Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 5.5 35 22533555

Facility

$615.95

Hospital Charge Code	270625706
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$149.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

SCREW ZIM CORT 5.5 35 22533555

Facility

$615.95

Hospital Charge Code	270625706
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$307.98
Rate for Payer: Aetna Commercial	$184.78
Rate for Payer: Aetna Medicare Advantage	$184.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.07
Rate for Payer: Cigna Commercial	$307.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

SCREW ZIM CORT 5.5 40 22534050

Facility

$491.25

Hospital Charge Code	270628471
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 5.5 40 22534050

Facility

$491.25

Hospital Charge Code	270628471
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$147.38
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 5.5 45 22534555

Facility

$640.60

Hospital Charge Code	270625704
Hospital Revenue Code	278
Min. Negotiated Rate	$96.09
Max. Negotiated Rate	$320.30
Rate for Payer: Aetna Commercial	$192.18
Rate for Payer: Aetna Medicare Advantage	$192.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.35
Rate for Payer: Cigna Commercial	$320.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: Qualcare PPO/HMO/WC	$96.09

SCREW ZIM CORT 5.5 45 22534555

Facility

$640.60

Hospital Charge Code	270625704
Hospital Revenue Code	278
Min. Negotiated Rate	$96.09
Max. Negotiated Rate	$155.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: Qualcare PPO/HMO/WC	$96.09

SCREW ZIM CORT 5.5 50 22538555

Facility

$491.25

Hospital Charge Code	270628470
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$147.38
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 5.5 50 22538555

Facility

$491.25

Hospital Charge Code	270628470
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 6.5 20 65206520

Facility

$581.65

Hospital Charge Code	270605999
Hospital Revenue Code	274
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$290.82
Rate for Payer: Aetna Commercial	$174.50
Rate for Payer: Aetna Medicare Advantage	$174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.32
Rate for Payer: Cigna Commercial	$290.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5 20 65206520

Facility

$581.65

Hospital Charge Code	270605999
Hospital Revenue Code	274
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5 25 62506525

Facility

$581.65

Hospital Charge Code	270605658
Hospital Revenue Code	278
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$290.82
Rate for Payer: Aetna Commercial	$174.50
Rate for Payer: Aetna Medicare Advantage	$174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.32
Rate for Payer: Cigna Commercial	$290.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5 25 62506525

Facility

$581.65

Hospital Charge Code	270605658
Hospital Revenue Code	278
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5X15MM

Facility

$621.65

Service Code	HCPCS C1713
Hospital Charge Code	270608925
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW ZIM CORT 6.5X15MM

Facility

$621.65

Service Code	HCPCS C1713
Hospital Charge Code	270608925
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW ZIM HEADED 48 5791-41

Facility

$391.90

Hospital Charge Code	270626741
Hospital Revenue Code	278
Min. Negotiated Rate	$58.78
Max. Negotiated Rate	$94.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.84
Rate for Payer: Qualcare PPO/HMO/WC	$58.78

SCREW ZIM HEADED 48 5791-41

Facility

$391.90

Hospital Charge Code	270626741
Hospital Revenue Code	278
Min. Negotiated Rate	$58.78
Max. Negotiated Rate	$195.95
Rate for Payer: Aetna Commercial	$117.57
Rate for Payer: Aetna Medicare Advantage	$117.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.93
Rate for Payer: Cigna Commercial	$195.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.84
Rate for Payer: Qualcare PPO/HMO/WC	$58.78

SCREW ZIM IM 3.5 100 225210055

Facility

$844.00

Hospital Charge Code	270620528
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$422.00
Rate for Payer: Aetna Commercial	$253.20
Rate for Payer: Aetna Medicare Advantage	$253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.22
Rate for Payer: Cigna Commercial	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM IM 3.5 100 225210055

Facility

$844.00

Hospital Charge Code	270620528
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$204.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM IM 3.5 90 22529055

Facility

$844.00

Hospital Charge Code	270620527
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$204.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM IM 3.5 90 22529055

Facility

$844.00

Hospital Charge Code	270620527
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$422.00
Rate for Payer: Aetna Commercial	$253.20
Rate for Payer: Aetna Medicare Advantage	$253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.22
Rate for Payer: Cigna Commercial	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM LAG 100MM 1181-01042

Facility

$903.25

Hospital Charge Code	270601782
Hospital Revenue Code	278
Min. Negotiated Rate	$135.49
Max. Negotiated Rate	$218.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.59
Rate for Payer: Qualcare PPO/HMO/WC	$135.49

SCREW ZIM LAG 100MM 1181-01042

Facility

$903.25

Hospital Charge Code	270601782
Hospital Revenue Code	278
Min. Negotiated Rate	$135.49
Max. Negotiated Rate	$451.62
Rate for Payer: Aetna Commercial	$270.98
Rate for Payer: Aetna Medicare Advantage	$270.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.33
Rate for Payer: Cigna Commercial	$451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.59
Rate for Payer: Qualcare PPO/HMO/WC	$135.49

SCREW ZIM LAG 105MM 1181-010**

Facility

$457.36

Hospital Charge Code	2706012004
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$110.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.60

SCREW ZIM LAG 105MM 1181-010**

Facility

$457.36

Hospital Charge Code	2706012004
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$228.68
Rate for Payer: Aetna Commercial	$137.21
Rate for Payer: Aetna Medicare Advantage	$137.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.63
Rate for Payer: Cigna Commercial	$228.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.60

SCREW ZIM LAG 105MM 1181-10-45

Facility

$877.65

Hospital Charge Code	270602004
Hospital Revenue Code	278
Min. Negotiated Rate	$131.65
Max. Negotiated Rate	$438.82
Rate for Payer: Aetna Commercial	$263.30
Rate for Payer: Aetna Medicare Advantage	$263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.80
Rate for Payer: Cigna Commercial	$438.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.39
Rate for Payer: Qualcare PPO/HMO/WC	$131.65

Know your out-of-pocket cost for care.

All Charges