Heights University Hospital

All Charges

Charge

Type

Setting

Price

SHELL ZIM ACETAB 48MM 62004820

Facility

$8,803.25

Hospital Charge Code	270621551
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.49
Max. Negotiated Rate	$2,130.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,130.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.49

SHELL ZIM ACETAB 50MM 62005020

Facility

$4,500.85

Hospital Charge Code	270615366
Hospital Revenue Code	278
Min. Negotiated Rate	$675.13
Max. Negotiated Rate	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.21
Rate for Payer: Qualcare PPO/HMO/WC	$675.13

SHELL ZIM ACETAB 50MM 62005020

Facility

$4,500.85

Hospital Charge Code	270615366
Hospital Revenue Code	278
Min. Negotiated Rate	$675.13
Max. Negotiated Rate	$2,250.43
Rate for Payer: Aetna Commercial	$1,350.26
Rate for Payer: Aetna Medicare Advantage	$1,350.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.72
Rate for Payer: Cigna Commercial	$2,250.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.21
Rate for Payer: Qualcare PPO/HMO/WC	$675.13

SHELL ZIM ACETAB 52MM 62005220

Facility

$4,633.65

Hospital Charge Code	270619101
Hospital Revenue Code	278
Min. Negotiated Rate	$695.05
Max. Negotiated Rate	$2,316.82
Rate for Payer: Aetna Commercial	$1,390.10
Rate for Payer: Aetna Medicare Advantage	$1,390.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,181.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,181.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$926.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,181.58
Rate for Payer: Cigna Commercial	$2,316.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,121.34
Rate for Payer: Qualcare PPO/HMO/WC	$695.05

SHELL ZIM ACETAB 52MM 62005220

Facility

$4,633.65

Hospital Charge Code	270619101
Hospital Revenue Code	278
Min. Negotiated Rate	$695.05
Max. Negotiated Rate	$1,121.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$926.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,121.34
Rate for Payer: Qualcare PPO/HMO/WC	$695.05

SHELL ZIM ACETAB 54MM 62005420

Facility

$4,717.65

Hospital Charge Code	270612226
Hospital Revenue Code	278
Min. Negotiated Rate	$707.65
Max. Negotiated Rate	$1,141.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$943.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,141.67
Rate for Payer: Qualcare PPO/HMO/WC	$707.65

SHELL ZIM ACETAB 54MM 62005420

Facility

$4,717.65

Hospital Charge Code	270612226
Hospital Revenue Code	278
Min. Negotiated Rate	$707.65
Max. Negotiated Rate	$2,358.82
Rate for Payer: Aetna Commercial	$1,415.30
Rate for Payer: Aetna Medicare Advantage	$1,415.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$943.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,203.00
Rate for Payer: Cigna Commercial	$2,358.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,141.67
Rate for Payer: Qualcare PPO/HMO/WC	$707.65

SHELL ZIM ACETAB 56MM 62005620

Facility

$6,235.25

Hospital Charge Code	270605651
Hospital Revenue Code	278
Min. Negotiated Rate	$935.29
Max. Negotiated Rate	$3,117.62
Rate for Payer: Aetna Commercial	$1,870.58
Rate for Payer: Aetna Medicare Advantage	$1,870.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,589.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,589.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,589.99
Rate for Payer: Cigna Commercial	$3,117.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,508.93
Rate for Payer: Qualcare PPO/HMO/WC	$935.29

SHELL ZIM ACETAB 56MM 62005620

Facility

$6,235.25

Hospital Charge Code	270605651
Hospital Revenue Code	278
Min. Negotiated Rate	$935.29
Max. Negotiated Rate	$1,508.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,247.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,508.93
Rate for Payer: Qualcare PPO/HMO/WC	$935.29

SHELL ZIM ACETAB 56MM 62005622

Facility

$5,996.10

Hospital Charge Code	270608926
Hospital Revenue Code	278
Min. Negotiated Rate	$899.41
Max. Negotiated Rate	$2,998.05
Rate for Payer: Aetna Commercial	$1,798.83
Rate for Payer: Aetna Medicare Advantage	$1,798.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,529.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,529.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,199.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,529.01
Rate for Payer: Cigna Commercial	$2,998.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,451.06
Rate for Payer: Qualcare PPO/HMO/WC	$899.41

SHELL ZIM ACETAB 56MM 62005622

Facility

$5,996.10

Hospital Charge Code	270608926
Hospital Revenue Code	278
Min. Negotiated Rate	$899.41
Max. Negotiated Rate	$1,451.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,199.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,451.06
Rate for Payer: Qualcare PPO/HMO/WC	$899.41

SHELL ZIM ACETAB 58 62005822

Facility

$4,552.85

Hospital Charge Code	270626486
Hospital Revenue Code	278
Min. Negotiated Rate	$682.93
Max. Negotiated Rate	$1,101.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.79
Rate for Payer: Qualcare PPO/HMO/WC	$682.93

SHELL ZIM ACETAB 58 62005822

Facility

$4,552.85

Hospital Charge Code	270626486
Hospital Revenue Code	278
Min. Negotiated Rate	$682.93
Max. Negotiated Rate	$2,276.43
Rate for Payer: Aetna Commercial	$1,365.86
Rate for Payer: Aetna Medicare Advantage	$1,365.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.98
Rate for Payer: Cigna Commercial	$2,276.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.79
Rate for Payer: Qualcare PPO/HMO/WC	$682.93

SHELL ZIM ACETAB 60MM 62006020

Facility

$6,537.65

Hospital Charge Code	270605998
Hospital Revenue Code	278
Min. Negotiated Rate	$980.65
Max. Negotiated Rate	$3,268.82
Rate for Payer: Aetna Commercial	$1,961.30
Rate for Payer: Aetna Medicare Advantage	$1,961.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,667.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,667.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,667.10
Rate for Payer: Cigna Commercial	$3,268.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,582.11
Rate for Payer: Qualcare PPO/HMO/WC	$980.65

SHELL ZIM ACETAB 60MM 62006020

Facility

$6,537.65

Hospital Charge Code	270605998
Hospital Revenue Code	278
Min. Negotiated Rate	$980.65
Max. Negotiated Rate	$1,582.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,582.11
Rate for Payer: Qualcare PPO/HMO/WC	$980.65

SHELL ZIM ACETAB 62MM 62006220

Facility

$4,717.65

Hospital Charge Code	270611866
Hospital Revenue Code	278
Min. Negotiated Rate	$707.65
Max. Negotiated Rate	$1,141.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$943.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,141.67
Rate for Payer: Qualcare PPO/HMO/WC	$707.65

SHELL ZIM ACETAB 62MM 62006220

Facility

$4,717.65

Hospital Charge Code	270611866
Hospital Revenue Code	278
Min. Negotiated Rate	$707.65
Max. Negotiated Rate	$2,358.82
Rate for Payer: Aetna Commercial	$1,415.30
Rate for Payer: Aetna Medicare Advantage	$1,415.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$943.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,203.00
Rate for Payer: Cigna Commercial	$2,358.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,141.67
Rate for Payer: Qualcare PPO/HMO/WC	$707.65

SHELL ZIM BIP 53 5001-53

Facility

$2,482.00

Hospital Charge Code	270627234
Hospital Revenue Code	278
Min. Negotiated Rate	$372.30
Max. Negotiated Rate	$600.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.64
Rate for Payer: Qualcare PPO/HMO/WC	$372.30

SHELL ZIM BIP 53 5001-53

Facility

$2,482.00

Hospital Charge Code	270627234
Hospital Revenue Code	278
Min. Negotiated Rate	$372.30
Max. Negotiated Rate	$1,241.00
Rate for Payer: Aetna Commercial	$744.60
Rate for Payer: Aetna Medicare Advantage	$744.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.91
Rate for Payer: Cigna Commercial	$1,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.64
Rate for Payer: Qualcare PPO/HMO/WC	$372.30

SHELL ZIM BIPOLAR 44 500144

Facility

$2,706.20

Hospital Charge Code	270626175
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$654.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

SHELL ZIM BIPOLAR 44 500144

Facility

$2,706.20

Hospital Charge Code	270626175
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$1,353.10
Rate for Payer: Aetna Commercial	$811.86
Rate for Payer: Aetna Medicare Advantage	$811.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$690.08
Rate for Payer: Cigna Commercial	$1,353.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

SHELL ZIM BIPOLAR 45 500145

Facility

$2,581.35

Hospital Charge Code	270626159
Hospital Revenue Code	278
Min. Negotiated Rate	$387.20
Max. Negotiated Rate	$1,290.67
Rate for Payer: Aetna Commercial	$774.40
Rate for Payer: Aetna Medicare Advantage	$774.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$658.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$658.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$658.24
Rate for Payer: Cigna Commercial	$1,290.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.69
Rate for Payer: Qualcare PPO/HMO/WC	$387.20

SHELL ZIM BIPOLAR 45 500145

Facility

$2,581.35

Hospital Charge Code	270626159
Hospital Revenue Code	278
Min. Negotiated Rate	$387.20
Max. Negotiated Rate	$624.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.69
Rate for Payer: Qualcare PPO/HMO/WC	$387.20

SHELL ZIM BIPOLAR 47 500147

Facility

$2,706.20

Hospital Charge Code	270626174
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$1,353.10
Rate for Payer: Aetna Commercial	$811.86
Rate for Payer: Aetna Medicare Advantage	$811.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$690.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$690.08
Rate for Payer: Cigna Commercial	$1,353.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

SHELL ZIM BIPOLAR 47 500147

Facility

$2,706.20

Hospital Charge Code	270626174
Hospital Revenue Code	278
Min. Negotiated Rate	$405.93
Max. Negotiated Rate	$654.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$541.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.90
Rate for Payer: Qualcare PPO/HMO/WC	$405.93

Know your out-of-pocket cost for care.

All Charges