Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM PRTC 3.5 32 23472032

Facility

$139.25

Hospital Charge Code	270620805
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 36 23472036

Facility

$139.25

Hospital Charge Code	270620806
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 36 23472036

Facility

$139.25

Hospital Charge Code	270620806
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 38 23472038

Facility

$139.25

Hospital Charge Code	270620807
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 38 23472038

Facility

$139.25

Hospital Charge Code	270620807
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 44 23472044

Facility

$139.25

Hospital Charge Code	270620808
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 3.5 44 23472044

Facility

$139.25

Hospital Charge Code	270620808
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.0 45 23472145

Facility

$139.25

Hospital Charge Code	270620809
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.0 45 23472145

Facility

$139.25

Hospital Charge Code	270620809
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 44MM 234702344

Facility

$139.25

Hospital Charge Code	270615652
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 44MM 234702344

Facility

$139.25

Hospital Charge Code	270615652
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 5 23472350

Facility

$139.25

Hospital Charge Code	270615653
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 5 23472350

Facility

$139.25

Hospital Charge Code	270615653
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 6 23472360

Facility

$139.25

Hospital Charge Code	270615654
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 6 23472360

Facility

$139.25

Hospital Charge Code	270615654
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 6 23472365

Facility

$139.25

Hospital Charge Code	270615655
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 6 23472365

Facility

$139.25

Hospital Charge Code	270615655
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 8 23472380

Facility

$139.25

Hospital Charge Code	270615656
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$41.77
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW ZIM PRTC 4.5 8 23472380

Facility

$139.25

Hospital Charge Code	270615656
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCR LG ONE-PCE11m 100m22590142

Facility

$1,036.10

Hospital Charge Code	270636585
Hospital Revenue Code	278
Min. Negotiated Rate	$155.41
Max. Negotiated Rate	$250.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.74
Rate for Payer: Qualcare PPO/HMO/WC	$155.41

SCR LG ONE-PCE11m 100m22590142

Facility

$1,036.10

Hospital Charge Code	270636585
Hospital Revenue Code	278
Min. Negotiated Rate	$155.41
Max. Negotiated Rate	$518.05
Rate for Payer: Aetna Commercial	$310.83
Rate for Payer: Aetna Medicare Advantage	$310.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$264.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$264.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$264.21
Rate for Payer: Cigna Commercial	$518.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.74
Rate for Payer: Qualcare PPO/HMO/WC	$155.41

SCR LINEUM 3.5C12MM 14-524212

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270698916
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$2,839.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCR LINEUM 3.5C12MM 14-524212

Facility

$11,735.00

Service Code	HCPCS C1713
Hospital Charge Code	270698916
Hospital Revenue Code	278
Min. Negotiated Rate	$1,760.25
Max. Negotiated Rate	$5,867.50
Rate for Payer: Aetna Commercial	$3,520.50
Rate for Payer: Aetna Medicare Advantage	$3,520.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,992.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,347.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,992.43
Rate for Payer: Cigna Commercial	$5,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,839.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,760.25

SCR LOCK CANN 5.0x30m222.536

Facility

$754.00

Hospital Charge Code	270635682
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$226.20
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCR LOCK CANN 5.0x30m222.536

Facility

$754.00

Hospital Charge Code	270635682
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

Know your out-of-pocket cost for care.

All Charges