Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SCREW 2.4MM CORTEX SELF TAP

Facility

$204.00

Hospital Charge Code	270657071
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW 2.4MM CORTEX SELF TAP

Facility

$204.00

Hospital Charge Code	270657071
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW 2.4MM CORTEX SELF TAPPIN

Facility

$198.00

Hospital Charge Code	270657135
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW 2.4MM CORTEX SELF TAPPIN

Facility

$198.00

Hospital Charge Code	270657135
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW 2.4 MM STARDRIVE 30MM VA

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681057
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW 2.4 MM STARDRIVE 30MM VA

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681057
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW 2.4 MM T8 SD REC 32

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270693067
Hospital Revenue Code	278
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$123.45
Rate for Payer: Aetna Commercial	$74.07
Rate for Payer: Aetna Medicare Advantage	$74.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.96
Rate for Payer: Cigna Commercial	$123.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03

SCREW 2.4 MM T8 SD REC 32

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270693067
Hospital Revenue Code	278
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$59.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03

SCREW 2.4mX26m LOCK 212.826

Facility

$1,064.30

Service Code	HCPCS C1713
Hospital Charge Code	270637234
Hospital Revenue Code	278
Min. Negotiated Rate	$159.65
Max. Negotiated Rate	$532.15
Rate for Payer: Aetna Commercial	$319.29
Rate for Payer: Aetna Medicare Advantage	$319.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.40
Rate for Payer: Cigna Commercial	$532.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.56
Rate for Payer: Qualcare PPO/HMO/WC	$159.65

SCREW 2.4mX26m LOCK 212.826

Facility

$1,064.30

Service Code	HCPCS C1713
Hospital Charge Code	270637234
Hospital Revenue Code	278
Min. Negotiated Rate	$159.65
Max. Negotiated Rate	$257.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.56
Rate for Payer: Qualcare PPO/HMO/WC	$159.65

SCREW 2.4x14 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648359
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 2.4x14 LAG CANNULATED

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270648359
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 2.4 X 14 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690265
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4 X 14 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690265
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4X16 LAG CANNULATED

Facility

$800.00

Hospital Charge Code	270648906
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 2.4X16 LAG CANNULATED

Facility

$800.00

Hospital Charge Code	270648906
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 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270693608
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270693608
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW 2.4x18 LAG CANNULATED

Facility

$23,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270686730
Hospital Revenue Code	278
Min. Negotiated Rate	$3,524.25
Max. Negotiated Rate	$11,747.50
Rate for Payer: Aetna Commercial	$7,048.50
Rate for Payer: Aetna Medicare Advantage	$7,048.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,991.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,991.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,699.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,991.23
Rate for Payer: Cigna Commercial	$11,747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,685.79
Rate for Payer: Qualcare PPO/HMO/WC	$3,524.25

SCREW 2.4x18 LAG CANNULATED

Facility

$23,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270686730
Hospital Revenue Code	278
Min. Negotiated Rate	$3,524.25
Max. Negotiated Rate	$5,685.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,699.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,685.79
Rate for Payer: Qualcare PPO/HMO/WC	$3,524.25

SCREW 2.4 X19 HCS LONG THREAD

Facility

$1,709.15

Service Code	HCPCS C1713
Hospital Charge Code	270685081
Hospital Revenue Code	278
Min. Negotiated Rate	$256.37
Max. Negotiated Rate	$854.58
Rate for Payer: Aetna Commercial	$512.75
Rate for Payer: Aetna Medicare Advantage	$512.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.83
Rate for Payer: Cigna Commercial	$854.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.61
Rate for Payer: Qualcare PPO/HMO/WC	$256.37

SCREW 2.4 X19 HCS LONG THREAD

Facility

$1,709.15

Service Code	HCPCS C1713
Hospital Charge Code	270685081
Hospital Revenue Code	278
Min. Negotiated Rate	$256.37
Max. Negotiated Rate	$413.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.61
Rate for Payer: Qualcare PPO/HMO/WC	$256.37

SCREW 2.4X26MM

Facility

$1,035.00

Hospital Charge Code	270702594
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$250.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

SCREW 2.4X26MM

Facility

$1,035.00

Hospital Charge Code	270702594
Hospital Revenue Code	278
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.47
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

Know your out-of-pocket cost for care.

All Charges