicare Advantage	$634.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.16
Rate for Payer: Cigna Commercial	$1,057.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.67
Rate for Payer: Qualcare PPO/HMO/WC	$317.15

CANNULATED SCREW SMALL

Facility

$910.00

Hospital Charge Code	270335014
Hospital Revenue Code	278
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$220.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

CANNULATED SCREW SMALL

Facility

$910.00

Hospital Charge Code	270335014
Hospital Revenue Code	278
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$455.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: Aetna Commercial	$273.00
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.22

CANNULATED TAP

Facility

$1,086.25

Hospital Charge Code	270701686
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$543.12
Rate for Payer: Aetna Commercial	$325.88
Rate for Payer: Aetna Medicare Advantage	$325.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.99
Rate for Payer: Cigna Commercial	$543.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

CANNULATED TAP

Facility

$1,086.25

Hospital Charge Code	270701686
Hospital Revenue Code	278
Min. Negotiated Rate	$162.94
Max. Negotiated Rate	$262.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.87
Rate for Payer: Qualcare PPO/HMO/WC	$162.94

CANNULATED TAP FOR 5MM DUAL SC

Facility

$3,290.00

Hospital Charge Code	270656675
Hospital Revenue Code	272
Min. Negotiated Rate	$427.70
Max. Negotiated Rate	$1,645.00
Rate for Payer: Aetna Commercial	$987.00
Rate for Payer: Aetna Medicare Advantage	$987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$838.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$838.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$838.95
Rate for Payer: Cigna Commercial	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.70
Rate for Payer: Oxford Commercial	$1,645.00
Rate for Payer: Qualcare PPO/HMO/WC	$493.50
Rate for Payer: UnitedHealthcare Commercial	$1,645.00

CANNULATED TAP FOR 5MM DUAL SC

Facility

$3,290.00

Hospital Charge Code	270656675
Hospital Revenue Code	272
Min. Negotiated Rate	$493.50
Max. Negotiated Rate	$493.50
Rate for Payer: Qualcare PPO/HMO/WC	$493.50

CANNULATED TAP F/SCREW 3.5x146

Facility

$1,875.65

Service Code	HCPCS C1713
Hospital Charge Code	270643932
Hospital Revenue Code	278
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$453.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35

CANNULATED TAP F/SCREW 3.5x146

Facility

$1,875.65

Service Code	HCPCS C1713
Hospital Charge Code	270643932
Hospital Revenue Code	278
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$937.83
Rate for Payer: Aetna Commercial	$562.70
Rate for Payer: Aetna Medicare Advantage	$562.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.29
Rate for Payer: Cigna Commercial	$937.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35

CANNULATED TAP F/SCREW 4x147MM

Facility

$1,878.00

Hospital Charge Code	270676252
Hospital Revenue Code	278
Min. Negotiated Rate	$281.70
Max. Negotiated Rate	$454.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.48
Rate for Payer: Qualcare PPO/HMO/WC	$281.70

CANNULATED TAP F/SCREW 4x147MM

Facility

$1,878.00

Hospital Charge Code	270676252
Hospital Revenue Code	278
Min. Negotiated Rate	$281.70
Max. Negotiated Rate	$939.00
Rate for Payer: Aetna Commercial	$563.40
Rate for Payer: Aetna Medicare Advantage	$563.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.89
Rate for Payer: Cigna Commercial	$939.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.48
Rate for Payer: Qualcare PPO/HMO/WC	$281.70

CANNULA THD CLEAR OBT 8.5X90MM

Facility

$830.00

Hospital Charge Code	270670524
Hospital Revenue Code	272
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$124.50
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

CANNULA THD CLEAR OBT 8.5X90MM

Facility

$830.00

Hospital Charge Code	270670524
Hospital Revenue Code	272
Min. Negotiated Rate	$107.90
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$249.00
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.90
Rate for Payer: Oxford Commercial	$415.00
Rate for Payer: Qualcare PPO/HMO/WC	$124.50
Rate for Payer: UnitedHealthcare Commercial	$415.00

Know your out-of-pocket cost for care.

All Charges