Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC TT 4.0 12

Facility

$76.85

Hospital Charge Code	270603312
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 TTN 4.0 100MM**

Facility

$29.00

Hospital Charge Code	270603230
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 100MM**

Facility

$29.00

Hospital Charge Code	270603230
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 14MM

Facility

$76.85

Hospital Charge Code	270603198
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 TTN 4.0 14MM

Facility

$76.85

Hospital Charge Code	270603198
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 TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603201
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603317
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603201
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603317
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 26MM**

Facility

$29.00

Hospital Charge Code	270603203
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 26MM**

Facility

$29.00

Hospital Charge Code	270603203
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 28MM**

Facility

$29.00

Hospital Charge Code	270603204
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 28MM**

Facility

$29.00

Hospital Charge Code	270603204
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 30MM**

Facility

$29.00

Hospital Charge Code	270603321
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 30MM**

Facility

$29.00

Hospital Charge Code	270603321
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 32MM**

Facility

$29.00

Hospital Charge Code	270603207
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 32MM**

Facility

$29.00

Hospital Charge Code	270603207
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 34MM**

Facility

$29.00

Hospital Charge Code	270603208
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 34MM**

Facility

$29.00

Hospital Charge Code	270603208
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 36MM**

Facility

$29.00

Hospital Charge Code	270603212
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 36MM**

Facility

$29.00

Hospital Charge Code	270603212
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 38MM**

Facility

$29.00

Hospital Charge Code	270603214
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 38MM**

Facility

$29.00

Hospital Charge Code	270603214
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 40MM**

Facility

$29.00

Hospital Charge Code	270603215
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 40MM**

Facility

$29.00

Hospital Charge Code	270603215
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

Know your out-of-pocket cost for care.

All Charges