Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 4.5 38 23472338

Facility

$133.65

Hospital Charge Code	270611494
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 38 23472338

Facility

$133.65

Hospital Charge Code	270611494
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 40 230641

Facility

$52.00

Hospital Charge Code	270606816
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 40 230641

Facility

$52.00

Hospital Charge Code	270606816
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 40 231940

Facility

$67.25

Hospital Charge Code	270606051
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 40 231940

Facility

$67.25

Hospital Charge Code	270606051
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 40 23472340

Facility

$133.65

Hospital Charge Code	270611491
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 40 23472340

Facility

$133.65

Hospital Charge Code	270611491
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 42 231942

Facility

$405.65

Hospital Charge Code	270608075
Hospital Revenue Code	274
Min. Negotiated Rate	$60.85
Max. Negotiated Rate	$202.82
Rate for Payer: Aetna Commercial	$121.69
Rate for Payer: Aetna Medicare Advantage	$121.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.44
Rate for Payer: Cigna Commercial	$202.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.17
Rate for Payer: Qualcare PPO/HMO/WC	$60.85

SCREW ZIM CORT 4.5 42 231942

Facility

$405.65

Hospital Charge Code	270608075
Hospital Revenue Code	274
Min. Negotiated Rate	$60.85
Max. Negotiated Rate	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.17
Rate for Payer: Qualcare PPO/HMO/WC	$60.85

SCREW ZIM CORT 4.5 42 23472342

Facility

$133.65

Hospital Charge Code	270611490
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 42 23472342

Facility

$133.65

Hospital Charge Code	270611490
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 44 230645

Facility

$38.45

Hospital Charge Code	270610337
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 44 230645

Facility

$38.45

Hospital Charge Code	270610337
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 44 231944

Facility

$67.25

Hospital Charge Code	270606951
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 44 231944

Facility

$67.25

Hospital Charge Code	270606951
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 44 231945

Facility

$63.75

Hospital Charge Code	270605551
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

SCREW ZIM CORT 4.5 44 231945

Facility

$63.75

Hospital Charge Code	270605551
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$31.88
Rate for Payer: Aetna Commercial	$19.12
Rate for Payer: Aetna Medicare Advantage	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.26
Rate for Payer: Cigna Commercial	$31.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

SCREW ZIM CORT 4.5 46 230647

Facility

$38.45

Service Code	HCPCS C1713
Hospital Charge Code	270610340
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 46 230647

Facility

$38.45

Service Code	HCPCS C1713
Hospital Charge Code	270610340
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 46 231946

Facility

$52.00

Hospital Charge Code	270601799
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 46 231946

Facility

$52.00

Hospital Charge Code	270601799
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 48 230649

Facility

$33.65

Hospital Charge Code	270610342
Hospital Revenue Code	278
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SCREW ZIM CORT 4.5 48 230649

Facility

$33.65

Hospital Charge Code	270610342
Hospital Revenue Code	278
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SCREW ZIM CORT 4.5 48 231949

Facility

$65.65

Hospital Charge Code	270605552
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

Know your out-of-pocket cost for care.

All Charges