Heights University Hospital

All Charges

Charge

Type

Setting

Price

PINS THREADED PACK

Facility

$250.00

Hospital Charge Code	270684548
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

PIN STIEN 5.0x250 CENTL 293840

Facility

$448.95

Hospital Charge Code	270633731
Hospital Revenue Code	278
Min. Negotiated Rate	$67.34
Max. Negotiated Rate	$224.47
Rate for Payer: Aetna Commercial	$134.69
Rate for Payer: Aetna Medicare Advantage	$134.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.48
Rate for Payer: Cigna Commercial	$224.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.65
Rate for Payer: Qualcare PPO/HMO/WC	$67.34

PIN STIEN 5.0x250 CENTL 293840

Facility

$448.95

Hospital Charge Code	270633731
Hospital Revenue Code	278
Min. Negotiated Rate	$67.34
Max. Negotiated Rate	$108.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.65
Rate for Payer: Qualcare PPO/HMO/WC	$67.34

PIN STIENMAN 1/8x12 35361681

Facility

$129.00

Hospital Charge Code	270632384
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIN STIENMAN 1/8x12 35361681

Facility

$129.00

Hospital Charge Code	270632384
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIN STIENMANN #6 DIA

Facility

$148.32

Hospital Charge Code	270678366
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

PIN STIENMANN #6 DIA

Facility

$148.32

Hospital Charge Code	270678366
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$74.16
Rate for Payer: Aetna Commercial	$44.50
Rate for Payer: Aetna Medicare Advantage	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

PINS TROCAR LKNG 3.2mm 3

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685218
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PINS TROCAR LKNG 3.2mm 3

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685218
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PIN TEMP FIX

Facility

$425.00

Hospital Charge Code	270677043
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

PIN TEMP FIX

Facility

$425.00

Hospital Charge Code	270677043
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

PIN TEMP FIXATION 1.1MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270660760
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PIN TEMP FIXATION 1.1MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270660760
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PIN TEMP FIXATION 2MM THD

Facility

$370.00

Hospital Charge Code	270672741
Hospital Revenue Code	272
Min. Negotiated Rate	$48.10
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.10
Rate for Payer: Oxford Commercial	$185.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$185.00

PIN TEMP FIXATION 2MM THD

Facility

$370.00

Hospital Charge Code	270672741
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

PIN THREADED 3.2MM , 450MM

Facility

$935.00

Hospital Charge Code	270661013
Hospital Revenue Code	278
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$226.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

PIN THREADED 3.2MM , 450MM

Facility

$935.00

Hospital Charge Code	270661013
Hospital Revenue Code	278
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$280.50
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.27
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

PIN THREADED HEADLESS 46MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676780
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

PIN THREADED HEADLESS 46MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676780
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95

PIN THREADED HEADLESS 65MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676779
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$114.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

PIN THREADED HEADLESS 65MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676779
Hospital Revenue Code	278
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.95
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

PIN TIP DRILL 3.5MM

Facility

$750.00

Hospital Charge Code	270673453
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PIN TIP DRILL 3.5MM

Facility

$750.00

Hospital Charge Code	270673453
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

PIN TO BAR CLAMP

Facility

$3,795.00

Hospital Charge Code	270656951
Hospital Revenue Code	278
Min. Negotiated Rate	$569.25
Max. Negotiated Rate	$1,897.50
Rate for Payer: Aetna Commercial	$1,138.50
Rate for Payer: Aetna Medicare Advantage	$1,138.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.73
Rate for Payer: Cigna Commercial	$1,897.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.39
Rate for Payer: Qualcare PPO/HMO/WC	$569.25

PIN TO BAR CLAMP

Facility

$3,795.00

Hospital Charge Code	270656951
Hospital Revenue Code	278
Min. Negotiated Rate	$569.25
Max. Negotiated Rate	$918.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$759.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.39
Rate for Payer: Qualcare PPO/HMO/WC	$569.25

Know your out-of-pocket cost for care.

All Charges