Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$344.00
Rate for Payer: Aetna Commercial	$206.40
Rate for Payer: Aetna Medicare Advantage	$206.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.44
Rate for Payer: Cigna Commercial	$344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.20

SCREW BMT CANN 7 90 345728

Facility

$973.65

Hospital Charge Code	270617177
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 90 345728

Facility

$973.65

Hospital Charge Code	270617177
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 95 345730

Facility

$973.65

Hospital Charge Code	270617176
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 95 345730

Facility

$973.65

Hospital Charge Code	270617176
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 CORT 4.0 32 345832

Facility

$495.25

Hospital Charge Code	270627062
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 32 345832

Facility

$495.25

Hospital Charge Code	270627062
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 34 345278

Facility

$621.65

Hospital Charge Code	270613717
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 34 345278

Facility

$621.65

Hospital Charge Code	270613717
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 36 345280

Facility

$621.65

Hospital Charge Code	270613720
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 36 345280

Facility

$621.65

Hospital Charge Code	270613720
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 38 345838

Facility

$5.00

Hospital Charge Code	270627442
Hospital Revenue Code	278
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SCREW BMT CORT 4.0 38 345838

Facility

$5.00

Hospital Charge Code	270627442
Hospital Revenue Code	278
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SCREW BMT CORT 4.0 42 345842

Facility

$495.25

Hospital Charge Code	270625702
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 42 345842

Facility

$495.25

Hospital Charge Code	270625702
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 44 345844

Facility

$495.25

Hospital Charge Code	270625701
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 44 345844

Facility

$495.25

Hospital Charge Code	270625701
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 50 345292

Facility

$621.65

Hospital Charge Code	270613721
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 50 345292

Facility

$621.65

Hospital Charge Code	270613721
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.5 18MM 345218

Facility

$457.65

Hospital Charge Code	270612317
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$228.82
Rate for Payer: Aetna Commercial	$137.29
Rate for Payer: Aetna Medicare Advantage	$137.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.70
Rate for Payer: Cigna Commercial	$228.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

SCREW BMT CORT 4.5 18MM 345218

Facility

$457.65

Hospital Charge Code	270612317
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$110.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

SCREW BMT CORT 4.5 20MM 345220

Facility

$716.00

Hospital Charge Code	270610876
Hospital Revenue Code	278
Min. Negotiated Rate	$107.40
Max. Negotiated Rate	$358.00
Rate for Payer: Aetna Commercial	$214.80
Rate for Payer: Aetna Medicare Advantage	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.58
Rate for Payer: Cigna Commercial	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.27
Rate for Payer: Qualcare PPO/HMO/WC	$107.40

SCREW BMT CORT 4.5 20MM 345220

Facility

$716.00

Hospital Charge Code	270610876
Hospital Revenue Code	278
Min. Negotiated Rate	$107.40
Max. Negotiated Rate	$173.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.27
Rate for Payer: Qualcare PPO/HMO/WC	$107.40

SCREW BMT CORT 4.5 20MM 345320

Facility

$457.65

Hospital Charge Code	270614911
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$110.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

SCREW BMT CORT 4.5 20MM 345320

Facility

$457.65

Hospital Charge Code	270614911
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$228.82
Rate for Payer: Aetna Commercial	$137.29
Rate for Payer: Aetna Medicare Advantage	$137.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.70
Rate for Payer: Cigna Commercial	$228.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

Know your out-of-pocket cost for care.

All Charges