Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SDK CANC 3.5 14MM 870214

Facility

$1,288.00

Hospital Charge Code	270614968
Hospital Revenue Code	278
Min. Negotiated Rate	$193.20
Max. Negotiated Rate	$311.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.70
Rate for Payer: Qualcare PPO/HMO/WC	$193.20

SCREW SDK CANC 3.5 14MM 870214

Facility

$1,288.00

Hospital Charge Code	270614968
Hospital Revenue Code	278
Min. Negotiated Rate	$193.20
Max. Negotiated Rate	$644.00
Rate for Payer: Aetna Commercial	$386.40
Rate for Payer: Aetna Medicare Advantage	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$328.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$328.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$328.44
Rate for Payer: Cigna Commercial	$644.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$311.70
Rate for Payer: Qualcare PPO/HMO/WC	$193.20

SCREW SDK CANC 4.0 13MM 871013

Facility

$1,256.85

Hospital Charge Code	270607298
Hospital Revenue Code	278
Min. Negotiated Rate	$188.53
Max. Negotiated Rate	$628.42
Rate for Payer: Aetna Commercial	$377.06
Rate for Payer: Aetna Medicare Advantage	$377.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.50
Rate for Payer: Cigna Commercial	$628.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.16
Rate for Payer: Qualcare PPO/HMO/WC	$188.53

SCREW SDK CANC 4.0 13MM 871013

Facility

$1,256.85

Hospital Charge Code	270607298
Hospital Revenue Code	278
Min. Negotiated Rate	$188.53
Max. Negotiated Rate	$304.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.16
Rate for Payer: Qualcare PPO/HMO/WC	$188.53

SCREW SDK CANC 4.0 13MM 876013

Facility

$1,456.00

Hospital Charge Code	270616041
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$728.00
Rate for Payer: Aetna Commercial	$436.80
Rate for Payer: Aetna Medicare Advantage	$436.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.28
Rate for Payer: Cigna Commercial	$728.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

SCREW SDK CANC 4.0 13MM 876013

Facility

$1,456.00

Hospital Charge Code	270616041
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

SCREW SDK CANC 4.0 13MM 876313

Facility

$1,456.00

Hospital Charge Code	270614734
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$728.00
Rate for Payer: Aetna Commercial	$436.80
Rate for Payer: Aetna Medicare Advantage	$436.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.28
Rate for Payer: Cigna Commercial	$728.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

SCREW SDK CANC 4.0 13MM 876313

Facility

$1,456.00

Hospital Charge Code	270614734
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

SCREW SDK CANC 4.0 16MM 876316

Facility

$1,603.25

Hospital Charge Code	270618015
Hospital Revenue Code	278
Min. Negotiated Rate	$240.49
Max. Negotiated Rate	$801.62
Rate for Payer: Aetna Commercial	$480.98
Rate for Payer: Aetna Medicare Advantage	$480.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.83
Rate for Payer: Cigna Commercial	$801.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.99
Rate for Payer: Qualcare PPO/HMO/WC	$240.49

SCREW SDK CANC 4.0 16MM 876316

Facility

$1,603.25

Hospital Charge Code	270618015
Hospital Revenue Code	278
Min. Negotiated Rate	$240.49
Max. Negotiated Rate	$387.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.99
Rate for Payer: Qualcare PPO/HMO/WC	$240.49

SCREW SDK CANC 4.0 18MM 876318

Facility

$1,603.25

Hospital Charge Code	270618017
Hospital Revenue Code	278
Min. Negotiated Rate	$240.49
Max. Negotiated Rate	$801.62
Rate for Payer: Aetna Commercial	$480.98
Rate for Payer: Aetna Medicare Advantage	$480.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.83
Rate for Payer: Cigna Commercial	$801.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.99
Rate for Payer: Qualcare PPO/HMO/WC	$240.49

SCREW SDK CANC 4.0 18MM 876318

Facility

$1,603.25

Hospital Charge Code	270618017
Hospital Revenue Code	278
Min. Negotiated Rate	$240.49
Max. Negotiated Rate	$387.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.99
Rate for Payer: Qualcare PPO/HMO/WC	$240.49

SCREW SDK CANC 4.3 15MM 871055

Facility

$1,342.45

Hospital Charge Code	270613167
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 SDK CANC 4.3 15MM 871055

Facility

$1,342.45

Hospital Charge Code	270613167
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 SDK CANC 4.5 13MM 871053

Facility

$1,595.25

Hospital Charge Code	270608798
Hospital Revenue Code	278
Min. Negotiated Rate	$239.29
Max. Negotiated Rate	$386.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.05
Rate for Payer: Qualcare PPO/HMO/WC	$239.29

SCREW SDK CANC 4.5 13MM 871053

Facility

$1,595.25

Hospital Charge Code	270608798
Hospital Revenue Code	278
Min. Negotiated Rate	$239.29
Max. Negotiated Rate	$797.62
Rate for Payer: Aetna Commercial	$478.57
Rate for Payer: Aetna Medicare Advantage	$478.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.79
Rate for Payer: Cigna Commercial	$797.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.05
Rate for Payer: Qualcare PPO/HMO/WC	$239.29

SCREW SDK CANC 4.5 13MM 871073

Facility

$1,433.65

Hospital Charge Code	270609021
Hospital Revenue Code	278
Min. Negotiated Rate	$215.05
Max. Negotiated Rate	$346.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.94
Rate for Payer: Qualcare PPO/HMO/WC	$215.05

SCREW SDK CANC 4.5 13MM 871073

Facility

$1,433.65

Hospital Charge Code	270609021
Hospital Revenue Code	278
Min. Negotiated Rate	$215.05
Max. Negotiated Rate	$716.83
Rate for Payer: Aetna Commercial	$430.10
Rate for Payer: Aetna Medicare Advantage	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.58
Rate for Payer: Cigna Commercial	$716.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.94
Rate for Payer: Qualcare PPO/HMO/WC	$215.05

SCREW SDK CANC 4.5 13MM 876353

Facility

$1,864.00

Hospital Charge Code	270614735
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$451.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 13MM 876353

Facility

$1,864.00

Hospital Charge Code	270614735
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$932.00
Rate for Payer: Aetna Commercial	$559.20
Rate for Payer: Aetna Medicare Advantage	$559.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$475.32
Rate for Payer: Cigna Commercial	$932.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 15MM 876355

Facility

$1,864.00

Hospital Charge Code	270614736
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$932.00
Rate for Payer: Aetna Commercial	$559.20
Rate for Payer: Aetna Medicare Advantage	$559.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$475.32
Rate for Payer: Cigna Commercial	$932.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 15MM 876355

Facility

$1,864.00

Hospital Charge Code	270614736
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$451.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 17MM 876357

Facility

$2,040.00

Hospital Charge Code	270618018
Hospital Revenue Code	278
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Aetna Commercial	$612.00
Rate for Payer: Aetna Medicare Advantage	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$520.20
Rate for Payer: Cigna Commercial	$1,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: Qualcare PPO/HMO/WC	$306.00

SCREW SDK CANC 4.5 17MM 876357

Facility

$2,040.00

Hospital Charge Code	270618018
Hospital Revenue Code	278
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$493.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: Qualcare PPO/HMO/WC	$306.00

SCREW SDK LOCKING 871001

Facility

$590.45

Hospital Charge Code	270607297
Hospital Revenue Code	278
Min. Negotiated Rate	$88.57
Max. Negotiated Rate	$295.23
Rate for Payer: Aetna Commercial	$177.13
Rate for Payer: Aetna Medicare Advantage	$177.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.56
Rate for Payer: Cigna Commercial	$295.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: Qualcare PPO/HMO/WC	$88.57

Know your out-of-pocket cost for care.

All Charges