Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 5.0 X 50 MM

Facility

$9,232.78

Service Code	HCPCS C1713
Hospital Charge Code	270691007
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.92
Max. Negotiated Rate	$2,234.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.92

SCREW 5.0 X 50 MM

Facility

$9,232.78

Service Code	HCPCS C1713
Hospital Charge Code	270691007
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.92
Max. Negotiated Rate	$4,616.39
Rate for Payer: Aetna Commercial	$2,769.83
Rate for Payer: Aetna Medicare Advantage	$2,769.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,354.36
Rate for Payer: Cigna Commercial	$4,616.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,234.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.92

SCREW 5.5X25MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704100
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW 5.5X25MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704100
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW 5.5 X 30MM

Facility

$1,834.00

Hospital Charge Code	270702311
Hospital Revenue Code	278
Min. Negotiated Rate	$275.10
Max. Negotiated Rate	$443.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.83
Rate for Payer: Qualcare PPO/HMO/WC	$275.10

SCREW 5.5 X 30MM

Facility

$1,834.00

Hospital Charge Code	270702311
Hospital Revenue Code	278
Min. Negotiated Rate	$275.10
Max. Negotiated Rate	$917.00
Rate for Payer: Aetna Commercial	$550.20
Rate for Payer: Aetna Medicare Advantage	$550.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.67
Rate for Payer: Cigna Commercial	$917.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.83
Rate for Payer: Qualcare PPO/HMO/WC	$275.10

SCREW 5.5X30MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704875
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X30MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705148
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$284.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X30MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705148
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$587.25
Rate for Payer: Aetna Commercial	$352.35
Rate for Payer: Aetna Medicare Advantage	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.50
Rate for Payer: Cigna Commercial	$587.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X30MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704875
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X35 MM

Facility

$2,200.00

Hospital Charge Code	270702851
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X35 MM

Facility

$2,200.00

Hospital Charge Code	270702851
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X35MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705149
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$284.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X35MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705149
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$587.25
Rate for Payer: Aetna Commercial	$352.35
Rate for Payer: Aetna Medicare Advantage	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.50
Rate for Payer: Cigna Commercial	$587.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X35MM

Facility

$1,834.25

Service Code	HCPCS C1713
Hospital Charge Code	270703867
Hospital Revenue Code	278
Min. Negotiated Rate	$275.14
Max. Negotiated Rate	$917.12
Rate for Payer: Aetna Commercial	$550.27
Rate for Payer: Aetna Medicare Advantage	$550.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.73
Rate for Payer: Cigna Commercial	$917.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$275.14

SCREW 5.5X35MM

Facility

$1,834.25

Service Code	HCPCS C1713
Hospital Charge Code	270703867
Hospital Revenue Code	278
Min. Negotiated Rate	$275.14
Max. Negotiated Rate	$443.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$275.14

SCREW 5.5X40MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705150
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$587.25
Rate for Payer: Aetna Commercial	$352.35
Rate for Payer: Aetna Medicare Advantage	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.50
Rate for Payer: Cigna Commercial	$587.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X40MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270705895
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X40MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270705895
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW 5.5X40MM

Facility

$1,174.50

Service Code	HCPCS C1713
Hospital Charge Code	270705150
Hospital Revenue Code	278
Min. Negotiated Rate	$176.18
Max. Negotiated Rate	$284.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.23
Rate for Payer: Qualcare PPO/HMO/WC	$176.18

SCREW 5.5X45MM

Facility

$5,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704011
Hospital Revenue Code	278
Min. Negotiated Rate	$817.50
Max. Negotiated Rate	$2,725.00
Rate for Payer: Aetna Commercial	$1,635.00
Rate for Payer: Aetna Medicare Advantage	$1,635.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,090.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,389.75
Rate for Payer: Cigna Commercial	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,318.90
Rate for Payer: Qualcare PPO/HMO/WC	$817.50

SCREW 5.5X45MM

Facility

$5,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704011
Hospital Revenue Code	278
Min. Negotiated Rate	$817.50
Max. Negotiated Rate	$1,318.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,318.90
Rate for Payer: Qualcare PPO/HMO/WC	$817.50

SCREW 5.5X75MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270699317
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,022.00
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW 5.5X75MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270699317
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW 56 X 12 MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270687499
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

Know your out-of-pocket cost for care.

All Charges