Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC TTN 4.0 75MM**

Facility

$29.00

Hospital Charge Code	270603223
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 80MM**

Facility

$29.00

Hospital Charge Code	270603332
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 80MM**

Facility

$29.00

Hospital Charge Code	270603224
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 80MM**

Facility

$29.00

Hospital Charge Code	270603332
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 80MM**

Facility

$29.00

Hospital Charge Code	270603224
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 85MM**

Facility

$29.00

Hospital Charge Code	270603333
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 85MM**

Facility

$29.00

Hospital Charge Code	270603333
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 90MM**

Facility

$29.00

Hospital Charge Code	270603226
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 90MM**

Facility

$29.00

Hospital Charge Code	270603226
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 4.0/90MM***

Facility

$38.00

Hospital Charge Code	27060334
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SCREW SYN CANC TTN 4.0/90MM***

Facility

$38.00

Hospital Charge Code	27060334
Hospital Revenue Code	279
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

SCREW SYN CANC TTN 4.0 95MM**

Facility

$29.00

Hospital Charge Code	270603227
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 95MM**

Facility

$29.00

Hospital Charge Code	270603227
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 CAN FL THD 4.5/72MM*

Facility

$202.00

Hospital Charge Code	270604925
Hospital Revenue Code	274
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$101.00
Rate for Payer: Aetna Commercial	$60.60
Rate for Payer: Aetna Medicare Advantage	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.51
Rate for Payer: Cigna Commercial	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.30

SCREW SYN CAN FL THD 4.5/72MM*

Facility

$202.00

Hospital Charge Code	270604925
Hospital Revenue Code	274
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$48.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Qualcare PPO/HMO/WC	$30.30

SCREW SYN CANN 18 3.5 205018

Facility

$677.65

Hospital Charge Code	270629206
Hospital Revenue Code	278
Min. Negotiated Rate	$101.65
Max. Negotiated Rate	$163.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.99
Rate for Payer: Qualcare PPO/HMO/WC	$101.65

SCREW SYN CANN 18 3.5 205018

Facility

$677.65

Hospital Charge Code	270629206
Hospital Revenue Code	278
Min. Negotiated Rate	$101.65
Max. Negotiated Rate	$338.82
Rate for Payer: Aetna Commercial	$203.29
Rate for Payer: Aetna Medicare Advantage	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.80
Rate for Payer: Cigna Commercial	$338.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.99
Rate for Payer: Qualcare PPO/HMO/WC	$101.65

SCREW SYN CANN 3.0 25 202.725

Facility

$635.25

Hospital Charge Code	270622785
Hospital Revenue Code	278
Min. Negotiated Rate	$95.29
Max. Negotiated Rate	$153.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.73
Rate for Payer: Qualcare PPO/HMO/WC	$95.29

SCREW SYN CANN 3.0 25 202.725

Facility

$635.25

Hospital Charge Code	270622785
Hospital Revenue Code	278
Min. Negotiated Rate	$95.29
Max. Negotiated Rate	$317.62
Rate for Payer: Aetna Commercial	$190.57
Rate for Payer: Aetna Medicare Advantage	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.99
Rate for Payer: Cigna Commercial	$317.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.73
Rate for Payer: Qualcare PPO/HMO/WC	$95.29

SCREW SYN CANN 4.5 30 214.430

Facility

$851.25

Hospital Charge Code	270613872
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 SYN CANN 4.5 30 214.430

Facility

$851.25

Hospital Charge Code	270613872
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 SYN CANN 4.5 36 214.436

Facility

$851.25

Hospital Charge Code	270613873
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 SYN CANN 4.5 36 214.436

Facility

$851.25

Hospital Charge Code	270613873
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 SYN CANN 5 35 222537***

Facility

$744.00

Hospital Charge Code	270627196
Hospital Revenue Code	278
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$223.20
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

SCREW SYN CANN 5 35 222537***

Facility

$744.00

Hospital Charge Code	270627196
Hospital Revenue Code	278
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$180.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

Know your out-of-pocket cost for care.

All Charges