Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT 5 30 113846

Facility

$510.95

Hospital Charge Code	270628130
Hospital Revenue Code	278
Min. Negotiated Rate	$76.64
Max. Negotiated Rate	$123.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.64

SCREW BMT 5 30 113846

Facility

$510.95

Hospital Charge Code	270628130
Hospital Revenue Code	278
Min. Negotiated Rate	$76.64
Max. Negotiated Rate	$255.47
Rate for Payer: Aetna Commercial	$153.28
Rate for Payer: Aetna Medicare Advantage	$153.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.29
Rate for Payer: Cigna Commercial	$255.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.64

SCREW BMT 6.3 100 345632

Facility

$897.65

Hospital Charge Code	270614888
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$448.82
Rate for Payer: Aetna Commercial	$269.30
Rate for Payer: Aetna Medicare Advantage	$269.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.90
Rate for Payer: Cigna Commercial	$448.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

SCREW BMT 6.3 100 345632

Facility

$897.65

Hospital Charge Code	270614888
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$217.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

SCREW BMT 6.3 95 345630

Facility

$897.65

Hospital Charge Code	270614898
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$217.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

SCREW BMT 6.3 95 345630

Facility

$897.65

Hospital Charge Code	270614898
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$448.82
Rate for Payer: Aetna Commercial	$269.30
Rate for Payer: Aetna Medicare Advantage	$269.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.90
Rate for Payer: Cigna Commercial	$448.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

SCREW BMT BUTT FT 5 30 345422

Facility

$813.65

Hospital Charge Code	270609857
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT BUTT FT 5 30 345422

Facility

$813.65

Hospital Charge Code	270609857
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT BUTT FT 6 40 345524

Facility

$588.00

Hospital Charge Code	270621868
Hospital Revenue Code	278
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$294.00
Rate for Payer: Aetna Commercial	$176.40
Rate for Payer: Aetna Medicare Advantage	$176.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.94
Rate for Payer: Cigna Commercial	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

SCREW BMT BUTT FT 6 40 345524

Facility

$588.00

Hospital Charge Code	270621868
Hospital Revenue Code	278
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$142.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

SCREW BMT BUTT FT 6 45 345526

Facility

$588.00

Hospital Charge Code	270621869
Hospital Revenue Code	278
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$294.00
Rate for Payer: Aetna Commercial	$176.40
Rate for Payer: Aetna Medicare Advantage	$176.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.94
Rate for Payer: Cigna Commercial	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

SCREW BMT BUTT FT 6 45 345526

Facility

$588.00

Hospital Charge Code	270621869
Hospital Revenue Code	278
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$142.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

SCREW BMT CANC 6.5 45 16235245

Facility

$203.25

Hospital Charge Code	270624446
Hospital Revenue Code	278
Min. Negotiated Rate	$30.49
Max. Negotiated Rate	$101.62
Rate for Payer: Aetna Commercial	$60.98
Rate for Payer: Aetna Medicare Advantage	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.83
Rate for Payer: Cigna Commercial	$101.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.19
Rate for Payer: Qualcare PPO/HMO/WC	$30.49

SCREW BMT CANC 6.5 45 16235245

Facility

$203.25

Hospital Charge Code	270624446
Hospital Revenue Code	278
Min. Negotiated Rate	$30.49
Max. Negotiated Rate	$49.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.19
Rate for Payer: Qualcare PPO/HMO/WC	$30.49

SCREW BMT CANN 7 100 345732

Facility

$973.65

Hospital Charge Code	270618655
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 100 345732

Facility

$973.65

Hospital Charge Code	270618655
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 105 345734

Facility

$973.65

Hospital Charge Code	270619019
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 105 345734

Facility

$973.65

Hospital Charge Code	270619019
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 140 345744

Facility

$772.85

Hospital Charge Code	270625378
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$187.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 140 345744

Facility

$772.85

Hospital Charge Code	270625378
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$386.43
Rate for Payer: Aetna Commercial	$231.85
Rate for Payer: Aetna Medicare Advantage	$231.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.08
Rate for Payer: Cigna Commercial	$386.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 75 345722

Facility

$772.85

Hospital Charge Code	270624247
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$386.43
Rate for Payer: Aetna Commercial	$231.85
Rate for Payer: Aetna Medicare Advantage	$231.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.08
Rate for Payer: Cigna Commercial	$386.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 75 345722

Facility

$772.85

Hospital Charge Code	270624247
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$187.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 80 345724

Facility

$973.65

Hospital Charge Code	270619786
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$292.10
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 80 345724

Facility

$973.65

Hospital Charge Code	270619786
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 85 345726

Facility

$688.00

Hospital Charge Code	270622878
Hospital Revenue Code	278
Min. Negotiated Rate	$103.20
Max. Negotiated Rate	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.20

Know your out-of-pocket cost for care.

All Charges