Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT TRNV 5.0 75 345440

Facility

$698.45

Hospital Charge Code	270606463
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$209.53
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW BMT TRNV 5.0 75 345440

Facility

$698.45

Hospital Charge Code	270606463
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW BMT TRNV 6.5 15 103530

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270615803
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW BMT TRNV 6.5 15 103530

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270615803
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW BMT TRNV 6.5 25 103532

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270615802
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW BMT TRNV 6.5 25 103532

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270615802
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW BMT TRNV 6.5 45 103536

Facility

$584.00

Hospital Charge Code	270617805
Hospital Revenue Code	278
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$141.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.33
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

SCREW BMT TRNV 6.5 45 103536

Facility

$584.00

Hospital Charge Code	270617805
Hospital Revenue Code	278
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$292.00
Rate for Payer: Aetna Commercial	$175.20
Rate for Payer: Aetna Medicare Advantage	$175.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.92
Rate for Payer: Cigna Commercial	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.33
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

SCREW BMT TRNV 6.5 50 103537

Facility

$584.00

Hospital Charge Code	270619771
Hospital Revenue Code	278
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$292.00
Rate for Payer: Aetna Commercial	$175.20
Rate for Payer: Aetna Medicare Advantage	$175.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.92
Rate for Payer: Cigna Commercial	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.33
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

SCREW BMT TRNV 6.5 50 103537

Facility

$584.00

Hospital Charge Code	270619771
Hospital Revenue Code	278
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$141.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.33
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

SCREW BMT VHS LAG 65 200165

Facility

$997.00

Hospital Charge Code	270627425
Hospital Revenue Code	278
Min. Negotiated Rate	$149.55
Max. Negotiated Rate	$498.50
Rate for Payer: Aetna Commercial	$299.10
Rate for Payer: Aetna Medicare Advantage	$299.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.24
Rate for Payer: Cigna Commercial	$498.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.27
Rate for Payer: Qualcare PPO/HMO/WC	$149.55

SCREW BMT VHS LAG 65 200165

Facility

$997.00

Hospital Charge Code	270627425
Hospital Revenue Code	278
Min. Negotiated Rate	$149.55
Max. Negotiated Rate	$241.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.27
Rate for Payer: Qualcare PPO/HMO/WC	$149.55

SCREW BN CORT 150x40 HAA601540

Facility

$565.00

Hospital Charge Code	270643266
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$136.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

SCREW BN CORT 150x40 HAA601540

Facility

$565.00

Hospital Charge Code	270643266
Hospital Revenue Code	278
Min. Negotiated Rate	$84.75
Max. Negotiated Rate	$282.50
Rate for Payer: Aetna Commercial	$169.50
Rate for Payer: Aetna Medicare Advantage	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.07
Rate for Payer: Cigna Commercial	$282.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.75

SCREW BNE 1.7MMx10MM 58-17010E

Facility

$550.00

Hospital Charge Code	270655374
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MMx10MM 58-17010E

Facility

$550.00

Hospital Charge Code	270655374
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MMx14MM 58-17014E

Facility

$550.00

Hospital Charge Code	270655371
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MMx14MM 58-17014E

Facility

$550.00

Hospital Charge Code	270655371
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MM x8MM 58-17008E

Facility

$550.00

Hospital Charge Code	270655353
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 1.7MM x8MM 58-17008E

Facility

$550.00

Hospital Charge Code	270655353
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW BNE 3.5x34mm NNLCK 26734

Facility

$270.00

Hospital Charge Code	270643351
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BNE 3.5x34mm NNLCK 26734

Facility

$270.00

Hospital Charge Code	270643351
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BNE 3.5x34mm NNLCK 26742

Facility

$270.00

Hospital Charge Code	270643352
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BNE 3.5x34mm NNLCK 26742

Facility

$270.00

Hospital Charge Code	270643352
Hospital Revenue Code	278
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$81.00
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.34
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

SCREW BOLT 2 PIECE SCHANZ

Facility

$1,144.90

Hospital Charge Code	270691905
Hospital Revenue Code	272
Min. Negotiated Rate	$171.74
Max. Negotiated Rate	$171.74
Rate for Payer: Qualcare PPO/HMO/WC	$171.74

Know your out-of-pocket cost for care.

All Charges