Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW WLZ 10 999880

Facility

$159.25

Hospital Charge Code	270610840
Hospital Revenue Code	278
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$38.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.54
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

SCREW WLZ 10 999880

Facility

$159.25

Hospital Charge Code	270610840
Hospital Revenue Code	278
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$79.62
Rate for Payer: Aetna Commercial	$47.77
Rate for Payer: Aetna Medicare Advantage	$47.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.61
Rate for Payer: Cigna Commercial	$79.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.54
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

SCREW WLZ 12 999882

Facility

$161.65

Hospital Charge Code	270610841
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SCREW WLZ 12 999882

Facility

$161.65

Hospital Charge Code	270610841
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$39.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SCREW WLZ 2.3 5MM 91-2305

Facility

$254.45

Hospital Charge Code	270620855
Hospital Revenue Code	278
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$127.22
Rate for Payer: Aetna Commercial	$76.33
Rate for Payer: Aetna Medicare Advantage	$76.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.88
Rate for Payer: Cigna Commercial	$127.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.58
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

SCREW WLZ 2.3 5MM 91-2305

Facility

$254.45

Hospital Charge Code	270620855
Hospital Revenue Code	278
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.58
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

SCREW WLZ 2.7 15 999816

Facility

$300.85

Hospital Charge Code	270612242
Hospital Revenue Code	278
Min. Negotiated Rate	$45.13
Max. Negotiated Rate	$72.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.13

SCREW WLZ 2.7 15 999816

Facility

$300.85

Hospital Charge Code	270612242
Hospital Revenue Code	278
Min. Negotiated Rate	$45.13
Max. Negotiated Rate	$150.43
Rate for Payer: Aetna Commercial	$90.25
Rate for Payer: Aetna Medicare Advantage	$90.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.72
Rate for Payer: Cigna Commercial	$150.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.81
Rate for Payer: Qualcare PPO/HMO/WC	$45.13

SCREW WLZ 2.7 18 999818

Facility

$315.25

Hospital Charge Code	270612243
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$94.58
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW WLZ 2.7 18 999818

Facility

$315.25

Hospital Charge Code	270612243
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

SCREW WLZ 2.O 5 999481

Facility

$161.65

Hospital Charge Code	270612240
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12

SCREW WLZ 2.O 5 999481

Facility

$161.65

Hospital Charge Code	270612240
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SCREW WLZ CTR DR 2.0 15 019485

Facility

$116.00

Hospital Charge Code	270610966
Hospital Revenue Code	278
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$58.00
Rate for Payer: Aetna Commercial	$34.80
Rate for Payer: Aetna Medicare Advantage	$34.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.58
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.07
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

SCREW WLZ CTR DR 2.0 15 019485

Facility

$116.00

Hospital Charge Code	270610966
Hospital Revenue Code	278
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$28.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.07
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

SCREW WLZ CTR DR 2.0 17 019487

Facility

$121.65

Hospital Charge Code	270610967
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW WLZ CTR DR 2.0 17 019487

Facility

$121.65

Hospital Charge Code	270610967
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW WLZ CTR DR 2.0 5 019475

Facility

$114.45

Hospital Charge Code	270610961
Hospital Revenue Code	278
Min. Negotiated Rate	$17.17
Max. Negotiated Rate	$57.23
Rate for Payer: Aetna Commercial	$34.34
Rate for Payer: Aetna Medicare Advantage	$34.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.18
Rate for Payer: Cigna Commercial	$57.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.17

SCREW WLZ CTR DR 2.0 5 019475

Facility

$114.45

Hospital Charge Code	270610961
Hospital Revenue Code	278
Min. Negotiated Rate	$17.17
Max. Negotiated Rate	$27.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.17

SCREW WLZ CTR DR 2.0 5 999475

Facility

$139.25

Hospital Charge Code	270612074
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.0 5 999475

Facility

$139.25

Hospital Charge Code	270612074
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.3 5 999495

Facility

$184.85

Hospital Charge Code	270612077
Hospital Revenue Code	278
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

SCREW WLZ CTR DR 2.3 5 999495

Facility

$184.85

Hospital Charge Code	270612077
Hospital Revenue Code	278
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$92.42
Rate for Payer: Aetna Commercial	$55.45
Rate for Payer: Aetna Medicare Advantage	$55.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.14
Rate for Payer: Cigna Commercial	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

SCREW WLZ CTR DR 2.3 7 999497

Facility

$139.25

Hospital Charge Code	270612241
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.3 7 999497

Facility

$139.25

Hospital Charge Code	270612241
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.7 16 019816

Facility

$176.00

Hospital Charge Code	270610983
Hospital Revenue Code	278
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$88.00
Rate for Payer: Aetna Commercial	$52.80
Rate for Payer: Aetna Medicare Advantage	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.88
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

Know your out-of-pocket cost for care.

All Charges