Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.8X12MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704791
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X20MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704790
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW 3DI LKG 3.5X12MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700368
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$525.30
Rate for Payer: Aetna Commercial	$315.18
Rate for Payer: Aetna Medicare Advantage	$315.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.90
Rate for Payer: Cigna Commercial	$525.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$160.68
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL FT 3.5X14MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270699442
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$160.68
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3DI NL LP ST 3.5X12MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700369
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
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 3 HEADLESS CONVER 34MM

Facility

$1,410.00

Hospital Charge Code	270663958
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 3 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
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 X 46 MM

Facility

$1,000.00

Hospital Charge Code	270703452
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 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.00MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656940
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$329.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

SCREW 4.0,28(IN)

Facility

$1,360.45

Service Code	HCPCS C1713
Hospital Charge Code	270656693
Hospital Revenue Code	278
Min. Negotiated Rate	$204.07
Max. Negotiated Rate	$680.23
Rate for Payer: Aetna Commercial	$408.13
Rate for Payer: Aetna Medicare Advantage	$408.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.91
Rate for Payer: Cigna Commercial	$680.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.23
Rate for Payer: Qualcare PPO/HMO/WC	$204.07

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW 4.0, 46 (IN)

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270656695
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW 4.0*65MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648244
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 4.0*65MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648244
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 40 6.5X90MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662007
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$529.50
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 40 6.5X90MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662007
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 40 6.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662012
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$529.50
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW 40 6.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662012
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

Know your out-of-pocket cost for care.

All Charges