Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 14.0 120 280.520

Facility

$1,342.45

Hospital Charge Code	270603795
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 14.0 120 280.520

Facility

$1,342.45

Hospital Charge Code	270603795
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 14.0 130 280.530

Facility

$1,342.45

Hospital Charge Code	270603797
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 14.0 130 280.530

Facility

$1,342.45

Hospital Charge Code	270603797
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 14.0 135 280.535

Facility

$1,342.45

Hospital Charge Code	270603798
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 14.0 135 280.535

Facility

$1,342.45

Hospital Charge Code	270603798
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 14.0 140 280.540

Facility

$1,342.45

Hospital Charge Code	270603799
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 14.0 140 280.540

Facility

$1,342.45

Hospital Charge Code	270603799
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 14.0 145 280.545

Facility

$1,334.45

Hospital Charge Code	270603800
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$322.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 145 280.545

Facility

$1,334.45

Hospital Charge Code	270603800
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$667.23
Rate for Payer: Aetna Commercial	$400.33
Rate for Payer: Aetna Medicare Advantage	$400.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.28
Rate for Payer: Cigna Commercial	$667.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 50 280.450

Facility

$1,334.45

Hospital Charge Code	270603781
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$667.23
Rate for Payer: Aetna Commercial	$400.33
Rate for Payer: Aetna Medicare Advantage	$400.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.28
Rate for Payer: Cigna Commercial	$667.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 50 280.450

Facility

$1,334.45

Hospital Charge Code	270603781
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$322.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 55 280.455

Facility

$1,342.45

Hospital Charge Code	270603782
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 55 280.455

Facility

$1,342.45

Hospital Charge Code	270603782
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 60 280.460

Facility

$1,342.45

Hospital Charge Code	270603783
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 60 280.460

Facility

$1,342.45

Hospital Charge Code	270603783
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 65 280.465

Facility

$1,342.45

Hospital Charge Code	270603784
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 65 280.465

Facility

$1,342.45

Hospital Charge Code	270603784
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 70 280.470

Facility

$1,342.45

Hospital Charge Code	270603785
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 70 280.470

Facility

$1,342.45

Hospital Charge Code	270603785
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 75 280.475

Facility

$1,342.45

Hospital Charge Code	270603786
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 75 280.475

Facility

$1,342.45

Hospital Charge Code	270603786
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 80 280.480

Facility

$1,342.45

Hospital Charge Code	270603787
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 80 280.480

Facility

$1,342.45

Hospital Charge Code	270603787
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