Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 7.5X45MM

Facility

$4,500.00

Hospital Charge Code	270703137
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW 7.5X45MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704747
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 7.5X45MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270704747
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 7.5X45MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270705519
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW 7.5X45MM

Facility

$4,500.00

Hospital Charge Code	270703137
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW 7.5X45MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270705519
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW 7.5X45MM

Facility

$4,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695597
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

SCREW 7.5X60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270702588
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,335.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 7.5X60MM

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270702588
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 8.5X40MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270691937
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 8.5X40MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270691937
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 8.5X45MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705829
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,250.00
Rate for Payer: Aetna Commercial	$1,950.00
Rate for Payer: Aetna Medicare Advantage	$1,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,657.50
Rate for Payer: Cigna Commercial	$3,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

SCREW 8.5X45MM

Facility

$6,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705829
Hospital Revenue Code	278
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$1,573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,573.00
Rate for Payer: Qualcare PPO/HMO/WC	$975.00

SCREW 8.5X45MM.

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705907
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 8.5X45MM.

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705907
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,335.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 8.5X55MM.

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705908
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$2,225.00
Rate for Payer: Aetna Commercial	$1,335.00
Rate for Payer: Aetna Medicare Advantage	$1,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,134.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,134.75
Rate for Payer: Cigna Commercial	$2,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 8.5X55MM.

Facility

$4,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270705908
Hospital Revenue Code	278
Min. Negotiated Rate	$667.50
Max. Negotiated Rate	$1,076.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.90
Rate for Payer: Qualcare PPO/HMO/WC	$667.50

SCREW 8 MULTIAX 5.5x35 8695535

Facility

$5,927.25

Hospital Charge Code	270632420
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$2,963.62
Rate for Payer: Aetna Commercial	$1,778.17
Rate for Payer: Aetna Medicare Advantage	$1,778.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.45
Rate for Payer: Cigna Commercial	$2,963.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW 8 MULTIAX 5.5x35 8695535

Facility

$5,927.25

Hospital Charge Code	270632420
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$1,434.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW ACD ACUTRAK 22.5 AT1225S

Facility

$1,630.45

Hospital Charge Code	270629585
Hospital Revenue Code	278
Min. Negotiated Rate	$244.57
Max. Negotiated Rate	$394.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.57
Rate for Payer: Qualcare PPO/HMO/WC	$244.57

SCREW ACD ACUTRAK 22.5 AT1225S

Facility

$1,630.45

Hospital Charge Code	270629585
Hospital Revenue Code	278
Min. Negotiated Rate	$244.57
Max. Negotiated Rate	$815.23
Rate for Payer: Aetna Commercial	$489.13
Rate for Payer: Aetna Medicare Advantage	$489.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.76
Rate for Payer: Cigna Commercial	$815.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.57
Rate for Payer: Qualcare PPO/HMO/WC	$244.57

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW ACETABULAR 6.5x40MM

Facility

$400.00

Hospital Charge Code	270612169
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$935.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: Qualcare PPO/HMO/WC	$579.75

SCREW ACP 3.5X13MM SDV

Facility

$3,865.00

Service Code	HCPCS C1713
Hospital Charge Code	270693081
Hospital Revenue Code	278
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$1,932.50
Rate for Payer: Aetna Commercial	$1,159.50
Rate for Payer: Aetna Medicare Advantage	$1,159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.58
Rate for Payer: Cigna Commercial	$1,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.33
Rate for Payer: Qualcare PPO/HMO/WC	$579.75

Know your out-of-pocket cost for care.

All Charges