Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ATHX CAN INTERF 8/25MM**

Facility

$460.00

Hospital Charge Code	270601995
Hospital Revenue Code	279
Min. Negotiated Rate	$59.80
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$230.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$230.00

SCREW ATHX CAN INTERF 8/25MM**

Facility

$460.00

Hospital Charge Code	270601995
Hospital Revenue Code	279
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

SCREW ATHX SHTH 7 20MM AR1370E

Facility

$883.25

Hospital Charge Code	270601363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 7 20MM AR1370E

Facility

$883.25

Hospital Charge Code	270601363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 7 25MM AR1371E

Facility

$883.25

Hospital Charge Code	270601365
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 7 25MM AR1371E

Facility

$883.25

Hospital Charge Code	270601365
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 8 20MM AR1380E

Facility

$883.25

Hospital Charge Code	270601366
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 8 20MM AR1380E

Facility

$883.25

Hospital Charge Code	270601366
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 8 25MM AR1381E

Facility

$1,058.45

Hospital Charge Code	270601367
Hospital Revenue Code	278
Min. Negotiated Rate	$158.77
Max. Negotiated Rate	$256.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: Qualcare PPO/HMO/WC	$158.77

SCREW ATHX SHTH 8 25MM AR1381E

Facility

$1,058.45

Hospital Charge Code	270601367
Hospital Revenue Code	278
Min. Negotiated Rate	$158.77
Max. Negotiated Rate	$529.23
Rate for Payer: Aetna Commercial	$317.54
Rate for Payer: Aetna Medicare Advantage	$317.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.90
Rate for Payer: Cigna Commercial	$529.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: Qualcare PPO/HMO/WC	$158.77

SCREW ATHX SHTH 9 20MM AR1930E

Facility

$883.25

Hospital Charge Code	270601368
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 9 20MM AR1930E

Facility

$883.25

Hospital Charge Code	270601368
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 9 25MM ****

Facility

$460.00

Hospital Charge Code	270601369
Hospital Revenue Code	279
Min. Negotiated Rate	$59.80
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$230.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$230.00

SCREW ATHX SHTH 9 25MM ****

Facility

$460.00

Hospital Charge Code	270601369
Hospital Revenue Code	279
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

SCREW ATK 10.5 30 907330

Facility

$2,812.85

Hospital Charge Code	270620206
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$1,406.42
Rate for Payer: Aetna Commercial	$843.86
Rate for Payer: Aetna Medicare Advantage	$843.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.28
Rate for Payer: Cigna Commercial	$1,406.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW ATK 10.5 30 907330

Facility

$2,812.85

Hospital Charge Code	270620206
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$680.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW ATK 1 25 905623

Facility

$793.65

Hospital Charge Code	270627339
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

SCREW ATK 1 25 905623

Facility

$793.65

Hospital Charge Code	270627339
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$238.09
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

SCREW ATK 6.5 30MM 381030

Facility

$332.00

Hospital Charge Code	270610578
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 30MM 381030

Facility

$332.00

Hospital Charge Code	270610578
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 40MM 381040

Facility

$332.00

Hospital Charge Code	270610579
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 40MM 381040

Facility

$332.00

Hospital Charge Code	270610579
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 45MM 381045

Facility

$332.00

Hospital Charge Code	270617808
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 45MM 381045

Facility

$332.00

Hospital Charge Code	270617808
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 55MM 381055

Facility

$332.00

Hospital Charge Code	270617806
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

Know your out-of-pocket cost for care.

All Charges