Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

SCREW WLZ CTR DR 2.7 20 999820

Facility

$262.45

Hospital Charge Code	270623629
Hospital Revenue Code	278
Min. Negotiated Rate	$39.37
Max. Negotiated Rate	$131.22
Rate for Payer: Aetna Commercial	$78.73
Rate for Payer: Aetna Medicare Advantage	$78.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.92
Rate for Payer: Cigna Commercial	$131.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.51
Rate for Payer: Qualcare PPO/HMO/WC	$39.37

SCREW WLZ CTR DR 2.7 20 999820

Facility

$262.45

Hospital Charge Code	270623629
Hospital Revenue Code	278
Min. Negotiated Rate	$39.37
Max. Negotiated Rate	$63.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.51
Rate for Payer: Qualcare PPO/HMO/WC	$39.37

SCREW WLZ CTR DR 2.O 11 999479

Facility

$152.85

Hospital Charge Code	270612239
Hospital Revenue Code	278
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$76.42
Rate for Payer: Aetna Commercial	$45.85
Rate for Payer: Aetna Medicare Advantage	$45.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.98
Rate for Payer: Cigna Commercial	$76.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.99
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

SCREW WLZ CTR DR 2.O 11 999479

Facility

$152.85

Hospital Charge Code	270612239
Hospital Revenue Code	278
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$36.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.99
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

SCREW WLZ CTR DR 2.O 15 999485

Facility

$254.45

Hospital Charge Code	270620856
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 CTR DR 2.O 15 999485

Facility

$254.45

Hospital Charge Code	270620856
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 CTR DR 2.O 4 999474

Facility

$139.25

Hospital Charge Code	270612073
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.O 4 999474

Facility

$139.25

Hospital Charge Code	270612073
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.O 7 999477

Facility

$139.25

Hospital Charge Code	270612238
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.O 7 999477

Facility

$139.25

Hospital Charge Code	270612238
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 3.2 16 019984

Facility

$244.85

Hospital Charge Code	270610993
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

SCREW WLZ CTR DR 3.2 16 019984

Facility

$244.85

Hospital Charge Code	270610993
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$122.42
Rate for Payer: Aetna Commercial	$73.45
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

SCREW WLZ LCTSRB 1.5 5 9152316

Facility

$250.45

Hospital Charge Code	270621791
Hospital Revenue Code	278
Min. Negotiated Rate	$37.57
Max. Negotiated Rate	$125.22
Rate for Payer: Aetna Commercial	$75.14
Rate for Payer: Aetna Medicare Advantage	$75.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.86
Rate for Payer: Cigna Commercial	$125.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.61
Rate for Payer: Qualcare PPO/HMO/WC	$37.57

SCREW WLZ LCTSRB 1.5 5 9152316

Facility

$250.45

Hospital Charge Code	270621791
Hospital Revenue Code	278
Min. Negotiated Rate	$37.57
Max. Negotiated Rate	$60.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.61
Rate for Payer: Qualcare PPO/HMO/WC	$37.57

SCREW WLZ LP SLT 2.0 7 018042

Facility

$729.65

Hospital Charge Code	270607817
Hospital Revenue Code	278
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$176.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.58
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

SCREW WLZ LP SLT 2.0 7 018042

Facility

$729.65

Hospital Charge Code	270607817
Hospital Revenue Code	278
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$218.90
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.58
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

SCREW WLZ SLOT 2.0 15 999415

Facility

$175.25

Hospital Charge Code	270612075
Hospital Revenue Code	278
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$42.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.41
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

SCREW WLZ SLOT 2.0 15 999415

Facility

$175.25

Hospital Charge Code	270612075
Hospital Revenue Code	278
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$52.58
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.41
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

SCREW WLZ SLOT 2.0 17 999417

Facility

$172.85

Hospital Charge Code	270612076
Hospital Revenue Code	278
Min. Negotiated Rate	$25.93
Max. Negotiated Rate	$86.42
Rate for Payer: Aetna Commercial	$51.85
Rate for Payer: Aetna Medicare Advantage	$51.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.08
Rate for Payer: Cigna Commercial	$86.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.93

SCREW WLZ SLOT 2.0 17 999417

Facility

$172.85

Hospital Charge Code	270612076
Hospital Revenue Code	278
Min. Negotiated Rate	$25.93
Max. Negotiated Rate	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.93

SCREW X-CORE MINI TI LOCK,E

Facility

$2,475.00

Hospital Charge Code	270666086
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$742.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SCREW X-CORE MINI TI LOCK,E

Facility

$2,475.00

Hospital Charge Code	270666086
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SCREW XTAB CANN FEN POLYAX 7.5

Facility

$9,250.00

Hospital Charge Code	270701735
Hospital Revenue Code	278
Min. Negotiated Rate	$1,387.50
Max. Negotiated Rate	$2,238.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,238.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.50

SCREW XTAB CANN FEN POLYAX 7.5

Facility

$9,250.00

Hospital Charge Code	270701735
Hospital Revenue Code	278
Min. Negotiated Rate	$1,387.50
Max. Negotiated Rate	$4,625.00
Rate for Payer: Aetna Commercial	$2,775.00
Rate for Payer: Aetna Medicare Advantage	$2,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,358.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,358.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,358.75
Rate for Payer: Cigna Commercial	$4,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,238.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,387.50

Know your out-of-pocket cost for care.

All Charges