Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5x56 MD 8163-35-056

Facility

$1,180.00

Hospital Charge Code	270658914
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW 3.5x60 LCK 8016-35-060

Facility

$805.00

Hospital Charge Code	270658904
Hospital Revenue Code	278
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$402.50
Rate for Payer: Aetna Commercial	$241.50
Rate for Payer: Aetna Medicare Advantage	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.28
Rate for Payer: Cigna Commercial	$402.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

SCREW 3.5x60 LCK 8016-35-060

Facility

$805.00

Hospital Charge Code	270658904
Hospital Revenue Code	278
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$194.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

SCREW 36MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648241
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 36MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648241
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 3.75X12MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705834
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 3.75X12MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705834
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 3.75X14MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270706108
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,575.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

SCREW 3.75X14MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270706108
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

SCREW 3.75X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706123
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 3.75X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706123
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 3.7MM CANN CONICAL 36MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696112
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 36MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696112
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$266.07
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 38MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696113
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 38MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696113
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$266.07
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 40MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696114
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 40MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696114
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$266.07
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 44MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696115
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 44MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696115
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$266.07
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 75MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696101
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$443.45
Rate for Payer: Aetna Commercial	$266.07
Rate for Payer: Aetna Medicare Advantage	$266.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.16
Rate for Payer: Cigna Commercial	$443.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN CONICAL 75MM

Facility

$886.90

Service Code	HCPCS C1713
Hospital Charge Code	270696101
Hospital Revenue Code	278
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$214.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.63
Rate for Payer: Qualcare PPO/HMO/WC	$133.03

SCREW 3.7MM CANN LOCKING 30MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696111
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 30MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696111
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$302.83
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 34MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696110
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$302.83
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 34MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696110
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

Know your out-of-pocket cost for care.

All Charges