Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 406.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662006
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 406.5X95MM CANN CANC

Facility

$1,765.00

Hospital Charge Code	270662006
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 4.0*70MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648301
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*70MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648301
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 4.0*75MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648297
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*75MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648297
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 4.0*85MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648300
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*85MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648300
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 4.0880MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648298
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 4.0880MM CANC LOCKING

Facility

$805.00

Hospital Charge Code	270648298
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 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601858
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 26mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601865
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS 28mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601866
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CANCELLOUS PT 40 MM

Facility

$175.00

Hospital Charge Code	270662559
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW 4.0 CANCELLOUS PT 40 MM

Facility

$175.00

Hospital Charge Code	270662559
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW 4.0 CANN CANC LAG 40 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684091
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SCREW 4.0 CANN CANC LAG 40 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684091
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SCREW 4.0 CAN PT THREAD 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601879
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 12mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601879
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 22mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601885
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 22mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601885
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0 CAN PT THREAD 45mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601893
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

Know your out-of-pocket cost for care.

All Charges