Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SDK LOCKING 871001

Facility

$590.45

Hospital Charge Code	270607297
Hospital Revenue Code	278
Min. Negotiated Rate	$88.57
Max. Negotiated Rate	$142.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: Qualcare PPO/HMO/WC	$88.57

SCREW SDK LOCKING 89104EHT

Facility

$851.25

Hospital Charge Code	270613603
Hospital Revenue Code	278
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$425.62
Rate for Payer: Aetna Commercial	$255.38
Rate for Payer: Aetna Medicare Advantage	$255.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.07
Rate for Payer: Cigna Commercial	$425.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.69

SCREW SDK LOCKING 89104EHT

Facility

$851.25

Hospital Charge Code	270613603
Hospital Revenue Code	278
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$206.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.69

SCREW SDK M-AX 5.5 45 8695545

Facility

$3,759.25

Hospital Charge Code	270618698
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 5.5 45 8695545

Facility

$3,759.25

Hospital Charge Code	270618698
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 35 827-635

Facility

$3,759.25

Hospital Charge Code	270617951
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 35 827-635

Facility

$3,759.25

Hospital Charge Code	270617951
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 40 827-340

Facility

$3,480.00

Hospital Charge Code	270613601
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 40 827-340

Facility

$3,480.00

Hospital Charge Code	270613601
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,044.00
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 40 8696540

Facility

$3,759.25

Hospital Charge Code	270616989
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 40 8696540

Facility

$3,759.25

Hospital Charge Code	270616989
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 45 827-345

Facility

$3,480.00

Hospital Charge Code	270613602
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 45 827-345

Facility

$3,480.00

Hospital Charge Code	270613602
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,044.00
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 45 8696545

Facility

$3,759.25

Hospital Charge Code	270617319
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 45 8696545

Facility

$3,759.25

Hospital Charge Code	270617319
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 30 8697530

Facility

$3,759.25

Hospital Charge Code	270616992
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 30 8697530

Facility

$3,759.25

Hospital Charge Code	270616992
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 35 8697535

Facility

$3,759.25

Hospital Charge Code	270617318
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 35 8697535

Facility

$3,759.25

Hospital Charge Code	270617318
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 40 827-740

Facility

$3,480.00

Hospital Charge Code	270613604
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,044.00
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 7.5 40 827-740

Facility

$3,480.00

Hospital Charge Code	270613604
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 7.5 40 8697540

Facility

$3,759.25

Hospital Charge Code	270616991
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,127.78
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 7.5 40 8697540

Facility

$3,759.25

Hospital Charge Code	270616991
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK SET 8670855

Facility

$1,016.85

Hospital Charge Code	270629204
Hospital Revenue Code	278
Min. Negotiated Rate	$152.53
Max. Negotiated Rate	$246.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: Qualcare PPO/HMO/WC	$152.53

SCREW SDK SET 8670855

Facility

$1,016.85

Hospital Charge Code	270629204
Hospital Revenue Code	278
Min. Negotiated Rate	$152.53
Max. Negotiated Rate	$508.43
Rate for Payer: Aetna Commercial	$305.06
Rate for Payer: Aetna Medicare Advantage	$305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.30
Rate for Payer: Cigna Commercial	$508.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: Qualcare PPO/HMO/WC	$152.53

Know your out-of-pocket cost for care.

All Charges