Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CANN 4 36 11424136

Facility

$503.25

Hospital Charge Code	270623647
Hospital Revenue Code	278
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$251.62
Rate for Payer: Aetna Commercial	$150.97
Rate for Payer: Aetna Medicare Advantage	$150.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.33
Rate for Payer: Cigna Commercial	$251.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.79
Rate for Payer: Qualcare PPO/HMO/WC	$75.49

SCREW ZIM CANN 4 36 11424136

Facility

$503.25

Hospital Charge Code	270623647
Hospital Revenue Code	278
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$121.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.79
Rate for Payer: Qualcare PPO/HMO/WC	$75.49

SCREW ZIM CANN 4 40 11424040

Facility

$536.85

Hospital Charge Code	270619890
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$129.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW ZIM CANN 4 40 11424040

Facility

$536.85

Hospital Charge Code	270619890
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$268.43
Rate for Payer: Aetna Commercial	$161.06
Rate for Payer: Aetna Medicare Advantage	$161.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.90
Rate for Payer: Cigna Commercial	$268.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW ZIM CANN 4 40 11424140

Facility

$547.25

Hospital Charge Code	270620613
Hospital Revenue Code	278
Min. Negotiated Rate	$82.09
Max. Negotiated Rate	$273.62
Rate for Payer: Aetna Commercial	$164.18
Rate for Payer: Aetna Medicare Advantage	$164.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.55
Rate for Payer: Cigna Commercial	$273.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$82.09

SCREW ZIM CANN 4 40 11424140

Facility

$547.25

Hospital Charge Code	270620613
Hospital Revenue Code	278
Min. Negotiated Rate	$82.09
Max. Negotiated Rate	$132.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$82.09

SCREW ZIM CANN 4 42 11424142

Facility

$542.00

Hospital Charge Code	270623786
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$271.00
Rate for Payer: Aetna Commercial	$162.60
Rate for Payer: Aetna Medicare Advantage	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.21
Rate for Payer: Cigna Commercial	$271.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

SCREW ZIM CANN 4 42 11424142

Facility

$542.00

Hospital Charge Code	270623786
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$131.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

SCREW ZIM CANN 4 44 11424044

Facility

$542.00

Hospital Charge Code	270622643
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$271.00
Rate for Payer: Aetna Commercial	$162.60
Rate for Payer: Aetna Medicare Advantage	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.21
Rate for Payer: Cigna Commercial	$271.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

SCREW ZIM CANN 4 44 11424044

Facility

$542.00

Hospital Charge Code	270622643
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$131.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

SCREW ZIM CANN 4 44 11424144

Facility

$547.25

Hospital Charge Code	270620033
Hospital Revenue Code	278
Min. Negotiated Rate	$82.09
Max. Negotiated Rate	$132.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$82.09

SCREW ZIM CANN 4 44 11424144

Facility

$547.25

Hospital Charge Code	270620033
Hospital Revenue Code	278
Min. Negotiated Rate	$82.09
Max. Negotiated Rate	$273.62
Rate for Payer: Aetna Commercial	$164.18
Rate for Payer: Aetna Medicare Advantage	$164.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.55
Rate for Payer: Cigna Commercial	$273.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.43
Rate for Payer: Qualcare PPO/HMO/WC	$82.09

SCREW ZIM CANN 4 46 11424146

Facility

$548.00

Hospital Charge Code	270613713
Hospital Revenue Code	278
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

SCREW ZIM CANN 4 46 11424146

Facility

$548.00

Hospital Charge Code	270613713
Hospital Revenue Code	278
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$164.40
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

SCREW ZIM CANN 4 46 11425144

Facility

$548.00

Hospital Charge Code	270613714
Hospital Revenue Code	278
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$164.40
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

SCREW ZIM CANN 4 46 11425144

Facility

$548.00

Hospital Charge Code	270613714
Hospital Revenue Code	278
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

SCREW ZIM CANN 4 48 11424048

Facility

$476.00

Hospital Charge Code	270627777
Hospital Revenue Code	278
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$115.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.19
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

SCREW ZIM CANN 4 48 11424048

Facility

$476.00

Hospital Charge Code	270627777
Hospital Revenue Code	278
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$238.00
Rate for Payer: Aetna Commercial	$142.80
Rate for Payer: Aetna Medicare Advantage	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.38
Rate for Payer: Cigna Commercial	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.19
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

SCREW ZIM CANN 4 48 11425148

Facility

$544.85

Hospital Charge Code	270621544
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$131.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

SCREW ZIM CANN 4 48 11425148

Facility

$544.85

Hospital Charge Code	270621544
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$163.46
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

SCREW ZIM CANN 4 55 11424155

Facility

$544.85

Hospital Charge Code	270616872
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$131.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

SCREW ZIM CANN 4 55 11424155

Facility

$544.85

Hospital Charge Code	270616872
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$163.46
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

SCREW ZIM CANN 4 65 11424165

Facility

$544.85

Hospital Charge Code	270614919
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$163.46
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

SCREW ZIM CANN 4 65 11424165

Facility

$213.00

Hospital Charge Code	270617919
Hospital Revenue Code	278
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$106.50
Rate for Payer: Aetna Commercial	$63.90
Rate for Payer: Aetna Medicare Advantage	$63.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.31
Rate for Payer: Cigna Commercial	$106.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.55
Rate for Payer: Qualcare PPO/HMO/WC	$31.95

SCREW ZIM CANN 4 65 11424165

Facility

$544.85

Hospital Charge Code	270614919
Hospital Revenue Code	278
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$131.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

Know your out-of-pocket cost for care.

All Charges