Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC PT 4.0 95

Facility

$76.85

Hospital Charge Code	270604286
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/14MM

Facility

$71.25

Hospital Charge Code	270604265
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CANC PT THD 4.0/14MM

Facility

$71.25

Hospital Charge Code	270604265
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CANC PT THD 4.0/26MM

Facility

$71.25

Service Code	HCPCS C1713
Hospital Charge Code	270604271
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CANC PT THD 4.0/26MM

Facility

$71.25

Service Code	HCPCS C1713
Hospital Charge Code	270604271
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CANC PT THD 4.0/65MM

Facility

$76.85

Hospital Charge Code	270604280
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/65MM

Facility

$76.85

Hospital Charge Code	270604280
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/70MM

Facility

$76.85

Hospital Charge Code	270604281
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/70MM

Facility

$76.85

Hospital Charge Code	270604281
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/75MM

Facility

$76.85

Hospital Charge Code	270604282
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/75MM

Facility

$76.85

Hospital Charge Code	270604282
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/80MM

Facility

$76.85

Hospital Charge Code	270604283
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/80MM

Facility

$76.85

Hospital Charge Code	270604283
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/85MM

Facility

$76.85

Hospital Charge Code	270604284
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/85MM

Facility

$76.85

Hospital Charge Code	270604284
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/90MM

Facility

$76.85

Hospital Charge Code	270604285
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC PT THD 4.0/90MM

Facility

$76.85

Hospital Charge Code	270604285
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC TL 16 7 100MM

Facility

$1,020.85

Hospital Charge Code	270604947
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC TL 16 7 100MM

Facility

$1,020.85

Hospital Charge Code	270604947
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$306.25
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC TL 16 7 105MM

Facility

$1,020.85

Hospital Charge Code	270604948
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$306.25
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC TL 16 7 105MM

Facility

$1,020.85

Hospital Charge Code	270604948
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC TL 16 7 110MM

Facility

$1,223.25

Hospital Charge Code	270604949
Hospital Revenue Code	278
Min. Negotiated Rate	$183.49
Max. Negotiated Rate	$611.62
Rate for Payer: Aetna Commercial	$366.98
Rate for Payer: Aetna Medicare Advantage	$366.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.93
Rate for Payer: Cigna Commercial	$611.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.03
Rate for Payer: Qualcare PPO/HMO/WC	$183.49

SCREW SYN CANC TL 16 7 110MM

Facility

$1,223.25

Hospital Charge Code	270604949
Hospital Revenue Code	278
Min. Negotiated Rate	$183.49
Max. Negotiated Rate	$296.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.03
Rate for Payer: Qualcare PPO/HMO/WC	$183.49

SCREW SYN CANC TL 16 7 120MM

Facility

$1,020.85

Hospital Charge Code	270604951
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$306.25
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC TL 16 7 120MM

Facility

$1,020.85

Hospital Charge Code	270604951
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

Know your out-of-pocket cost for care.

All Charges