Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW HMD CANC 6.5 60 52124060

Facility

$422.45

Hospital Charge Code	270620200
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$102.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

SCREW HMD CANC 6.5 65 52124065

Facility

$422.45

Hospital Charge Code	270620199
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$126.73
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

SCREW HMD CANC 6.5 65 52124065

Facility

$422.45

Hospital Charge Code	270620199
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$102.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

SCREW HMD CANC 6.5 70 52124070

Facility

$530.45

Hospital Charge Code	270620195
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 70 52124070

Facility

$530.45

Hospital Charge Code	270620195
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 75 52124075

Facility

$530.45

Hospital Charge Code	270620197
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 75 52124075

Facility

$530.45

Hospital Charge Code	270620197
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 80 52124080

Facility

$530.45

Hospital Charge Code	270620198
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CANC 6.5 80 52124080

Facility

$530.45

Hospital Charge Code	270620198
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW HMD CAP 3370-1050

Facility

$621.65

Hospital Charge Code	270611710
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 HMD CAP 3370-1050

Facility

$621.65

Hospital Charge Code	270611710
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 HMD CORT 5 40 5210-1040

Facility

$315.25

Hospital Charge Code	270620192
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 40 5210-1040

Facility

$315.25

Hospital Charge Code	270620192
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 44 5210-1044

Facility

$315.25

Hospital Charge Code	270620193
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 44 5210-1044

Facility

$315.25

Hospital Charge Code	270620193
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 50 5210-1050

Facility

$315.25

Hospital Charge Code	270620194
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD CORT 5 50 5210-1050

Facility

$315.25

Hospital Charge Code	270620194
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW HMD DISTAL 30 3370-5030

Facility

$721.65

Hospital Charge Code	270613078
Hospital Revenue Code	278
Min. Negotiated Rate	$108.25
Max. Negotiated Rate	$360.82
Rate for Payer: Aetna Medicare Advantage	$216.50
Rate for Payer: Aetna Commercial	$216.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.02
Rate for Payer: Cigna Commercial	$360.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$108.25

SCREW HMD DISTAL 30 3370-5030

Facility

$721.65

Hospital Charge Code	270613078
Hospital Revenue Code	278
Min. Negotiated Rate	$108.25
Max. Negotiated Rate	$174.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.64
Rate for Payer: Qualcare PPO/HMO/WC	$108.25

SCREW HMD DISTAL 35 3370-5035

Facility

$760.00

Hospital Charge Code	270617159
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

SCREW HMD DISTAL 35 3370-5035

Facility

$760.00

Hospital Charge Code	270617159
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

SCREW HMD DISTAL 45 33705045

Facility

$797.65

Hospital Charge Code	270615323
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

SCREW HMD DISTAL 45 33705045

Facility

$797.65

Hospital Charge Code	270615323
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$398.82
Rate for Payer: Aetna Commercial	$239.29
Rate for Payer: Aetna Medicare Advantage	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.40
Rate for Payer: Cigna Commercial	$398.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

SCREW HMD DISTAL 453370-5045**

Facility

$312.00

Hospital Charge Code	270615353
Hospital Revenue Code	279
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$46.80
Rate for Payer: Qualcare PPO/HMO/WC	$46.80

SCREW HMD DISTAL 453370-5045**

Facility

$312.00

Hospital Charge Code	270615353
Hospital Revenue Code	279
Min. Negotiated Rate	$40.56
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$93.60
Rate for Payer: Aetna Medicare Advantage	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.56
Rate for Payer: Cigna Commercial	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.80
Rate for Payer: UnitedHealthcare Commercial	$156.00

Know your out-of-pocket cost for care.

All Charges