Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 3.5 10 235011

Facility

$54.45

Hospital Charge Code	270607153
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$16.34
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 3.5 12 235013

Facility

$54.45

Hospital Charge Code	270607154
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 3.5 12 235013

Facility

$54.45

Hospital Charge Code	270607154
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$16.34
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 3.5 14 235015

Facility

$43.25

Hospital Charge Code	270607155
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 CORT 3.5 14 235015

Facility

$43.25

Hospital Charge Code	270607155
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 CORT 3.5 16 235017

Facility

$39.25

Hospital Charge Code	270612264
Hospital Revenue Code	278
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

SCREW ZIM CORT 3.5 16 235017

Facility

$39.25

Hospital Charge Code	270612264
Hospital Revenue Code	278
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

SCREW ZIM CORT 3.5 18 235019

Facility

$43.25

Hospital Charge Code	270607156
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 CORT 3.5 18 235019

Facility

$43.25

Hospital Charge Code	270607156
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 CORT 3.5 20 235021

Facility

$54.45

Hospital Charge Code	270607157
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$16.34
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 3.5 20 235021

Facility

$54.45

Hospital Charge Code	270607157
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 3.5 22 235023

Facility

$43.25

Hospital Charge Code	270607158
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 CORT 3.5 22 235023

Facility

$43.25

Hospital Charge Code	270607158
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 CORT 3.5 50 23505135

Facility

$50.45

Hospital Charge Code	270607932
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 CORT 3.5 50 23505135

Facility

$50.45

Hospital Charge Code	270607932
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 CORT 3.7 25 22532537

Facility

$490.45

Hospital Charge Code	270625008
Hospital Revenue Code	278
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$245.22
Rate for Payer: Aetna Commercial	$147.13
Rate for Payer: Aetna Medicare Advantage	$147.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.06
Rate for Payer: Cigna Commercial	$245.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$73.57

SCREW ZIM CORT 3.7 25 22532537

Facility

$490.45

Hospital Charge Code	270625008
Hospital Revenue Code	278
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$118.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$73.57

SCREW ZIM CORT 4.2 25 22532542

Facility

$530.45

Hospital Charge Code	270618074
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$128.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW ZIM CORT 4.2 25 22532542

Facility

$530.45

Hospital Charge Code	270618074
Hospital Revenue Code	278
Min. Negotiated Rate	$79.57
Max. Negotiated Rate	$265.23
Rate for Payer: Aetna Commercial	$159.13
Rate for Payer: Aetna Medicare Advantage	$159.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.26
Rate for Payer: Cigna Commercial	$265.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.37
Rate for Payer: Qualcare PPO/HMO/WC	$79.57

SCREW ZIM CORT 4.2 30 22533042

Facility

$611.10

Hospital Charge Code	270619337
Hospital Revenue Code	278
Min. Negotiated Rate	$91.67
Max. Negotiated Rate	$305.55
Rate for Payer: Aetna Commercial	$183.33
Rate for Payer: Aetna Medicare Advantage	$183.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.83
Rate for Payer: Cigna Commercial	$305.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.89
Rate for Payer: Qualcare PPO/HMO/WC	$91.67

SCREW ZIM CORT 4.2 30 22533042

Facility

$611.10

Hospital Charge Code	270619337
Hospital Revenue Code	278
Min. Negotiated Rate	$91.67
Max. Negotiated Rate	$147.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.89
Rate for Payer: Qualcare PPO/HMO/WC	$91.67

SCREW ZIM CORT 4.2 35 22533542

Facility

$490.45

Hospital Charge Code	270624302
Hospital Revenue Code	278
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$118.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$73.57

SCREW ZIM CORT 4.2 35 22533542

Facility

$490.45

Hospital Charge Code	270624302
Hospital Revenue Code	278
Min. Negotiated Rate	$73.57
Max. Negotiated Rate	$245.22
Rate for Payer: Aetna Commercial	$147.13
Rate for Payer: Aetna Medicare Advantage	$147.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.06
Rate for Payer: Cigna Commercial	$245.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.69
Rate for Payer: Qualcare PPO/HMO/WC	$73.57

SCREW ZIM CORT 4.2 40 22534042

Facility

$611.10

Hospital Charge Code	270624282
Hospital Revenue Code	278
Min. Negotiated Rate	$91.67
Max. Negotiated Rate	$147.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.89
Rate for Payer: Qualcare PPO/HMO/WC	$91.67

SCREW ZIM CORT 4.2 40 22534042

Facility

$611.10

Hospital Charge Code	270624282
Hospital Revenue Code	278
Min. Negotiated Rate	$91.67
Max. Negotiated Rate	$305.55
Rate for Payer: Aetna Commercial	$183.33
Rate for Payer: Aetna Medicare Advantage	$183.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.83
Rate for Payer: Cigna Commercial	$305.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.89
Rate for Payer: Qualcare PPO/HMO/WC	$91.67

Know your out-of-pocket cost for care.

All Charges