Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698349
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 12X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698347
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$1,398.20
Rate for Payer: Aetna Commercial	$838.92
Rate for Payer: Aetna Medicare Advantage	$838.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.08
Rate for Payer: Cigna Commercial	$1,398.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 2.2 14X3.0X5MM

Facility

$2,796.40

Service Code	HCPCS C1713
Hospital Charge Code	270698348
Hospital Revenue Code	278
Min. Negotiated Rate	$419.46
Max. Negotiated Rate	$676.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.73
Rate for Payer: Qualcare PPO/HMO/WC	$419.46

SCREW 22 6.5X100MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662005
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$529.50
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 22 6.5X100MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662005
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 2.3 X 12 SOLID

Facility

$465.00

Hospital Charge Code	270652223
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3 X 12 SOLID

Facility

$465.00

Hospital Charge Code	270652223
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X14 SOLID

Facility

$465.00

Hospital Charge Code	270652158
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X14 SOLID

Facility

$465.00

Hospital Charge Code	270652158
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X16 SOLID

Facility

$465.00

Hospital Charge Code	270652166
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X16 SOLID

Facility

$465.00

Hospital Charge Code	270652166
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X18 SOLID

Facility

$465.00

Hospital Charge Code	270652168
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X18 SOLID

Facility

$465.00

Hospital Charge Code	270652168
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X22 SOLID

Facility

$465.00

Hospital Charge Code	270652221
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$112.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.3X22 SOLID

Facility

$465.00

Hospital Charge Code	270652221
Hospital Revenue Code	278
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$139.50
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

SCREW 2.4 CORTE 14 MM

Facility

$1,050.00

Hospital Charge Code	270700836
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

Know your out-of-pocket cost for care.

All Charges