Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 28 232229

Facility

$63.25

Hospital Charge Code	270610239
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$18.98
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

SCREW ZIM CANC 4.0 28 232229

Facility

$63.25

Hospital Charge Code	270610239
Hospital Revenue Code	278
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$15.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

SCREW ZIM CANC 4.0 45 234046

Facility

$69.65

Hospital Charge Code	270610186
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 45 234046

Facility

$69.65

Hospital Charge Code	270610186
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 50 232251

Facility

$50.45

Hospital Charge Code	270610244
Hospital Revenue Code	278
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$12.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

SCREW ZIM CANC 4.0 50 232251

Facility

$50.45

Hospital Charge Code	270610244
Hospital Revenue Code	278
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$15.13
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

SCREW ZIM CANC 6.5 16 45

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	270610370
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW ZIM CANC 6.5 16 45

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	270610370
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW ZIM CANC 6.5 25 233225

Facility

$663.25

Hospital Charge Code	270611160
Hospital Revenue Code	278
Min. Negotiated Rate	$99.49
Max. Negotiated Rate	$160.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.51
Rate for Payer: Qualcare PPO/HMO/WC	$99.49

SCREW ZIM CANC 6.5 25 233225

Facility

$663.25

Hospital Charge Code	270611160
Hospital Revenue Code	278
Min. Negotiated Rate	$99.49
Max. Negotiated Rate	$331.62
Rate for Payer: Aetna Commercial	$198.97
Rate for Payer: Aetna Medicare Advantage	$198.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.13
Rate for Payer: Cigna Commercial	$331.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.51
Rate for Payer: Qualcare PPO/HMO/WC	$99.49

SCREW ZIM CANC 6.5 30 233231

Facility

$84.85

Hospital Charge Code	270610367
Hospital Revenue Code	278
Min. Negotiated Rate	$12.73
Max. Negotiated Rate	$42.42
Rate for Payer: Aetna Commercial	$25.45
Rate for Payer: Aetna Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.64
Rate for Payer: Cigna Commercial	$42.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$12.73

SCREW ZIM CANC 6.5 30 233231

Facility

$84.85

Hospital Charge Code	270610367
Hospital Revenue Code	278
Min. Negotiated Rate	$12.73
Max. Negotiated Rate	$20.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$12.73

SCREW ZIM CANC 6.5 35 233335

Facility

$111.25

Hospital Charge Code	270606817
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW ZIM CANC 6.5 35 233335

Facility

$111.25

Hospital Charge Code	270606817
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW ZIM CANC 6.5 35 233336

Facility

$84.00

Hospital Charge Code	270610401
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 35 233336

Facility

$103.25

Hospital Charge Code	270605562
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 35 233336

Facility

$84.00

Hospital Charge Code	270610401
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 35 233336

Facility

$103.25

Hospital Charge Code	270605562
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 40 233340

Facility

$111.25

Hospital Charge Code	270606818
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW ZIM CANC 6.5 40 233340

Facility

$111.25

Hospital Charge Code	270606818
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$33.38
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW ZIM CANC 6.5 40 233341

Facility

$84.00

Hospital Charge Code	270610402
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 40 233341

Facility

$84.00

Hospital Charge Code	270610402
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 50 233351

Facility

$103.25

Hospital Charge Code	270605563
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 50 233351

Facility

$103.25

Hospital Charge Code	270605563
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

Know your out-of-pocket cost for care.

All Charges