Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARTILAGE COAST SL 1.5x3 LCASM

Facility

$3,224.00

Hospital Charge Code	270632873
Hospital Revenue Code	278
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$780.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

CARTILAGE COAST SL 1.5x3 LCASM

Facility

$3,224.00

Hospital Charge Code	270632873
Hospital Revenue Code	278
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$1,612.00
Rate for Payer: Aetna Commercial	$967.20
Rate for Payer: Aetna Medicare Advantage	$967.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.12
Rate for Payer: Cigna Commercial	$1,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

CARTILAGE COSTAL 15X25 950500

Facility

$1,478.45

Hospital Charge Code	270623484
Hospital Revenue Code	272
Min. Negotiated Rate	$192.20
Max. Negotiated Rate	$739.23
Rate for Payer: Aetna Commercial	$443.54
Rate for Payer: Aetna Medicare Advantage	$443.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$377.00
Rate for Payer: Cigna Commercial	$739.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.20
Rate for Payer: Oxford Commercial	$739.23
Rate for Payer: Qualcare PPO/HMO/WC	$221.77
Rate for Payer: UnitedHealthcare Commercial	$739.23

CARTILAGE COSTAL 15X25 950500

Facility

$1,478.45

Hospital Charge Code	270623484
Hospital Revenue Code	272
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$221.77
Rate for Payer: Qualcare PPO/HMO/WC	$221.77

CARTILAGE COSTAL 4CM

Facility

$1,755.00

Hospital Charge Code	270638536
Hospital Revenue Code	272
Min. Negotiated Rate	$228.15
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$526.50
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.15
Rate for Payer: Oxford Commercial	$877.50
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Commercial	$877.50

CARTILAGE COSTAL 4CM

Facility

$1,755.00

Hospital Charge Code	270638536
Hospital Revenue Code	272
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$263.25
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638983
Hospital Revenue Code	272
Min. Negotiated Rate	$208.65
Max. Negotiated Rate	$802.50
Rate for Payer: Aetna Commercial	$481.50
Rate for Payer: Aetna Medicare Advantage	$481.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.27
Rate for Payer: Cigna Commercial	$802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.65
Rate for Payer: Oxford Commercial	$802.50
Rate for Payer: Qualcare PPO/HMO/WC	$240.75
Rate for Payer: UnitedHealthcare Commercial	$802.50

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638982
Hospital Revenue Code	272
Min. Negotiated Rate	$240.75
Max. Negotiated Rate	$240.75
Rate for Payer: Qualcare PPO/HMO/WC	$240.75

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638983
Hospital Revenue Code	272
Min. Negotiated Rate	$240.75
Max. Negotiated Rate	$240.75
Rate for Payer: Qualcare PPO/HMO/WC	$240.75

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638982
Hospital Revenue Code	272
Min. Negotiated Rate	$208.65
Max. Negotiated Rate	$802.50
Rate for Payer: Aetna Commercial	$481.50
Rate for Payer: Aetna Medicare Advantage	$481.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.27
Rate for Payer: Cigna Commercial	$802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.65
Rate for Payer: Oxford Commercial	$802.50
Rate for Payer: Qualcare PPO/HMO/WC	$240.75
Rate for Payer: UnitedHealthcare Commercial	$802.50

CARTILAGE FRAFT,N SEPTUM

Facility

$26,848.40

Service Code	HCPCS 20912
Hospital Charge Code	1600000741
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

CARTILAGE FRAFT,N SEPTUM

Facility

$26,848.40

Service Code	HCPCS 20912
Hospital Charge Code	1600000741
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,846.34
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

CARTILAGE REMOVER

Facility

$1,386.95

Hospital Charge Code	270691599
Hospital Revenue Code	272
Min. Negotiated Rate	$180.30
Max. Negotiated Rate	$693.48
Rate for Payer: Oxford Commercial	$693.48
Rate for Payer: Aetna Commercial	$416.08
Rate for Payer: Aetna Medicare Advantage	$416.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.67
Rate for Payer: Cigna Commercial	$693.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.30
Rate for Payer: Qualcare PPO/HMO/WC	$208.04
Rate for Payer: UnitedHealthcare Commercial	$693.48

CARTILAGE REMOVER

Facility

$1,386.95

Hospital Charge Code	270691599
Hospital Revenue Code	272
Min. Negotiated Rate	$208.04
Max. Negotiated Rate	$208.04
Rate for Payer: Qualcare PPO/HMO/WC	$208.04

CARTIMAX VIABLE CARTIL ALLOGRA

Facility

$24,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270687924
Hospital Revenue Code	278
Min. Negotiated Rate	$3,712.50
Max. Negotiated Rate	$12,375.00
Rate for Payer: Aetna Commercial	$7,425.00
Rate for Payer: Aetna Medicare Advantage	$7,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,311.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,311.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,311.25
Rate for Payer: Cigna Commercial	$12,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,989.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,712.50

CARTIMAX VIABLE CARTIL ALLOGRA

Facility

$24,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270687924
Hospital Revenue Code	278
Min. Negotiated Rate	$3,712.50
Max. Negotiated Rate	$5,989.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,989.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,712.50

CARTIVA MTP IMPLANT 8mm

Facility

$18,750.00

Service Code	HCPCS L8641
Hospital Charge Code	270679214
Hospital Revenue Code	278
Min. Negotiated Rate	$257.13
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$5,625.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$428.55
Rate for Payer: Cigna Medicare Advantage	$257.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

CARTIVA MTP IMPLANT 8mm

Facility

$18,750.00

Service Code	HCPCS L8641
Hospital Charge Code	270679214
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

CARTRIDE FRONT LOADING****

Facility

$66.00

Hospital Charge Code	1601624
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

CARTRIDE FRONT LOADING****

Facility

$66.00

Hospital Charge Code	1601624
Hospital Revenue Code	272
Min. Negotiated Rate	$8.58
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.58
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$33.00

CARTRIDGE CURTEK 22m XL 906758

Facility

$2,430.45

Hospital Charge Code	270631759
Hospital Revenue Code	272
Min. Negotiated Rate	$315.96
Max. Negotiated Rate	$1,215.22
Rate for Payer: Aetna Commercial	$729.13
Rate for Payer: Aetna Medicare Advantage	$729.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.76
Rate for Payer: Cigna Commercial	$1,215.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.96
Rate for Payer: Oxford Commercial	$1,215.22
Rate for Payer: Qualcare PPO/HMO/WC	$364.57
Rate for Payer: UnitedHealthcare Commercial	$1,215.22

CARTRIDGE CURTEK 22m XL 906758

Facility

$2,430.45

Hospital Charge Code	270631759
Hospital Revenue Code	272
Min. Negotiated Rate	$364.57
Max. Negotiated Rate	$364.57
Rate for Payer: Qualcare PPO/HMO/WC	$364.57

CARTRIDGE CURVTEK LG 40-0203

Facility

$3,681.65

Hospital Charge Code	270613470
Hospital Revenue Code	272
Min. Negotiated Rate	$478.61
Max. Negotiated Rate	$1,840.83
Rate for Payer: Aetna Commercial	$1,104.49
Rate for Payer: Aetna Medicare Advantage	$1,104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$938.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$938.82
Rate for Payer: Cigna Commercial	$1,840.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.61
Rate for Payer: Oxford Commercial	$1,840.83
Rate for Payer: Qualcare PPO/HMO/WC	$552.25
Rate for Payer: UnitedHealthcare Commercial	$1,840.83

CARTRIDGE CURVTEK LG 40-0203

Facility

$3,681.65

Hospital Charge Code	270613470
Hospital Revenue Code	272
Min. Negotiated Rate	$552.25
Max. Negotiated Rate	$552.25
Rate for Payer: Qualcare PPO/HMO/WC	$552.25

CARTRIDGE CURVTEK MED 906750

Facility

$3,578.45

Hospital Charge Code	270615868
Hospital Revenue Code	272
Min. Negotiated Rate	$465.20
Max. Negotiated Rate	$1,789.22
Rate for Payer: Aetna Commercial	$1,073.54
Rate for Payer: Aetna Medicare Advantage	$1,073.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$912.50
Rate for Payer: Cigna Commercial	$1,789.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.20
Rate for Payer: Oxford Commercial	$1,789.22
Rate for Payer: Qualcare PPO/HMO/WC	$536.77
Rate for Payer: UnitedHealthcare Commercial	$1,789.22

Know your out-of-pocket cost for care.

All Charges