Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5 CRT THD 24 815036024

Facility

$114.15

Hospital Charge Code	270632519
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 24 815036024

Facility

$114.15

Hospital Charge Code	270632519
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 26 815036026

Facility

$114.15

Hospital Charge Code	270632520
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 26 815036026

Facility

$114.15

Hospital Charge Code	270632520
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 30 815036030

Facility

$148.85

Hospital Charge Code	270632516
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 30 815036030

Facility

$148.85

Hospital Charge Code	270632516
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 CRTX LOW 52 MM

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270700833
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW 3.5 CRTX LOW 52 MM

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270700833
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW 3.5 LOCKING W/2.7MM HEAD

Facility

$522.00

Hospital Charge Code	270665202
Hospital Revenue Code	278
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$126.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.32
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

SCREW 3.5 LOCKING W/2.7MM HEAD

Facility

$522.00

Hospital Charge Code	270665202
Hospital Revenue Code	278
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$156.60
Rate for Payer: Aetna Medicare Advantage	$156.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.11
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.32
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

SCREW 35MM

Facility

$5,210.00

Hospital Charge Code	270702575
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 35MM

Facility

$5,210.00

Hospital Charge Code	270702575
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 3.5 MM 24 MM ST DRIVER

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680967
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 3.5 MM 24 MM ST DRIVER

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270680967
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 3.5MM 32MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702088
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW 3.5MM 32MM LOCKING

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270702088
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW 3.5 MM 50 CC

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270684027
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 MM 50 CC

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270684027
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

SCREW3.5MM CANN PART

Facility

$765.00

Hospital Charge Code	27655860
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$185.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

SCREW3.5MM CANN PART

Facility

$765.00

Hospital Charge Code	27655860
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$229.50
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

SCREW3.5MM CANN PART THREAD

Facility

$765.00

Hospital Charge Code	270655869
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$185.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

SCREW3.5MM CANN PART THREAD

Facility

$765.00

Hospital Charge Code	270655869
Hospital Revenue Code	278
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$229.50
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

SCREW 3.5MM CORT 15MM CS15000

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	270651368
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

SCREW 3.5MM CORT 15MM CS15000

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	270651368
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

SCREW 3.5MM CORTEX 38MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270651357
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

Know your out-of-pocket cost for care.

All Charges