Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.8mm Ti EMERGENCY 16mm

Facility

$220.25

Hospital Charge Code	270635518
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$110.12
Rate for Payer: Aetna Commercial	$66.08
Rate for Payer: Aetna Medicare Advantage	$66.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.16
Rate for Payer: Cigna Commercial	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8mm Ti EMERGENCY 16mm

Facility

$220.25

Hospital Charge Code	270635518
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8mm Ti EMERGENCY 18mm

Facility

$220.25

Hospital Charge Code	270635519
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$53.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8mm Ti EMERGENCY 18mm

Facility

$220.25

Hospital Charge Code	270635519
Hospital Revenue Code	278
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$110.12
Rate for Payer: Aetna Commercial	$66.08
Rate for Payer: Aetna Medicare Advantage	$66.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.16
Rate for Payer: Cigna Commercial	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.30
Rate for Payer: Qualcare PPO/HMO/WC	$33.04

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$586.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

SCREW 2.8X8MM

Facility

$2,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270695109
Hospital Revenue Code	278
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$727.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.85
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270705005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270706005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270706005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 2X14MM NON-LOCKING

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270705005
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW 3 0 ACUTRAK AT1300S

Facility

$1,540.00

Hospital Charge Code	270638180
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$770.00
Rate for Payer: Aetna Commercial	$462.00
Rate for Payer: Aetna Medicare Advantage	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.70
Rate for Payer: Cigna Commercial	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3 0 ACUTRAK AT1300S

Facility

$1,540.00

Hospital Charge Code	270638180
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$372.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3 0 ACUTRAK FIX AM0030S

Facility

$1,540.00

Hospital Charge Code	270638177
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$372.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3 0 ACUTRAK FIX AM0030S

Facility

$1,540.00

Hospital Charge Code	270638177
Hospital Revenue Code	278
Min. Negotiated Rate	$231.00
Max. Negotiated Rate	$770.00
Rate for Payer: Aetna Commercial	$462.00
Rate for Payer: Aetna Medicare Advantage	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$308.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.70
Rate for Payer: Cigna Commercial	$770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$372.68
Rate for Payer: Qualcare PPO/HMO/WC	$231.00

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 26 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691549
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 32 MM LT

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691550
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$730.29
Max. Negotiated Rate	$2,434.30
Rate for Payer: Aetna Commercial	$1,460.58
Rate for Payer: Aetna Medicare Advantage	$1,460.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,241.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,241.49
Rate for Payer: Cigna Commercial	$2,434.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: Qualcare PPO/HMO/WC	$730.29

SCREW 3.0 CCHS 32 MMM

Facility

$4,868.60

Service Code	HCPCS C1713
Hospital Charge Code	270691569
Hospital Revenue Code	278
Min. Negotiated Rate	$730.29
Max. Negotiated Rate	$1,178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$973.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,178.20
Rate for Payer: Qualcare PPO/HMO/WC	$730.29

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 3.0MM 32 mm LONG THREAD

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680968
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$448.75
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0 X 10 VAR LOCKING

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683493
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

Know your out-of-pocket cost for care.

All Charges