Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5x32mm 1402232

Facility

$84.40

Hospital Charge Code	270633170
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$20.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

SCREW 4.5x34mm 1402234

Facility

$84.40

Hospital Charge Code	270633171
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$42.20
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.52
Rate for Payer: Cigna Commercial	$42.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

SCREW 4.5x34mm 1402234

Facility

$84.40

Hospital Charge Code	270633171
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$20.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

SCREW 4.5X38MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270684552
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$1,638.00
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 4.5X38MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270684552
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 4.5x38mm 1402238

Facility

$84.40

Hospital Charge Code	270633173
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$42.20
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.52
Rate for Payer: Cigna Commercial	$42.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

SCREW 4.5x38mm 1402238

Facility

$84.40

Hospital Charge Code	270633173
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$20.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

SCREW 4.5x44mm 1402244

Facility

$94.25

Hospital Charge Code	270633172
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW 4.5x44mm 1402244

Facility

$94.25

Hospital Charge Code	270633172
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW 4.5x46mm 1402246

Facility

$94.25

Hospital Charge Code	270633174
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW 4.5x46mm 1402246

Facility

$94.25

Hospital Charge Code	270633174
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW 4.75 EXTTAB CAN 6.5X40MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699276
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$1,614.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW 4.75 EXTTAB CAN 6.5X40MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699276
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$3,335.00
Rate for Payer: Aetna Commercial	$2,001.00
Rate for Payer: Aetna Medicare Advantage	$2,001.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,700.85
Rate for Payer: Cigna Commercial	$3,335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW 4.75 EXTTAB CAN 6.5X45MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699280
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$1,614.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW 4.75 EXTTAB CAN 6.5X45MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699280
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$3,335.00
Rate for Payer: Aetna Commercial	$2,001.00
Rate for Payer: Aetna Medicare Advantage	$2,001.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,700.85
Rate for Payer: Cigna Commercial	$3,335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW 4 CANC P/THD 45 2322046

Facility

$26.25

Hospital Charge Code	270610243
Hospital Revenue Code	278
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.35
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

SCREW 4 CANC P/THD 45 2322046

Facility

$26.25

Hospital Charge Code	270610243
Hospital Revenue Code	278
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$13.12
Rate for Payer: Aetna Commercial	$7.88
Rate for Payer: Aetna Medicare Advantage	$7.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.69
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.35
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

SCREW 4MM

Facility

$415.00

Service Code	HCPCS C1713
Hospital Charge Code	270680774
Hospital Revenue Code	278
Min. Negotiated Rate	$62.25
Max. Negotiated Rate	$100.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.43
Rate for Payer: Qualcare PPO/HMO/WC	$62.25

SCREW 4MM

Facility

$415.00

Service Code	HCPCS C1713
Hospital Charge Code	270680774
Hospital Revenue Code	278
Min. Negotiated Rate	$62.25
Max. Negotiated Rate	$207.50
Rate for Payer: Aetna Commercial	$124.50
Rate for Payer: Aetna Medicare Advantage	$124.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.83
Rate for Payer: Cigna Commercial	$207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.43
Rate for Payer: Qualcare PPO/HMO/WC	$62.25

SCREW 4mm CANC P/THRE 40mm

Facility

$26.40

Hospital Charge Code	270610242
Hospital Revenue Code	278
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$6.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

SCREW 4mm CANC P/THRE 40mm

Facility

$26.40

Hospital Charge Code	270610242
Hospital Revenue Code	278
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$7.92
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

SCREW 4mm MTRX 04.503.224.01

Facility

$383.25

Hospital Charge Code	270640446
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

SCREW 4mm MTRX 04.503.224.01

Facility

$383.25

Hospital Charge Code	270640446
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$114.97
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

SCREW 4 X 14 MM

Facility

$875.00

Hospital Charge Code	270702969
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW 4 X 14 MM

Facility

$875.00

Hospital Charge Code	270702969
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

Know your out-of-pocket cost for care.

All Charges