Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 CANC 55 955407

Facility

$664.70

Hospital Charge Code	270627982
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$332.35
Rate for Payer: Aetna Commercial	$199.41
Rate for Payer: Aetna Medicare Advantage	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.50
Rate for Payer: Cigna Commercial	$332.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW ATK CANC 55 955407

Facility

$664.70

Hospital Charge Code	270627982
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$160.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW ATK GT 10 25 905620

Facility

$793.65

Hospital Charge Code	270627337
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 GT 10 25 905620

Facility

$793.65

Hospital Charge Code	270627337
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 GT 12 25 905626

Facility

$858.15

Hospital Charge Code	270627336
Hospital Revenue Code	278
Min. Negotiated Rate	$128.72
Max. Negotiated Rate	$207.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: Qualcare PPO/HMO/WC	$128.72

SCREW ATK GT 12 25 905626

Facility

$858.15

Hospital Charge Code	270627336
Hospital Revenue Code	278
Min. Negotiated Rate	$128.72
Max. Negotiated Rate	$429.07
Rate for Payer: Aetna Commercial	$257.44
Rate for Payer: Aetna Medicare Advantage	$257.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.83
Rate for Payer: Cigna Commercial	$429.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: Qualcare PPO/HMO/WC	$128.72

SCREW ATK GT 9 25 905616

Facility

$847.45

Hospital Charge Code	270627338
Hospital Revenue Code	278
Min. Negotiated Rate	$127.12
Max. Negotiated Rate	$205.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.08
Rate for Payer: Qualcare PPO/HMO/WC	$127.12

SCREW ATK GT 9 25 905616

Facility

$847.45

Hospital Charge Code	270627338
Hospital Revenue Code	278
Min. Negotiated Rate	$127.12
Max. Negotiated Rate	$423.73
Rate for Payer: Aetna Commercial	$254.24
Rate for Payer: Aetna Medicare Advantage	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.10
Rate for Payer: Cigna Commercial	$423.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.08
Rate for Payer: Qualcare PPO/HMO/WC	$127.12

SCREW ATK INTF 10 20 905609

Facility

$793.65

Hospital Charge Code	270627981
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 INTF 10 20 905609

Facility

$793.65

Hospital Charge Code	270627981
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 INTF 8 25 905615

Facility

$1,127.25

Hospital Charge Code	270617620
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$338.18
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 8 25 905615

Facility

$1,127.25

Hospital Charge Code	270617620
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 25 905617

Facility

$1,127.25

Hospital Charge Code	270617896
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 25 905617

Facility

$1,127.25

Hospital Charge Code	270617896
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$338.18
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 30 905608

Facility

$1,127.25

Hospital Charge Code	270617897
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$338.18
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 30 905608

Facility

$1,127.25

Hospital Charge Code	270617897
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK MULCH 10.5 35 907335

Facility

$2,798.45

Hospital Charge Code	270620354
Hospital Revenue Code	278
Min. Negotiated Rate	$419.77
Max. Negotiated Rate	$1,399.22
Rate for Payer: Aetna Commercial	$839.53
Rate for Payer: Aetna Medicare Advantage	$839.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.60
Rate for Payer: Cigna Commercial	$1,399.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.22
Rate for Payer: Qualcare PPO/HMO/WC	$419.77

SCREW ATK MULCH 10.5 35 907335

Facility

$2,798.45

Hospital Charge Code	270620354
Hospital Revenue Code	278
Min. Negotiated Rate	$419.77
Max. Negotiated Rate	$677.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.22
Rate for Payer: Qualcare PPO/HMO/WC	$419.77

SCREW ATK MULCH 25MM 906325

Facility

$1,915.25

Hospital Charge Code	270613296
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK MULCH 25MM 906325

Facility

$1,915.25

Hospital Charge Code	270613296
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$574.58
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK MULCH 906330

Facility

$1,915.25

Hospital Charge Code	270609649
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK MULCH 906330

Facility

$1,915.25

Hospital Charge Code	270609649
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$574.58
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK TUNNELOC 906335

Facility

$1,915.25

Hospital Charge Code	270609652
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK TUNNELOC 906335

Facility

$1,915.25

Hospital Charge Code	270609652
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$574.58
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

Know your out-of-pocket cost for care.

All Charges