Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DHS LAG 12.7 55 280.55

Facility

$1,212.00

Hospital Charge Code	270603757
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 55 280.55

Facility

$1,212.00

Hospital Charge Code	270603757
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 60 280.60

Facility

$1,212.00

Hospital Charge Code	270603758
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 60 280.60

Facility

$1,212.00

Hospital Charge Code	270603758
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 65 280.65

Facility

$1,212.00

Hospital Charge Code	270603759
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 65 280.65

Facility

$1,212.00

Hospital Charge Code	270603759
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 70 280.70

Facility

$1,212.00

Hospital Charge Code	270603760
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 70 280.70

Facility

$1,212.00

Hospital Charge Code	270603760
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 75 280.75

Facility

$1,212.00

Hospital Charge Code	270603761
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 75 280.75

Facility

$1,212.00

Hospital Charge Code	270603761
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 80 280.80

Facility

$1,320.00

Hospital Charge Code	270603762
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$396.00
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 80 280.80

Facility

$1,320.00

Hospital Charge Code	270603762
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 85 280.85

Facility

$1,212.00

Hospital Charge Code	270603763
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 85 280.85

Facility

$1,212.00

Hospital Charge Code	270603763
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 90 280.90

Facility

$1,320.00

Hospital Charge Code	270603764
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 90 280.90

Facility

$1,320.00

Hospital Charge Code	270603764
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$396.00
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 95 280.95

Facility

$1,212.00

Hospital Charge Code	270603766
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 95 280.95

Facility

$1,212.00

Hospital Charge Code	270603766
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 14.0 100 280.500

Facility

$1,342.45

Hospital Charge Code	270603791
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 100 280.500

Facility

$1,342.45

Hospital Charge Code	270603791
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 105 280.505

Facility

$1,342.45

Hospital Charge Code	270603792
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 105 280.505

Facility

$1,342.45

Hospital Charge Code	270603792
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 110 280.510

Facility

$1,342.45

Hospital Charge Code	270603793
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 110 280.510

Facility

$1,342.45

Hospital Charge Code	270603793
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 115 280.515

Facility

$1,342.45

Hospital Charge Code	270603794
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$402.74
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

Know your out-of-pocket cost for care.

All Charges