Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DHS LAG 14.0 85 280.485

Facility

$1,342.45

Hospital Charge Code	270603788
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 85 280.485

Facility

$1,342.45

Hospital Charge Code	270603788
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 90 280.490

Facility

$1,320.00

Hospital Charge Code	270603789
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 14.0 90 280.490

Facility

$1,320.00

Hospital Charge Code	270603789
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 14.0 95 280.495

Facility

$1,342.45

Hospital Charge Code	270603790
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 95 280.495

Facility

$1,342.45

Hospital Charge Code	270603790
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 DOME MPACT 15MM

Facility

$16,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270684245
Hospital Revenue Code	278
Min. Negotiated Rate	$2,452.50
Max. Negotiated Rate	$3,956.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50

SCREW DOME MPACT 15MM

Facility

$16,350.00

Service Code	HCPCS C1713
Hospital Charge Code	270684245
Hospital Revenue Code	278
Min. Negotiated Rate	$2,452.50
Max. Negotiated Rate	$8,175.00
Rate for Payer: Aetna Commercial	$4,905.00
Rate for Payer: Aetna Medicare Advantage	$4,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,169.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,169.25
Rate for Payer: Cigna Commercial	$8,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,956.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,452.50

SCREW DPY CANC 4.0 26 14369226

Facility

$136.85

Hospital Charge Code	270622982
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$33.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SCREW DPY CANC 4.0 26 14369226

Facility

$136.85

Hospital Charge Code	270622982
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SCREW DPY CANC 4.0 28 1436928

Facility

$136.85

Service Code	HCPCS C1713
Hospital Charge Code	270622981
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$41.05
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SCREW DPY CANC 4.0 28 1436928

Facility

$136.85

Service Code	HCPCS C1713
Hospital Charge Code	270622981
Hospital Revenue Code	278
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$33.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

SCREW DPY CANC 4.0 36 14369236

Facility

$164.00

Hospital Charge Code	270622988
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$82.00
Rate for Payer: Aetna Commercial	$49.20
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.69
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

SCREW DPY CANC 4.0 36 14369236

Facility

$164.00

Hospital Charge Code	270622988
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$39.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.69
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

SCREW DPY CANC 4.0 42 1437642

Facility

$551.25

Hospital Charge Code	270622987
Hospital Revenue Code	278
Min. Negotiated Rate	$82.69
Max. Negotiated Rate	$133.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.69

SCREW DPY CANC 4.0 42 1437642

Facility

$551.25

Hospital Charge Code	270622987
Hospital Revenue Code	278
Min. Negotiated Rate	$82.69
Max. Negotiated Rate	$275.62
Rate for Payer: Aetna Commercial	$165.38
Rate for Payer: Aetna Medicare Advantage	$165.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.57
Rate for Payer: Cigna Commercial	$275.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.69

SCREW DPY CANN 46 20MM 1422546

Facility

$936.85

Hospital Charge Code	270612493
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CANN 46 20MM 1422546

Facility

$936.85

Hospital Charge Code	270612493
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$281.06
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CANN 48 20MM 1422548

Facility

$936.85

Hospital Charge Code	270612494
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CANN 48 20MM 1422548

Facility

$936.85

Hospital Charge Code	270612494
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$281.06
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

SCREW DPY CORE 4.5 28 1402228

Facility

$84.00

Hospital Charge Code	270622960
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 28 1402228

Facility

$84.00

Hospital Charge Code	270622960
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 30 1402230

Facility

$84.00

Hospital Charge Code	270622959
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 30 1402230

Facility

$84.00

Hospital Charge Code	270622959
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 32 1402232

Facility

$84.00

Hospital Charge Code	270622956
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

Know your out-of-pocket cost for care.

All Charges