Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ARCHON 4.0X13MM ST VAR

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693071
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON 4.0X13MM ST VAR

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693071
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$453.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREWARCHONSDVSPINAL4.0X13MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270694180
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02

SCREWARCHONSDVSPINAL4.0X13MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270694180
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$453.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON ST VAR 4.0X11MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693342
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$756.25
Rate for Payer: Aetna Commercial	$453.75
Rate for Payer: Aetna Medicare Advantage	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.69
Rate for Payer: Cigna Commercial	$756.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ARCHON ST VAR 4.0X11MM

Facility

$1,512.50

Service Code	HCPCS C1713
Hospital Charge Code	270693342
Hospital Revenue Code	278
Min. Negotiated Rate	$226.88
Max. Negotiated Rate	$366.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.02
Rate for Payer: Qualcare PPO/HMO/WC	$226.88

SCREW ASNIS 2.0x15mm

Facility

$1,470.00

Hospital Charge Code	270668751
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$441.00
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 2.0x15mm

Facility

$1,470.00

Hospital Charge Code	270668751
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 2.0x28mm

Facility

$1,470.00

Hospital Charge Code	270665990
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 2.0x28mm

Facility

$1,470.00

Hospital Charge Code	270665990
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$441.00
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 3.0MM 16X14MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697484
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$708.00
Rate for Payer: Aetna Medicare Advantage	$708.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$601.80
Rate for Payer: Cigna Commercial	$1,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: Qualcare PPO/HMO/WC	$354.00

SCREW ASNIS 3.0MM 16X14MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697484
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$571.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: Qualcare PPO/HMO/WC	$354.00

SCREW ASNIS 3.0x36mm

Facility

$1,470.00

Hospital Charge Code	270665991
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$735.00
Rate for Payer: Aetna Commercial	$441.00
Rate for Payer: Aetna Medicare Advantage	$441.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.85
Rate for Payer: Cigna Commercial	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 3.0x36mm

Facility

$1,470.00

Hospital Charge Code	270665991
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.74
Rate for Payer: Qualcare PPO/HMO/WC	$220.50

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663876
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$488.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663877
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$606.00
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663877
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$488.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW ASNIS 3 CANNULATED

Facility

$2,020.00

Hospital Charge Code	270663876
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$606.00
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW ASNIS 3x24MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661034
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$415.50
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 3x24MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661034
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 3x30MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661033
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$415.50
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 3x30MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270661033
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW ASNIS 4X44MM PRTIAL THD

Facility

$931.20

Hospital Charge Code	270671204
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$465.60
Rate for Payer: Aetna Commercial	$279.36
Rate for Payer: Aetna Medicare Advantage	$279.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.46
Rate for Payer: Cigna Commercial	$465.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW ASNIS 4X44MM PRTIAL THD

Facility

$931.20

Hospital Charge Code	270671204
Hospital Revenue Code	278
Min. Negotiated Rate	$139.68
Max. Negotiated Rate	$225.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.35
Rate for Payer: Qualcare PPO/HMO/WC	$139.68

SCREW ASNIS CANN 3.0 6.0X28MM

Facility

$2,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270697325
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$708.00
Rate for Payer: Aetna Medicare Advantage	$708.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$601.80
Rate for Payer: Cigna Commercial	$1,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$571.12
Rate for Payer: Qualcare PPO/HMO/WC	$354.00

Know your out-of-pocket cost for care.

All Charges