Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN ZIM LOCKING ASSEMBLY SHT

Facility

$328.85

Hospital Charge Code	270601383
Hospital Revenue Code	278
Min. Negotiated Rate	$49.33
Max. Negotiated Rate	$164.43
Rate for Payer: Aetna Commercial	$98.66
Rate for Payer: Aetna Medicare Advantage	$98.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.86
Rate for Payer: Cigna Commercial	$164.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.58
Rate for Payer: Qualcare PPO/HMO/WC	$49.33

PIN ZIM RUSH LG B 3/16

Facility

$383.25

Hospital Charge Code	270601386
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG B 3/16

Facility

$383.25

Hospital Charge Code	270601386
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG C 3/16 8020104

Facility

$383.25

Hospital Charge Code	270601387
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG C 3/16 8020104

Facility

$383.25

Hospital Charge Code	270601387
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG D 3/16

Facility

$383.25

Hospital Charge Code	270601388
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG D 3/16

Facility

$383.25

Hospital Charge Code	270601388
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG E

Facility

$383.25

Hospital Charge Code	270601389
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG E

Facility

$383.25

Hospital Charge Code	270601389
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG S

Facility

$564.85

Hospital Charge Code	270601385
Hospital Revenue Code	278
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$169.46
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

PIN ZIM RUSH LG S

Facility

$564.85

Hospital Charge Code	270601385
Hospital Revenue Code	278
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$136.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

PIN ZIM RUSH MED H

Facility

$383.25

Hospital Charge Code	270601390
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH MED H

Facility

$383.25

Hospital Charge Code	270601390
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH MED I

Facility

$383.25

Hospital Charge Code	270601391
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH MED I

Facility

$383.25

Hospital Charge Code	270601391
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH XLG A 1/4 8010102

Facility

$491.25

Hospital Charge Code	270610096
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

PIN ZIM RUSH XLG A 1/4 8010102

Facility

$491.25

Hospital Charge Code	270610096
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$147.38
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

PIN ZIM RUSH XLG B 8010103

Facility

$400.00

Hospital Charge Code	270615028
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

PIN ZIM RUSH XLG B 8010103

Facility

$400.00

Hospital Charge Code	270615028
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

PIN ZIM STEIN 3RD 1/8 2620404

Facility

$85.65

Hospital Charge Code	270601754
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$20.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

PIN ZIM STEIN 3RD 1/8 2620404

Facility

$85.65

Hospital Charge Code	270601754
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$25.70
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

PIN ZIM STEIN 3RD 9/64 2620304

Facility

$85.65

Hospital Charge Code	270601755
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$20.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

PIN ZIM STEIN 3RD 9/64 2620304

Facility

$85.65

Hospital Charge Code	270601755
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$25.70
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

PIN ZIM STEINMAN 3.2 187-04-59

Facility

$40.85

Hospital Charge Code	270620529
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

PIN ZIM STEINMAN 3.2 187-04-59

Facility

$40.85

Hospital Charge Code	270620529
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$12.26
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

Know your out-of-pocket cost for care.

All Charges