Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZAVATION SDVA 4.0X12MM

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699099
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

SCREW ZAVATION SDVA 4.0X12MM

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699099
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

SCREW ZEVO VAR SD 3.5X13MM

Facility

$2,486.25

Service Code	HCPCS C1713
Hospital Charge Code	270697820
Hospital Revenue Code	278
Min. Negotiated Rate	$372.94
Max. Negotiated Rate	$1,243.12
Rate for Payer: Aetna Commercial	$745.88
Rate for Payer: Aetna Medicare Advantage	$745.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$633.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$633.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$497.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$633.99
Rate for Payer: Cigna Commercial	$1,243.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$601.67
Rate for Payer: Qualcare PPO/HMO/WC	$372.94

SCREW ZEVO VAR SD 3.5X13MM

Facility

$2,486.25

Service Code	HCPCS C1713
Hospital Charge Code	270697820
Hospital Revenue Code	278
Min. Negotiated Rate	$372.94
Max. Negotiated Rate	$601.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$601.67
Rate for Payer: Qualcare PPO/HMO/WC	$372.94

SCREW ZEVO VAR SD 3.5X15MM

Facility

$2,920.00

Service Code	HCPCS C1713
Hospital Charge Code	270695968
Hospital Revenue Code	278
Min. Negotiated Rate	$438.00
Max. Negotiated Rate	$706.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$584.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$706.64
Rate for Payer: Qualcare PPO/HMO/WC	$438.00

SCREW ZEVO VAR SD 3.5X15MM

Facility

$2,920.00

Service Code	HCPCS C1713
Hospital Charge Code	270695968
Hospital Revenue Code	278
Min. Negotiated Rate	$438.00
Max. Negotiated Rate	$1,460.00
Rate for Payer: Aetna Commercial	$876.00
Rate for Payer: Aetna Medicare Advantage	$876.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$744.60
Rate for Payer: Cigna Commercial	$1,460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$706.64
Rate for Payer: Qualcare PPO/HMO/WC	$438.00

SCREW ZIM CANC 4.0 10 234011

Facility

$40.00

Hospital Charge Code	270610176
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$9.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

SCREW ZIM CANC 4.0 10 234011

Facility

$40.00

Hospital Charge Code	270610176
Hospital Revenue Code	278
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

SCREW ZIM CANC 4.0 12 234013

Facility

$69.65

Hospital Charge Code	270610177
Hospital Revenue Code	278
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.86
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

SCREW ZIM CANC 4.0 12 234013

Facility

$69.65

Hospital Charge Code	270610177
Hospital Revenue Code	278
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$34.83
Rate for Payer: Aetna Commercial	$20.89
Rate for Payer: Aetna Medicare Advantage	$20.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.76
Rate for Payer: Cigna Commercial	$34.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.86
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

SCREW ZIM CANC 4.0 14 234015

Facility

$57.65

Hospital Charge Code	270608441
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 14 234015

Facility

$57.65

Hospital Charge Code	270608441
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 16 234017

Facility

$43.25

Hospital Charge Code	270607159
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CANC 4.0 16 234017

Facility

$43.25

Hospital Charge Code	270607159
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CANC 4.0 18 232219

Facility

$43.25

Hospital Charge Code	270610234
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CANC 4.0 18 232219

Facility

$43.25

Hospital Charge Code	270610234
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$12.97
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CANC 4.0 18 234019

Facility

$44.85

Hospital Charge Code	270607160
Hospital Revenue Code	278
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$10.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.85
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

SCREW ZIM CANC 4.0 18 234019

Facility

$44.85

Hospital Charge Code	270607160
Hospital Revenue Code	278
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$13.46
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.85
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

SCREW ZIM CANC 4.0 20 234021

Facility

$52.85

Hospital Charge Code	270607161
Hospital Revenue Code	278
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$15.86
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.79
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

SCREW ZIM CANC 4.0 20 234021

Facility

$52.85

Hospital Charge Code	270607161
Hospital Revenue Code	278
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$12.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.79
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

SCREW ZIM CANC 4.0 22 234023

Facility

$57.65

Hospital Charge Code	270608340
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 22 234023

Facility

$57.65

Hospital Charge Code	270608340
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 24 234525

Facility

$57.65

Hospital Charge Code	270607162
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 24 234525

Facility

$57.65

Hospital Charge Code	270607162
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CANC 4.0 26 234027

Facility

$57.65

Hospital Charge Code	270607931
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

Know your out-of-pocket cost for care.

All Charges