Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW

Facility

$352.50

Hospital Charge Code	270659681
Hospital Revenue Code	278
Min. Negotiated Rate	$52.88
Max. Negotiated Rate	$85.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.88

SCREW

Facility

$117.80

Hospital Charge Code	270657080
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$58.90
Rate for Payer: Aetna Commercial	$35.34
Rate for Payer: Aetna Medicare Advantage	$35.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.04
Rate for Payer: Cigna Commercial	$58.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$117.80

Hospital Charge Code	270657083
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$58.90
Rate for Payer: Aetna Commercial	$35.34
Rate for Payer: Aetna Medicare Advantage	$35.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.04
Rate for Payer: Cigna Commercial	$58.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$396.00

Hospital Charge Code	270339475
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$118.80
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

SCREW

Facility

$352.50

Hospital Charge Code	270659681
Hospital Revenue Code	278
Min. Negotiated Rate	$52.88
Max. Negotiated Rate	$176.25
Rate for Payer: Aetna Commercial	$105.75
Rate for Payer: Aetna Medicare Advantage	$105.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.89
Rate for Payer: Cigna Commercial	$176.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.31
Rate for Payer: Qualcare PPO/HMO/WC	$52.88

SCREW

Facility

$117.80

Hospital Charge Code	270657081
Hospital Revenue Code	278
Min. Negotiated Rate	$17.67
Max. Negotiated Rate	$28.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.51
Rate for Payer: Qualcare PPO/HMO/WC	$17.67

SCREW

Facility

$450.00

Hospital Charge Code	270703022
Hospital Revenue Code	270
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.00

SCREW

Facility

$396.00

Hospital Charge Code	270339475
Hospital Revenue Code	278
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.83
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

SCREW

Facility

$655.20

Hospital Charge Code	270339473
Hospital Revenue Code	278
Min. Negotiated Rate	$98.28
Max. Negotiated Rate	$327.60
Rate for Payer: Aetna Commercial	$196.56
Rate for Payer: Aetna Medicare Advantage	$196.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.08
Rate for Payer: Cigna Commercial	$327.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.56
Rate for Payer: Qualcare PPO/HMO/WC	$98.28

SCREW

Facility

$515.00

Hospital Charge Code	270660700
Hospital Revenue Code	278
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.63
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

SCREW 10MM X 20 MM BC VENTED

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688544
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW 10MM X 20 MM BC VENTED

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688544
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW 10X40MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705841
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$2,700.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 10X40MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705841
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 10X45MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705840
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$4,500.00
Rate for Payer: Aetna Commercial	$2,700.00
Rate for Payer: Aetna Medicare Advantage	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,295.00
Rate for Payer: Cigna Commercial	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 10X45MM

Facility

$9,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705840
Hospital Revenue Code	278
Min. Negotiated Rate	$1,350.00
Max. Negotiated Rate	$2,178.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,178.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.00

SCREW 12 MM 1.5

Facility

$1,320.00

Hospital Charge Code	270702795
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$396.00
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW 12 MM 1.5

Facility

$1,320.00

Hospital Charge Code	270702795
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW 12 MM 1.5 MM

Facility

$687.50

Hospital Charge Code	270702796
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$343.75
Rate for Payer: Aetna Commercial	$206.25
Rate for Payer: Aetna Medicare Advantage	$206.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.31
Rate for Payer: Cigna Commercial	$343.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.38
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

SCREW 12 MM 1.5 MM

Facility

$687.50

Hospital Charge Code	270702796
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$166.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.38
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

SCREW 12MM 2.0MM

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692362
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW 12MM 2.0MM

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270692362
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$639.60
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW 12 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688566
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 12 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688566
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 12MM 2.4 MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270683983
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

Know your out-of-pocket cost for care.

All Charges