Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE 2.7 x 14mm 26614

Facility

$270.00

Hospital Charge Code	270643343
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 BONE 2.7 x 14mm 26614

Facility

$270.00

Hospital Charge Code	270643343
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 BONE 2.7 x 14mm 26652

Facility

$270.00

Hospital Charge Code	270643344
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 BONE 2.7 x 14mm 26652

Facility

$270.00

Hospital Charge Code	270643344
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 BONE 2.7X18MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270648954
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW BONE 2.7X18MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270648954
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW BONE 2.7 x 36mm LOCKING

Facility

$490.00

Hospital Charge Code	270643342
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

SCREW BONE 2.7 x 36mm LOCKING

Facility

$490.00

Hospital Charge Code	270643342
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

SCREW BONE 3.5 16MM

Facility

$525.00

Hospital Charge Code	270660614
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW BONE 3.5 16MM

Facility

$525.00

Hospital Charge Code	270660614
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW BONE 3.5 20MM 40-35070

Facility

$455.00

Hospital Charge Code	270660513
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW BONE 3.5 20MM 40-35070

Facility

$455.00

Hospital Charge Code	270660513
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW BONE 3.5 28 MM

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270662552
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW BONE 3.5 28 MM

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270662552
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW BONE 3.5 44MM 40-35044

Facility

$455.00

Hospital Charge Code	270660525
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW BONE 3.5 44MM 40-35044

Facility

$455.00

Hospital Charge Code	270660525
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

Screw Bone 3.5mm x 12 mm

Facility

$428.00

Hospital Charge Code	270643724
Hospital Revenue Code	278
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$103.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

Screw Bone 3.5mm x 12 mm

Facility

$428.00

Hospital Charge Code	270643724
Hospital Revenue Code	278
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$214.00
Rate for Payer: Aetna Commercial	$128.40
Rate for Payer: Aetna Medicare Advantage	$128.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.14
Rate for Payer: Cigna Commercial	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

SCREW BONE 3.5mm x12mm NONLOCK

Facility

$216.00

Hospital Charge Code	270643722
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.27
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SCREW BONE 3.5mm x12mm NONLOCK

Facility

$216.00

Hospital Charge Code	270643722
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.27
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SCREW BONE 3.5mm x36mm NONLOCK

Facility

$216.00

Hospital Charge Code	270643721
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$64.80
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.27
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SCREW BONE 3.5mm x36mm NONLOCK

Facility

$216.00

Hospital Charge Code	270643721
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.27
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SCREW BONE 3.5mm x38mm NONLOCK

Facility

$270.00

Hospital Charge Code	270643720
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 BONE 3.5mm x38mm NONLOCK

Facility

$216.00

Hospital Charge Code	700643720
Hospital Revenue Code	278
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.27
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

SCREW BONE 3.5mm x38mm NONLOCK

Facility

$270.00

Hospital Charge Code	270643720
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

Know your out-of-pocket cost for care.

All Charges