Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANN PT THD 4.5/46MM

Facility

$775.25

Hospital Charge Code	270604890
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 PT THD 4.5/46MM

Facility

$775.25

Hospital Charge Code	270604890
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 CORT 1.3 3 400.623

Facility

$354.45

Hospital Charge Code	270621199
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$85.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.3 3 400.623

Facility

$354.45

Hospital Charge Code	270621199
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$177.22
Rate for Payer: Aetna Commercial	$106.33
Rate for Payer: Aetna Medicare Advantage	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.38
Rate for Payer: Cigna Commercial	$177.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.3 5 400.625

Facility

$1,729.65

Hospital Charge Code	270620360
Hospital Revenue Code	278
Min. Negotiated Rate	$259.45
Max. Negotiated Rate	$418.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.58
Rate for Payer: Qualcare PPO/HMO/WC	$259.45

SCREW SYN CORT 1.3 5 400.625

Facility

$1,729.65

Hospital Charge Code	270620360
Hospital Revenue Code	278
Min. Negotiated Rate	$259.45
Max. Negotiated Rate	$864.83
Rate for Payer: Aetna Commercial	$518.89
Rate for Payer: Aetna Medicare Advantage	$518.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$441.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$441.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$441.06
Rate for Payer: Cigna Commercial	$864.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.58
Rate for Payer: Qualcare PPO/HMO/WC	$259.45

SCREW SYN CORT 1.3 6 400.626

Facility

$354.45

Hospital Charge Code	270621197
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$85.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.3 6 400.626

Facility

$354.45

Hospital Charge Code	270621197
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$177.22
Rate for Payer: Aetna Commercial	$106.33
Rate for Payer: Aetna Medicare Advantage	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.38
Rate for Payer: Cigna Commercial	$177.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.5 10MM

Facility

$67.25

Hospital Charge Code	270604163
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 10MM

Facility

$67.25

Hospital Charge Code	270604163
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 11MM

Facility

$67.25

Hospital Charge Code	270604164
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 11MM

Facility

$67.25

Hospital Charge Code	270604164
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 12MM

Facility

$67.25

Hospital Charge Code	270604165
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 12MM

Facility

$67.25

Hospital Charge Code	270604165
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 16MM

Facility

$67.25

Hospital Charge Code	270604167
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 16MM

Facility

$67.25

Hospital Charge Code	270604167
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 18MM

Facility

$67.25

Hospital Charge Code	270604168
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 18MM

Facility

$67.25

Hospital Charge Code	270604168
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 20MM

Facility

$67.25

Hospital Charge Code	270604169
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 20MM

Facility

$67.25

Hospital Charge Code	270604169
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 4 400.734

Facility

$231.25

Hospital Charge Code	270619570
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYN CORT 1.5 4 400.734

Facility

$231.25

Hospital Charge Code	270619570
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$69.38
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYN CORT 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270619571
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYN CORT 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270619571
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$69.38
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYN CORT 1.5 6MM 200.06

Facility

$67.25

Hospital Charge Code	270604159
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

Know your out-of-pocket cost for care.

All Charges