Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ATK WASHERLC 40 908640

Facility

$576.00

Hospital Charge Code	270613298
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 40 908640

Facility

$576.00

Hospital Charge Code	270613298
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 44 908644

Facility

$576.00

Hospital Charge Code	270613299
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 44 908644

Facility

$576.00

Hospital Charge Code	270613299
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 56 908656

Facility

$576.00

Hospital Charge Code	270613300
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 56 908656

Facility

$576.00

Hospital Charge Code	270613300
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 6 30 908830

Facility

$873.65

Hospital Charge Code	270620356
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 30 908830

Facility

$873.65

Hospital Charge Code	270620356
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 32 908832

Facility

$873.65

Hospital Charge Code	270620207
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 32 908832

Facility

$873.65

Hospital Charge Code	270620207
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 38 908838

Facility

$594.45

Hospital Charge Code	270625098
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$297.23
Rate for Payer: Aetna Commercial	$178.34
Rate for Payer: Aetna Medicare Advantage	$178.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.58
Rate for Payer: Cigna Commercial	$297.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.86
Rate for Payer: Qualcare PPO/HMO/WC	$89.17

SCREW ATK WASHERLC 6 38 908838

Facility

$594.45

Hospital Charge Code	270625098
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$143.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.86
Rate for Payer: Qualcare PPO/HMO/WC	$89.17

SCREW ATK WASHERLC 6 44 908844

Facility

$873.65

Hospital Charge Code	270620208
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 44 908844

Facility

$873.65

Hospital Charge Code	270620208
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 60 908660

Facility

$873.65

Hospital Charge Code	270620209
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$262.10
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 60 908660

Facility

$873.65

Hospital Charge Code	270620209
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATR SET

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270658026
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW ATR SET

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270658026
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW ATS 4.75 VOY 6.5X45MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696279
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATS 4.75 VOY 6.5X45MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696504
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATS 4.75 VOY 6.5X45MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696279
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATS 4.75 VOY 6.5X45MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696504
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATS 4.75 VOY 7.5X40MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATS 4.75 VOY 7.5X40MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

SCREW ATX WASHLCK 6 54 908854

Facility

$636.00

Hospital Charge Code	270627553
Hospital Revenue Code	278
Min. Negotiated Rate	$95.40
Max. Negotiated Rate	$318.00
Rate for Payer: Aetna Commercial	$190.80
Rate for Payer: Aetna Medicare Advantage	$190.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.18
Rate for Payer: Cigna Commercial	$318.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.91
Rate for Payer: Qualcare PPO/HMO/WC	$95.40

Know your out-of-pocket cost for care.

All Charges