Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BIO IFIX TAPR 6-8 254623

Facility

$917.65

Hospital Charge Code	270635267
Hospital Revenue Code	278
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$458.82
Rate for Payer: Aetna Commercial	$275.30
Rate for Payer: Aetna Medicare Advantage	$275.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.00
Rate for Payer: Cigna Commercial	$458.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

SCREW BIOINTERFER 9x23 AR1390C

Facility

$1,750.00

Hospital Charge Code	270641552
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW BIOINTERFER 9x23 AR1390C

Facility

$1,750.00

Hospital Charge Code	270641552
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW BIO-INTERFERENCE 9X23MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270621136
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$355.00
Rate for Payer: Aetna Commercial	$213.00
Rate for Payer: Aetna Medicare Advantage	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.05
Rate for Payer: Cigna Commercial	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW BIO-INTERFERENCE 9X23MM

Facility

$710.00

Service Code	HCPCS C1713
Hospital Charge Code	270621136
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$171.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW BIO-INTERFR 7X23 AR1370B

Facility

$669.65

Hospital Charge Code	270625521
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$162.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

SCREW BIO-INTERFR 7X23 AR1370B

Facility

$669.65

Hospital Charge Code	270625521
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$334.82
Rate for Payer: Aetna Commercial	$200.90
Rate for Payer: Aetna Medicare Advantage	$200.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.76
Rate for Payer: Cigna Commercial	$334.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

SCREW BIO INTRAFIX 6-7mm

Facility

$1,075.00

Hospital Charge Code	270640007
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 BIO INTRAFIX 6-7mm

Facility

$1,075.00

Hospital Charge Code	270640007
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 BIO INTRAFIX TAPER 7-9mm

Facility

$917.65

Hospital Charge Code	270636917
Hospital Revenue Code	278
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$458.82
Rate for Payer: Aetna Commercial	$275.30
Rate for Payer: Aetna Medicare Advantage	$275.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.00
Rate for Payer: Cigna Commercial	$458.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

SCREW BIO INTRAFIX TAPER 7-9mm

Facility

$917.65

Hospital Charge Code	270636917
Hospital Revenue Code	278
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$222.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$183.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.07
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

SCREW BIO RCI-HA 7x25 7207674

Facility

$991.35

Hospital Charge Code	270635330
Hospital Revenue Code	278
Min. Negotiated Rate	$148.70
Max. Negotiated Rate	$239.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.70

SCREW BIO RCI-HA 7x25 7207674

Facility

$991.35

Hospital Charge Code	270635330
Hospital Revenue Code	278
Min. Negotiated Rate	$148.70
Max. Negotiated Rate	$495.68
Rate for Payer: Aetna Commercial	$297.40
Rate for Payer: Aetna Medicare Advantage	$297.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.79
Rate for Payer: Cigna Commercial	$495.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.91
Rate for Payer: Qualcare PPO/HMO/WC	$148.70

SCREW BIO RCI-HA 8x20

Facility

$1,310.00

Hospital Charge Code	270635331
Hospital Revenue Code	278
Min. Negotiated Rate	$196.50
Max. Negotiated Rate	$317.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.02
Rate for Payer: Qualcare PPO/HMO/WC	$196.50

SCREW BIO RCI-HA 8x20

Facility

$1,310.00

Hospital Charge Code	270635331
Hospital Revenue Code	278
Min. Negotiated Rate	$196.50
Max. Negotiated Rate	$655.00
Rate for Payer: Aetna Commercial	$393.00
Rate for Payer: Aetna Medicare Advantage	$393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$262.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.05
Rate for Payer: Cigna Commercial	$655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.02
Rate for Payer: Qualcare PPO/HMO/WC	$196.50

SCREW BIO TENODESIS AR-1680B

Facility

$1,837.50

Hospital Charge Code	270638708
Hospital Revenue Code	278
Min. Negotiated Rate	$275.62
Max. Negotiated Rate	$918.75
Rate for Payer: Aetna Commercial	$551.25
Rate for Payer: Aetna Medicare Advantage	$551.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.56
Rate for Payer: Cigna Commercial	$918.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.68
Rate for Payer: Qualcare PPO/HMO/WC	$275.62

SCREW BIO TENODESIS AR-1680B

Facility

$1,837.50

Hospital Charge Code	270638708
Hospital Revenue Code	278
Min. Negotiated Rate	$275.62
Max. Negotiated Rate	$444.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.68
Rate for Payer: Qualcare PPO/HMO/WC	$275.62

SCREW BITE LONG THREAD 2X10MM

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270700631
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$534.88
Rate for Payer: Aetna Commercial	$320.93
Rate for Payer: Aetna Medicare Advantage	$320.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.79
Rate for Payer: Cigna Commercial	$534.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: Qualcare PPO/HMO/WC	$160.46

SCREW BITE LONG THREAD 2X10MM

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270700631
Hospital Revenue Code	278
Min. Negotiated Rate	$160.46
Max. Negotiated Rate	$258.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.88
Rate for Payer: Qualcare PPO/HMO/WC	$160.46

SCREW BLADE LOCKING 5.2MM S/P

Facility

$41.25

Hospital Charge Code	270669561
Hospital Revenue Code	272
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$20.62
Rate for Payer: Aetna Commercial	$12.38
Rate for Payer: Aetna Medicare Advantage	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.52
Rate for Payer: Cigna Commercial	$20.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.36
Rate for Payer: Oxford Commercial	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$6.19
Rate for Payer: UnitedHealthcare Commercial	$20.62

SCREW BLADE LOCKING 5.2MM S/P

Facility

$41.25

Hospital Charge Code	270669561
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$6.19

SCREW BLADE RETEN 3.4MM S/P

Facility

$37.92

Hospital Charge Code	270669560
Hospital Revenue Code	272
Min. Negotiated Rate	$5.69
Max. Negotiated Rate	$5.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.69

SCREW BLADE RETEN 3.4MM S/P

Facility

$37.92

Hospital Charge Code	270669560
Hospital Revenue Code	272
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$18.96
Rate for Payer: Aetna Commercial	$11.38
Rate for Payer: Aetna Medicare Advantage	$11.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.67
Rate for Payer: Cigna Commercial	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.93
Rate for Payer: Oxford Commercial	$18.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.69
Rate for Payer: UnitedHealthcare Commercial	$18.96

SCREW BMT 5 25 113845

Facility

$510.95

Hospital Charge Code	270628129
Hospital Revenue Code	278
Min. Negotiated Rate	$76.64
Max. Negotiated Rate	$123.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.64

SCREW BMT 5 25 113845

Facility

$510.95

Hospital Charge Code	270628129
Hospital Revenue Code	278
Min. Negotiated Rate	$76.64
Max. Negotiated Rate	$255.47
Rate for Payer: Aetna Commercial	$153.28
Rate for Payer: Aetna Medicare Advantage	$153.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.29
Rate for Payer: Cigna Commercial	$255.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.64

Know your out-of-pocket cost for care.

All Charges