Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT CORT 4.5 38MM 345338

Facility

$585.00

Hospital Charge Code	270610791
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 40MM 235140

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270612182
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$37.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 40MM 235140

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270612182
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$46.50
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 42MM 235142

Facility

$153.65

Hospital Charge Code	270612181
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 42MM 235142

Facility

$153.65

Hospital Charge Code	270612181
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 42MM 345342

Facility

$536.85

Hospital Charge Code	270610873
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$268.43
Rate for Payer: Aetna Commercial	$161.06
Rate for Payer: Aetna Medicare Advantage	$161.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.90
Rate for Payer: Cigna Commercial	$268.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT CORT 4.5 42MM 345342

Facility

$536.85

Hospital Charge Code	270610873
Hospital Revenue Code	278
Min. Negotiated Rate	$80.53
Max. Negotiated Rate	$129.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$80.53

SCREW BMT CORT 4.5 44MM 235144

Facility

$100.00

Hospital Charge Code	270612180
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

SCREW BMT CORT 4.5 44MM 235144

Facility

$100.00

Hospital Charge Code	270612180
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

SCREW BMT CORT 4.5 46MM 235146

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270612877
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$46.50
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 46MM 235146

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270612877
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$37.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 48MM 235148

Facility

$153.65

Hospital Charge Code	270612303
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 48MM 235148

Facility

$153.65

Hospital Charge Code	270612303
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 50MM 235150

Facility

$94.25

Hospital Charge Code	270627429
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW BMT CORT 4.5 50MM 235150

Facility

$94.25

Hospital Charge Code	270627429
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW BMT CORT 5.0 25 345420

Facility

$708.00

Hospital Charge Code	270622768
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW BMT CORT 5.0 25 345420

Facility

$708.00

Hospital Charge Code	270622768
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW BMT CORT 5.0 50 345430

Facility

$813.65

Hospital Charge Code	270612307
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 50 345430

Facility

$813.65

Hospital Charge Code	270612307
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270613718
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270613718
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 65 345436

Facility

$836.85

Hospital Charge Code	270620353
Hospital Revenue Code	278
Min. Negotiated Rate	$125.53
Max. Negotiated Rate	$418.43
Rate for Payer: Aetna Commercial	$251.06
Rate for Payer: Aetna Medicare Advantage	$251.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.40
Rate for Payer: Cigna Commercial	$418.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: Qualcare PPO/HMO/WC	$125.53

SCREW BMT CORT 5.0 65 345436

Facility

$836.85

Hospital Charge Code	270620353
Hospital Revenue Code	278
Min. Negotiated Rate	$125.53
Max. Negotiated Rate	$202.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: Qualcare PPO/HMO/WC	$125.53

SCREW BMT CORT 5.0 70 345438

Facility

$813.65

Hospital Charge Code	270607861
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 70 345438

Facility

$813.65

Hospital Charge Code	270607861
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

Know your out-of-pocket cost for care.

All Charges