Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 4.2 45 22534542

Facility

$611.10

Hospital Charge Code	270619867
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 45 22534542

Facility

$611.10

Hospital Charge Code	270619867
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 50 22535042

Facility

$530.45

Hospital Charge Code	270618075
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 50 22535042

Facility

$530.45

Hospital Charge Code	270618075
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 55 22535542

Facility

$530.45

Hospital Charge Code	270619335
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 55 22535542

Facility

$530.45

Hospital Charge Code	270619335
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 4.5 14 230614

Facility

$47.25

Hospital Charge Code	270601794
Hospital Revenue Code	278
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

SCREW ZIM CORT 4.5 14 230614

Facility

$47.25

Hospital Charge Code	270601794
Hospital Revenue Code	278
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$14.18
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

SCREW ZIM CORT 4.5 20 22452045

Facility

$664.85

Hospital Charge Code	270610833
Hospital Revenue Code	278
Min. Negotiated Rate	$99.73
Max. Negotiated Rate	$160.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.89
Rate for Payer: Qualcare PPO/HMO/WC	$99.73

SCREW ZIM CORT 4.5 20 22452045

Facility

$664.85

Hospital Charge Code	270610833
Hospital Revenue Code	278
Min. Negotiated Rate	$99.73
Max. Negotiated Rate	$332.43
Rate for Payer: Aetna Commercial	$199.46
Rate for Payer: Aetna Medicare Advantage	$199.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.54
Rate for Payer: Cigna Commercial	$332.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.89
Rate for Payer: Qualcare PPO/HMO/WC	$99.73

SCREW ZIM CORT 4.5 230643

Facility

$52.00

Service Code	HCPCS C1713
Hospital Charge Code	270607256
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 230643

Facility

$52.00

Service Code	HCPCS C1713
Hospital Charge Code	270607256
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 24 230624

Facility

$69.65

Hospital Charge Code	270606814
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 CORT 4.5 24 230624

Facility

$69.65

Hospital Charge Code	270606814
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 CORT 4.5 24 230625

Facility

$50.45

Hospital Charge Code	270605560
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 4.5 24 230625

Facility

$50.45

Hospital Charge Code	270605560
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 4.5 26 230627

Facility

$50.45

Hospital Charge Code	270605561
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 4.5 26 230627

Facility

$50.45

Hospital Charge Code	270605561
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 4.5 28 230629

Facility

$38.45

Hospital Charge Code	270610335
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$19.23
Rate for Payer: Aetna Commercial	$11.54
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.80
Rate for Payer: Cigna Commercial	$19.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

SCREW ZIM CORT 4.5 28 230629

Facility

$38.45

Hospital Charge Code	270610335
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

SCREW ZIM CORT 4.5 28 231929

Facility

$65.65

Hospital Charge Code	270613659
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$19.70
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW ZIM CORT 4.5 28 231929

Facility

$65.65

Hospital Charge Code	270613659
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW ZIM CORT 4.5 30 230631

Facility

$52.00

Hospital Charge Code	270606815
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 30 230631

Facility

$52.00

Hospital Charge Code	270606815
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 30 231931

Facility

$358.45

Hospital Charge Code	270601788
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

Know your out-of-pocket cost for care.

All Charges