Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.0X14MM

Facility

$700.00

Hospital Charge Code	270669680
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 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$510.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW 3.0 X 18 MM HEADLESS

Facility

$2,110.00

Service Code	HCPCS C1713
Hospital Charge Code	270684001
Hospital Revenue Code	278
Min. Negotiated Rate	$316.50
Max. Negotiated Rate	$1,055.00
Rate for Payer: Aetna Commercial	$633.00
Rate for Payer: Aetna Medicare Advantage	$633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$538.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$422.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$538.05
Rate for Payer: Cigna Commercial	$1,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.62
Rate for Payer: Qualcare PPO/HMO/WC	$316.50

SCREW 3.0 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
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 X 28 MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691653
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 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW 3.0X36MM INTERFRAG

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270690866
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$476.44
Max. Negotiated Rate	$768.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: Qualcare PPO/HMO/WC	$476.44

SCREW 30x5.5mm

Facility

$3,176.25

Service Code	HCPCS C1713
Hospital Charge Code	270679297
Hospital Revenue Code	278
Min. Negotiated Rate	$476.44
Max. Negotiated Rate	$1,588.12
Rate for Payer: Aetna Commercial	$952.88
Rate for Payer: Aetna Medicare Advantage	$952.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.94
Rate for Payer: Cigna Commercial	$1,588.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.65
Rate for Payer: Qualcare PPO/HMO/WC	$476.44

SCREW 3.5*38MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648295
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*38MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648295
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*40MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648296
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*40MM CORT NONLOCKING

Facility

$300.00

Hospital Charge Code	270648296
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW 3.5*80MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648294
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 3.5*80MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648294
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 3.5*85MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648293
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 3.5*85MM LP NONLOCKING

Facility

$350.00

Hospital Charge Code	270648293
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 3.5 CORT FL 22 815036022

Facility

$114.15

Hospital Charge Code	270632800
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$57.08
Rate for Payer: Aetna Commercial	$34.24
Rate for Payer: Aetna Medicare Advantage	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.11
Rate for Payer: Cigna Commercial	$57.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW 3.5 CORT FL 22 815036022

Facility

$114.15

Hospital Charge Code	270632800
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW 3.5 CORT THD32 815341036

Facility

$148.85

Hospital Charge Code	270632801
Hospital Revenue Code	278
Min. Negotiated Rate	$22.33
Max. Negotiated Rate	$74.42
Rate for Payer: Aetna Commercial	$44.66
Rate for Payer: Aetna Medicare Advantage	$44.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.96
Rate for Payer: Cigna Commercial	$74.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$22.33

SCREW 3.5 CORT THD32 815341036

Facility

$148.85

Hospital Charge Code	270632801
Hospital Revenue Code	278
Min. Negotiated Rate	$22.33
Max. Negotiated Rate	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.02
Rate for Payer: Qualcare PPO/HMO/WC	$22.33

SCREW 3.5 CRT THD 14 815036014

Facility

$114.15

Hospital Charge Code	270632509
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW 3.5 CRT THD 14 815036014

Facility

$114.15

Hospital Charge Code	270632509
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$57.08
Rate for Payer: Aetna Commercial	$34.24
Rate for Payer: Aetna Medicare Advantage	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.11
Rate for Payer: Cigna Commercial	$57.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW 3.5 CRT THD 16 815036016

Facility

$114.15

Hospital Charge Code	270632508
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$57.08
Rate for Payer: Aetna Commercial	$34.24
Rate for Payer: Aetna Medicare Advantage	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.11
Rate for Payer: Cigna Commercial	$57.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW 3.5 CRT THD 16 815036016

Facility

$114.15

Hospital Charge Code	270632508
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

Know your out-of-pocket cost for care.

All Charges