Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANN CLK 5 40 222538

Facility

$890.00

Hospital Charge Code	270628198
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$215.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

SCREW SYN CANN CLK 5 40 222538

Facility

$890.00

Hospital Charge Code	270628198
Hospital Revenue Code	278
Min. Negotiated Rate	$133.50
Max. Negotiated Rate	$445.00
Rate for Payer: Aetna Commercial	$267.00
Rate for Payer: Aetna Medicare Advantage	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.95
Rate for Payer: Cigna Commercial	$445.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.38
Rate for Payer: Qualcare PPO/HMO/WC	$133.50

SCREW SYN CANN FL THD 4.5/26MM

Facility

$775.25

Hospital Charge Code	270604904
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$232.57
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/26MM

Facility

$775.25

Hospital Charge Code	270604904
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/36MM

Facility

$775.25

Hospital Charge Code	270604909
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$232.57
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/36MM

Facility

$775.25

Hospital Charge Code	270604909
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/38MM

Facility

$813.65

Hospital Charge Code	270604910
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW SYN CANN FL THD 4.5/38MM

Facility

$813.65

Hospital Charge Code	270604910
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW SYN CANN FL THD 4.5/56MM

Facility

$775.25

Hospital Charge Code	270604920
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/56MM

Facility

$775.25

Hospital Charge Code	270604920
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$232.57
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/72MM

Facility

$775.25

Hospital Charge Code	270604926
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN FL THD 4.5/72MM

Facility

$775.25

Hospital Charge Code	270604926
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$232.57
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN LCK 4 42 222588

Facility

$540.70

Hospital Charge Code	270628203
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$162.21
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SYN CANN LCK 4 42 222588

Facility

$540.70

Hospital Charge Code	270628203
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SYN CANN LCK 4 50 222590

Facility

$540.70

Hospital Charge Code	270628204
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SYN CANN LCK 4 50 222590

Facility

$540.70

Hospital Charge Code	270628204
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$162.21
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SYN CANN LCK 5 35 222537

Facility

$754.00

Hospital Charge Code	270628196
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW SYN CANN LCK 5 35 222537

Facility

$754.00

Hospital Charge Code	270628196
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$226.20
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW SYN CANN LCK 5 45 222539

Facility

$595.25

Hospital Charge Code	270628201
Hospital Revenue Code	278
Min. Negotiated Rate	$89.29
Max. Negotiated Rate	$297.62
Rate for Payer: Aetna Commercial	$178.57
Rate for Payer: Aetna Medicare Advantage	$178.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.79
Rate for Payer: Cigna Commercial	$297.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.05
Rate for Payer: Qualcare PPO/HMO/WC	$89.29

SCREW SYN CANN LCK 5 45 222539

Facility

$595.25

Hospital Charge Code	270628201
Hospital Revenue Code	278
Min. Negotiated Rate	$89.29
Max. Negotiated Rate	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.05
Rate for Payer: Qualcare PPO/HMO/WC	$89.29

SCREW SYN CANN LCK 5 45 222555

Facility

$664.70

Hospital Charge Code	270628205
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$160.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW SYN CANN LCK 5 45 222555

Facility

$664.70

Hospital Charge Code	270628205
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$332.35
Rate for Payer: Aetna Commercial	$199.41
Rate for Payer: Aetna Medicare Advantage	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.50
Rate for Payer: Cigna Commercial	$332.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW SYN CANN LCK 5 65 222543

Facility

$595.25

Hospital Charge Code	270628194
Hospital Revenue Code	278
Min. Negotiated Rate	$89.29
Max. Negotiated Rate	$297.62
Rate for Payer: Aetna Commercial	$178.57
Rate for Payer: Aetna Medicare Advantage	$178.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.79
Rate for Payer: Cigna Commercial	$297.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.05
Rate for Payer: Qualcare PPO/HMO/WC	$89.29

SCREW SYN CANN LCK 5 65 222543

Facility

$595.25

Hospital Charge Code	270628194
Hospital Revenue Code	278
Min. Negotiated Rate	$89.29
Max. Negotiated Rate	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.05
Rate for Payer: Qualcare PPO/HMO/WC	$89.29

SCREW SYN CANN PT THD 4.0/10MM

Facility

$76.85

Hospital Charge Code	270601878
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

Know your out-of-pocket cost for care.

All Charges