Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.4 X 26MM HEADLESS LONG

Facility

$1,410.00

Hospital Charge Code	270664493
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$423.00
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW 2.4 X 26MM HEADLESS LONG

Facility

$1,410.00

Hospital Charge Code	270664493
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW 2.4 X 30 LOCKING

Facility

$1,035.00

Hospital Charge Code	270702596
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

SCREW 2.4 X 30 LOCKING

Facility

$1,035.00

Hospital Charge Code	270702596
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 25MM

Facility

$5,210.00

Hospital Charge Code	270702578
Hospital Revenue Code	278
Min. Negotiated Rate	$781.50
Max. Negotiated Rate	$2,605.00
Rate for Payer: Aetna Commercial	$1,563.00
Rate for Payer: Aetna Medicare Advantage	$1,563.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,328.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,328.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,328.55
Rate for Payer: Cigna Commercial	$2,605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.82
Rate for Payer: Qualcare PPO/HMO/WC	$781.50

SCREW 25MM

Facility

$5,210.00

Hospital Charge Code	270702578
Hospital Revenue Code	278
Min. Negotiated Rate	$781.50
Max. Negotiated Rate	$1,260.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,042.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,260.82
Rate for Payer: Qualcare PPO/HMO/WC	$781.50

SCREW 2.5MM 3 FLUTED DRILL BIT

Facility

$954.00

Hospital Charge Code	270657061
Hospital Revenue Code	278
Min. Negotiated Rate	$143.10
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna Commercial	$286.20
Rate for Payer: Aetna Medicare Advantage	$286.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.27
Rate for Payer: Cigna Commercial	$477.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.87
Rate for Payer: Qualcare PPO/HMO/WC	$143.10

SCREW 2.5MM 3 FLUTED DRILL BIT

Facility

$954.00

Hospital Charge Code	270657061
Hospital Revenue Code	278
Min. Negotiated Rate	$143.10
Max. Negotiated Rate	$230.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.87
Rate for Payer: Qualcare PPO/HMO/WC	$143.10

SCREW 25 MM TRIO VERSAFITCUP

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683286
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 25 MM TRIO VERSAFITCUP

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270683286
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 2.5MM X 18MM CANNULATED

Facility

$745.00

Hospital Charge Code	270661795
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$372.50
Rate for Payer: Aetna Commercial	$223.50
Rate for Payer: Aetna Medicare Advantage	$223.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.97
Rate for Payer: Cigna Commercial	$372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

SCREW 2.5MM X 18MM CANNULATED

Facility

$745.00

Hospital Charge Code	270661795
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$180.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

SCREW 2.5MM X 20MM CANNULATED

Facility

$745.00

Hospital Charge Code	270661797
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$180.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

SCREW 2.5MM X 20MM CANNULATED

Facility

$745.00

Hospital Charge Code	270661797
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$372.50
Rate for Payer: Aetna Commercial	$223.50
Rate for Payer: Aetna Medicare Advantage	$223.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.97
Rate for Payer: Cigna Commercial	$372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

SCREW2.5TIHDLSCANCOMPLT20MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698216
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANCOMPLT20MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698216
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANNCOMPLT22MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698218
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANNCOMPLT22MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698218
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANNCOMPLT26MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698217
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW2.5TIHDLSCANNCOMPLT26MM

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270698217
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701815
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$277.65
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW 2.5 X 11 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	270701815
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW 2.5 X 14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690539
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

SCREW 2.5 X 14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690539
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

SCREW 2.5x16MM PEG PRT TP16000

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	270648149
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

Know your out-of-pocket cost for care.

All Charges