Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 5.0 CANNULATED CONICAL

Facility

$717.00

Hospital Charge Code	270657146
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	270657161
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	$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	270657163
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	270657163
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	270657146
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	270657143
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	270657161
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	270657143
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	270657153
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	270657153
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 LG 36 MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691766
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW 5.0 LG 36 MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691766
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 22MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690757
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 26MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690756
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0MM X 26MM VAL OPTILIN

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270690756
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5.0mm x 80mm THRD/250mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270646749
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$195.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW 5.0mm x 80mm THRD/250mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270646749
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$403.25
Rate for Payer: Aetna Commercial	$241.95
Rate for Payer: Aetna Medicare Advantage	$241.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.66
Rate for Payer: Cigna Commercial	$403.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW 5.0 TI LOCKING T25 38 MM

Facility

$868.95

Service Code	HCPCS C1713
Hospital Charge Code	270691074
Hospital Revenue Code	278
Min. Negotiated Rate	$130.34
Max. Negotiated Rate	$434.48
Rate for Payer: Aetna Commercial	$260.69
Rate for Payer: Aetna Medicare Advantage	$260.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.58
Rate for Payer: Cigna Commercial	$434.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.29
Rate for Payer: Qualcare PPO/HMO/WC	$130.34

SCREW 5.0 TI LOCKING T25 38 MM

Facility

$868.95

Service Code	HCPCS C1713
Hospital Charge Code	270691074
Hospital Revenue Code	278
Min. Negotiated Rate	$130.34
Max. Negotiated Rate	$210.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.29
Rate for Payer: Qualcare PPO/HMO/WC	$130.34

SCREW 5.0 X 14 MM

Facility

$875.00

Hospital Charge Code	270701857
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 5.0 X 14 MM

Facility

$875.00

Hospital Charge Code	270701857
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

SCREW 5.0 X 45 MM

Facility

$9,232.75

Service Code	HCPCS C1713
Hospital Charge Code	270691006
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.91
Max. Negotiated Rate	$4,616.38
Rate for Payer: Aetna Commercial	$2,769.82
Rate for Payer: Aetna Medicare Advantage	$2,769.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,354.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,354.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,354.35
Rate for Payer: Cigna Commercial	$4,616.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.91

SCREW 5.0 X 45 MM

Facility

$9,232.75

Service Code	HCPCS C1713
Hospital Charge Code	270691006
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.91
Max. Negotiated Rate	$2,234.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.91

Know your out-of-pocket cost for care.

All Charges