Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CANC 6.5 55 233356

Facility

$83.25

Hospital Charge Code	270610386
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 55 233356

Facility

$83.25

Hospital Charge Code	270610386
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 60 233361

Facility

$124.85

Hospital Charge Code	270610387
Hospital Revenue Code	278
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$37.45
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SCREW ZIM CANC 6.5 60 233361

Facility

$124.85

Hospital Charge Code	270610387
Hospital Revenue Code	278
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SCREW ZIM CANC 6.5 65 233366

Facility

$103.25

Hospital Charge Code	270605564
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 65 233366

Facility

$103.25

Hospital Charge Code	270605564
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 65 233371

Facility

$83.25

Hospital Charge Code	270610388
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 65 233371

Facility

$83.25

Hospital Charge Code	270610388
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 65 23472565

Facility

$141.65

Hospital Charge Code	270611486
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$34.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 65 23472565

Facility

$141.65

Hospital Charge Code	270611486
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 70 23472570

Facility

$141.65

Hospital Charge Code	270611487
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$42.49
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 70 23472570

Facility

$141.65

Hospital Charge Code	270611487
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$34.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 75 233376

Facility

$80.00

Hospital Charge Code	270610389
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 75 233376

Facility

$80.00

Hospital Charge Code	270610389
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 80 233381

Facility

$80.00

Hospital Charge Code	270610390
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 80 233381

Facility

$80.00

Hospital Charge Code	270610390
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 85 233386

Facility

$93.65

Hospital Charge Code	270610391
Hospital Revenue Code	278
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$28.09
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW ZIM CANC 6.5 85 233386

Facility

$93.65

Hospital Charge Code	270610391
Hospital Revenue Code	278
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW ZIM CANC 80 23472580

Facility

$147.25

Hospital Charge Code	270611488
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW ZIM CANC 80 23472580

Facility

$147.25

Hospital Charge Code	270611488
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$73.62
Rate for Payer: Aetna Commercial	$44.17
Rate for Payer: Aetna Medicare Advantage	$44.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.55
Rate for Payer: Cigna Commercial	$73.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW ZIM CANN 16 7 100

Facility

$1,071.25

Hospital Charge Code	270605973
Hospital Revenue Code	278
Min. Negotiated Rate	$160.69
Max. Negotiated Rate	$259.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.69

SCREW ZIM CANN 16 7 100

Facility

$1,071.25

Hospital Charge Code	270605973
Hospital Revenue Code	278
Min. Negotiated Rate	$160.69
Max. Negotiated Rate	$535.62
Rate for Payer: Aetna Commercial	$321.38
Rate for Payer: Aetna Medicare Advantage	$321.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.17
Rate for Payer: Cigna Commercial	$535.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.69

SCREW ZIM CANN 16 7 65

Facility

$817.65

Hospital Charge Code	270605974
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$408.82
Rate for Payer: Aetna Commercial	$245.29
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

SCREW ZIM CANN 16 7 65

Facility

$817.65

Hospital Charge Code	270605974
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$197.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

SCREW ZIM CANN 16 7 70 114670

Facility

$981.65

Service Code	HCPCS C1713
Hospital Charge Code	270605975
Hospital Revenue Code	278
Min. Negotiated Rate	$147.25
Max. Negotiated Rate	$237.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.56
Rate for Payer: Qualcare PPO/HMO/WC	$147.25

Know your out-of-pocket cost for care.

All Charges