Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4X14MM

Facility

$13,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704158
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$3,975.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

SCREW 4X14MM

Facility

$13,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704158
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

SCREW 4X14MM

Facility

$1,495.00

Service Code	HCPCS 1495
Hospital Charge Code	270705763
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

SCREW 4X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692582
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 4X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703038
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 4X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705705
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 4X14MM

Facility

$1,495.00

Service Code	HCPCS 1495
Hospital Charge Code	270705763
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$747.50
Rate for Payer: Aetna Commercial	$448.50
Rate for Payer: Aetna Medicare Advantage	$448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.23
Rate for Payer: Cigna Commercial	$747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

SCREW 4X14MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692582
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 4X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270703038
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 4X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705705
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 4X16MM

Facility

$1,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270705764
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$747.50
Rate for Payer: Aetna Commercial	$448.50
Rate for Payer: Aetna Medicare Advantage	$448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.23
Rate for Payer: Cigna Commercial	$747.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

SCREW 4X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705835
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 4X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705835
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 4X16MM

Facility

$1,495.00

Service Code	HCPCS C1713
Hospital Charge Code	270705764
Hospital Revenue Code	278
Min. Negotiated Rate	$224.25
Max. Negotiated Rate	$361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.79
Rate for Payer: Qualcare PPO/HMO/WC	$224.25

SCREW 4 X 44 PARTIAL THREAD

Facility

$1,075.00

Service Code	HCPCS C1713
Hospital Charge Code	270664481
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SCREW 4 X 44 PARTIAL THREAD

Facility

$1,075.00

Service Code	HCPCS C1713
Hospital Charge Code	270664481
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

SCREW 4X46 CANN SM 1802-48-046

Facility

$1,045.00

Hospital Charge Code	270661693
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X46 CANN SM 1802-48-046

Facility

$1,045.00

Hospital Charge Code	270661693
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X50 CANN SM 1802-48-050

Facility

$1,045.00

Hospital Charge Code	270661694
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$252.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X50 CANN SM 1802-48-050

Facility

$1,045.00

Hospital Charge Code	270661694
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW 4X50MM CHAMFER

Facility

$4,812.50

Service Code	HCPCS C1713
Hospital Charge Code	270706185
Hospital Revenue Code	278
Min. Negotiated Rate	$721.88
Max. Negotiated Rate	$2,406.25
Rate for Payer: Aetna Commercial	$1,443.75
Rate for Payer: Aetna Medicare Advantage	$1,443.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,227.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,227.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,227.19
Rate for Payer: Cigna Commercial	$2,406.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,164.62
Rate for Payer: Qualcare PPO/HMO/WC	$721.88

SCREW 4X50MM CHAMFER

Facility

$4,812.50

Service Code	HCPCS C1713
Hospital Charge Code	270706185
Hospital Revenue Code	278
Min. Negotiated Rate	$721.88
Max. Negotiated Rate	$1,164.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,164.62
Rate for Payer: Qualcare PPO/HMO/WC	$721.88

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657155
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$215.10
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657155
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$173.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657151
Hospital Revenue Code	278
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$358.50
Rate for Payer: Aetna Commercial	$215.10
Rate for Payer: Aetna Medicare Advantage	$215.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.84
Rate for Payer: Cigna Commercial	$358.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.51
Rate for Payer: Qualcare PPO/HMO/WC	$107.55

Know your out-of-pocket cost for care.

All Charges