Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT PT 4 36 345836

Facility

$629.65

Hospital Charge Code	270617178
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$188.90
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SCREW BMT PT 4 40 345840

Facility

$629.65

Hospital Charge Code	270619026
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$152.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SCREW BMT PT 4 40 345840

Facility

$629.65

Hospital Charge Code	270619026
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$188.90
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SCREW BMT PT 4 48 345848

Facility

$495.25

Hospital Charge Code	270625379
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 PT 4 48 345848

Facility

$495.25

Hospital Charge Code	270625379
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 PT 4 52 345852

Facility

$629.65

Hospital Charge Code	270619020
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$152.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SCREW BMT PT 4 52 345852

Facility

$629.65

Hospital Charge Code	270619020
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$188.90
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

SCREW BMT TRNV 4.0 22 345266

Facility

$536.85

Hospital Charge Code	270609862
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$268.43
Rate for Payer: Aetna Commercial	$161.06
Rate for Payer: Aetna Medicare Advantage	$161.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.90
Rate for Payer: Cigna Commercial	$268.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT TRNV 4.0 22 345266

Facility

$536.85

Hospital Charge Code	270609862
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$129.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT TRNV 4.0 26 345270

Facility

$536.85

Hospital Charge Code	270609863
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$268.43
Rate for Payer: Aetna Commercial	$161.06
Rate for Payer: Aetna Medicare Advantage	$161.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.90
Rate for Payer: Cigna Commercial	$268.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT TRNV 4.0 26 345270

Facility

$536.85

Hospital Charge Code	270609863
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$129.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT TRNV 5.0 30 345434

Facility

$931.25

Hospital Charge Code	270607863
Hospital Revenue Code	278
Min. Negotiated Rate	$139.69
Max. Negotiated Rate	$225.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.36
Rate for Payer: Qualcare PPO/HMO/WC	$139.69

SCREW BMT TRNV 5.0 30 345434

Facility

$931.25

Hospital Charge Code	270607863
Hospital Revenue Code	278
Min. Negotiated Rate	$139.69
Max. Negotiated Rate	$465.62
Rate for Payer: Aetna Commercial	$279.38
Rate for Payer: Aetna Medicare Advantage	$279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.47
Rate for Payer: Cigna Commercial	$465.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.36
Rate for Payer: Qualcare PPO/HMO/WC	$139.69

SCREW BMT TRNV 5.0 35 345424

Facility

$813.65

Hospital Charge Code	270606457
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 TRNV 5.0 35 345424

Facility

$813.65

Hospital Charge Code	270606457
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 TRNV 5.0 40 156940

Facility

$1,056.50

Hospital Charge Code	270628484
Hospital Revenue Code	278
Min. Negotiated Rate	$158.47
Max. Negotiated Rate	$255.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.67
Rate for Payer: Qualcare PPO/HMO/WC	$158.47

SCREW BMT TRNV 5.0 40 156940

Facility

$1,056.50

Hospital Charge Code	270628484
Hospital Revenue Code	278
Min. Negotiated Rate	$158.47
Max. Negotiated Rate	$528.25
Rate for Payer: Aetna Commercial	$316.95
Rate for Payer: Aetna Medicare Advantage	$316.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.41
Rate for Payer: Cigna Commercial	$528.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.67
Rate for Payer: Qualcare PPO/HMO/WC	$158.47

SCREW BMT TRNV 5.0 40 345426

Facility

$813.65

Hospital Charge Code	270612304
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 TRNV 5.0 40 345426

Facility

$813.65

Hospital Charge Code	270612304
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 TRNV 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270612310
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 TRNV 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270612310
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 TRNV 5.0 60 345434

Facility

$698.45

Hospital Charge Code	270607862
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$209.53
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW BMT TRNV 5.0 60 345434

Facility

$698.45

Hospital Charge Code	270607862
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW BMT TRNV 5.0 70 345438

Facility

$698.45

Hospital Charge Code	270606464
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$209.53
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW BMT TRNV 5.0 70 345438

Facility

$698.45

Hospital Charge Code	270606464
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

Know your out-of-pocket cost for care.

All Charges