Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$179.22
Rate for Payer: Aetna Commercial	$107.53
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW ZIM CORT 4.5 32 230633

Facility

$57.65

Hospital Charge Code	270610336
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$17.30
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CORT 4.5 32 230633

Facility

$57.65

Hospital Charge Code	270610336
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CORT 4.5 32 231932

Facility

$358.45

Hospital Charge Code	270601789
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

SCREW ZIM CORT 4.5 32 231932

Facility

$358.45

Hospital Charge Code	270601789
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$107.53
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW ZIM CORT 4.5 32 231933

Facility

$65.65

Hospital Charge Code	270605565
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 32 231933

Facility

$65.65

Hospital Charge Code	270605565
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 34 230635

Facility

$50.45

Hospital Charge Code	270601795
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 34 230635

Facility

$50.45

Hospital Charge Code	270601795
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 34 231934

Facility

$392.00

Hospital Charge Code	270601790
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

SCREW ZIM CORT 4.5 34 231934

Facility

$392.00

Hospital Charge Code	270601790
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$117.60
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

SCREW ZIM CORT 4.5 34 23472334

Facility

$133.65

Hospital Charge Code	270611499
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$66.83
Rate for Payer: Aetna Commercial	$40.09
Rate for Payer: Aetna Medicare Advantage	$40.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$66.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

SCREW ZIM CORT 4.5 34 23472334

Facility

$133.65

Hospital Charge Code	270611499
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$32.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

SCREW ZIM CORT 4.5 36 230637

Facility

$52.00

Hospital Charge Code	270601797
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 36 230637

Facility

$52.00

Hospital Charge Code	270601797
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 36 231936

Facility

$67.25

Hospital Charge Code	270601796
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW ZIM CORT 4.5 36 231936

Facility

$67.25

Hospital Charge Code	270601796
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW ZIM CORT 4.5 36 231938

Facility

$67.25

Hospital Charge Code	270605548
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW ZIM CORT 4.5 36 231938

Facility

$67.25

Hospital Charge Code	270605548
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$20.18
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW ZIM CORT 4.5 36 23472336

Facility

$133.65

Hospital Charge Code	270611497
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$32.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

SCREW ZIM CORT 4.5 36 23472336

Facility

$133.65

Hospital Charge Code	270611497
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$66.83
Rate for Payer: Aetna Commercial	$40.09
Rate for Payer: Aetna Medicare Advantage	$40.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$66.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

SCREW ZIM CORT 4.5 36 48453601

Facility

$66.80

Hospital Charge Code	270605547
Hospital Revenue Code	278
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$33.40
Rate for Payer: Aetna Commercial	$20.04
Rate for Payer: Aetna Medicare Advantage	$20.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.03
Rate for Payer: Cigna Commercial	$33.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.02

SCREW ZIM CORT 4.5 36 48453601

Facility

$66.80

Hospital Charge Code	270605547
Hospital Revenue Code	278
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$16.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.02

SCREW ZIM CORT 4.5 38 230639

Facility

$52.00

Hospital Charge Code	270601798
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 38 230639

Facility

$52.00

Hospital Charge Code	270601798
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

Know your out-of-pocket cost for care.

All Charges