Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$51.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.55
Rate for Payer: Qualcare PPO/HMO/WC	$31.95

SCREW ZIM CANN 4 70 11424170

Facility

$542.00

Hospital Charge Code	270614921
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 70 11424170

Facility

$542.00

Hospital Charge Code	270614921
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 5 36 11425136

Facility

$568.60

Hospital Charge Code	270624547
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$170.58
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW ZIM CANN 5 36 11425136

Facility

$568.60

Hospital Charge Code	270624547
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW ZIM CANN 5 50 11425150

Facility

$568.60

Hospital Charge Code	270624548
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW ZIM CANN 5 50 11425150

Facility

$568.60

Hospital Charge Code	270624548
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$170.58
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW ZIM CANN 5 55 11425155

Facility

$500.00

Hospital Charge Code	270624549
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW ZIM CANN 5 55 11425155

Facility

$500.00

Hospital Charge Code	270624549
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW ZIM CANN 5 60 11425160

Facility

$544.85

Hospital Charge Code	270613715
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 5 60 11425160

Facility

$544.85

Hospital Charge Code	270613715
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 5 65 11425165

Facility

$529.65

Hospital Charge Code	270623439
Hospital Revenue Code	278
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$264.82
Rate for Payer: Aetna Commercial	$158.90
Rate for Payer: Aetna Medicare Advantage	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.06
Rate for Payer: Cigna Commercial	$264.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Qualcare PPO/HMO/WC	$79.45

SCREW ZIM CANN 5 65 11425165

Facility

$529.65

Hospital Charge Code	270623439
Hospital Revenue Code	278
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$128.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Qualcare PPO/HMO/WC	$79.45

SCREW ZIM CANN 5 70 11425170

Facility

$529.65

Hospital Charge Code	270623440
Hospital Revenue Code	278
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$128.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Qualcare PPO/HMO/WC	$79.45

SCREW ZIM CANN 5 70 11425170

Facility

$529.65

Hospital Charge Code	270623440
Hospital Revenue Code	278
Min. Negotiated Rate	$79.45
Max. Negotiated Rate	$264.82
Rate for Payer: Aetna Commercial	$158.90
Rate for Payer: Aetna Medicare Advantage	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.06
Rate for Payer: Cigna Commercial	$264.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Qualcare PPO/HMO/WC	$79.45

SCREW ZIM CANN7Dx80m16m1146-80

Facility

$751.95

Hospital Charge Code	270605977
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$375.98
Rate for Payer: Aetna Commercial	$225.59
Rate for Payer: Aetna Medicare Advantage	$225.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.75
Rate for Payer: Cigna Commercial	$375.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN7Dx80m16m1146-80

Facility

$751.95

Hospital Charge Code	270605977
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$181.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN7Dx85m16m1146-85

Facility

$751.95

Hospital Charge Code	270605978
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$181.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN7Dx85m16m1146-85

Facility

$751.95

Hospital Charge Code	270605978
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$375.98
Rate for Payer: Aetna Commercial	$225.59
Rate for Payer: Aetna Medicare Advantage	$225.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.75
Rate for Payer: Cigna Commercial	$375.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN7Dx90m16m1146-90

Facility

$1,073.65

Hospital Charge Code	270605972
Hospital Revenue Code	278
Min. Negotiated Rate	$161.05
Max. Negotiated Rate	$259.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.82
Rate for Payer: Qualcare PPO/HMO/WC	$161.05

SCREW ZIM CANN7Dx90m16m1146-90

Facility

$1,073.65

Hospital Charge Code	270605972
Hospital Revenue Code	278
Min. Negotiated Rate	$161.05
Max. Negotiated Rate	$536.83
Rate for Payer: Aetna Commercial	$322.10
Rate for Payer: Aetna Medicare Advantage	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.78
Rate for Payer: Cigna Commercial	$536.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.82
Rate for Payer: Qualcare PPO/HMO/WC	$161.05

SCREW ZIM CANN FT4/36 11424036

Facility

$542.00

Hospital Charge Code	270614931
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 FT4/36 11424036

Facility

$542.00

Hospital Charge Code	270614931
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 CN 6.5 16 40 2332041

Facility

$96.65

Hospital Charge Code	270610369
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$48.33
Rate for Payer: Aetna Commercial	$29.00
Rate for Payer: Aetna Medicare Advantage	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.65
Rate for Payer: Cigna Commercial	$48.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Qualcare PPO/HMO/WC	$14.50

SCREW ZIM CN 6.5 16 40 2332041

Facility

$96.65

Hospital Charge Code	270610369
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Qualcare PPO/HMO/WC	$14.50

Know your out-of-pocket cost for care.

All Charges