Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE VARIAX 3.5X24MM

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270694743
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

SCREW BONE VARIAX 3.5X24MM

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270694743
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

SCREW BONW FULL THD 2.4 X L22M

Facility

$770.85

Service Code	HCPCS C1713
Hospital Charge Code	270705690
Hospital Revenue Code	278
Min. Negotiated Rate	$115.63
Max. Negotiated Rate	$186.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.55
Rate for Payer: Qualcare PPO/HMO/WC	$115.63

SCREW BONW FULL THD 2.4 X L22M

Facility

$770.85

Service Code	HCPCS C1713
Hospital Charge Code	270705690
Hospital Revenue Code	278
Min. Negotiated Rate	$115.63
Max. Negotiated Rate	$385.43
Rate for Payer: Aetna Commercial	$231.25
Rate for Payer: Aetna Medicare Advantage	$231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.57
Rate for Payer: Cigna Commercial	$385.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.55
Rate for Payer: Qualcare PPO/HMO/WC	$115.63

SCREW BREAK OFF 1/2 2X 12 MM

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701230
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 BREAK OFF 1/2 2X 12 MM

Facility

$1,069.75

Service Code	HCPCS C1713
Hospital Charge Code	270701230
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 BREAK OFF 1/2 THRD 2X13M

Facility

$991.95

Hospital Charge Code	270701186
Hospital Revenue Code	278
Min. Negotiated Rate	$148.79
Max. Negotiated Rate	$240.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.05
Rate for Payer: Qualcare PPO/HMO/WC	$148.79

SCREW BREAK OFF 1/2 THRD 2X13M

Facility

$991.95

Hospital Charge Code	270701186
Hospital Revenue Code	278
Min. Negotiated Rate	$148.79
Max. Negotiated Rate	$495.98
Rate for Payer: Aetna Commercial	$297.58
Rate for Payer: Aetna Medicare Advantage	$297.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.95
Rate for Payer: Cigna Commercial	$495.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.05
Rate for Payer: Qualcare PPO/HMO/WC	$148.79

SCREW BUTTRES HEXHED 12mmx36cm

Facility

$614.45

Hospital Charge Code	270626963
Hospital Revenue Code	278
Min. Negotiated Rate	$92.17
Max. Negotiated Rate	$148.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.70
Rate for Payer: Qualcare PPO/HMO/WC	$92.17

SCREW BUTTRES HEXHED 12mmx36cm

Facility

$614.45

Hospital Charge Code	270626963
Hospital Revenue Code	278
Min. Negotiated Rate	$92.17
Max. Negotiated Rate	$307.23
Rate for Payer: Aetna Commercial	$184.34
Rate for Payer: Aetna Medicare Advantage	$184.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.68
Rate for Payer: Cigna Commercial	$307.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.70
Rate for Payer: Qualcare PPO/HMO/WC	$92.17

SCREW BUTTRESS 30MM

Facility

$4,030.00

Service Code	HCPCS C1713
Hospital Charge Code	270671021
Hospital Revenue Code	278
Min. Negotiated Rate	$604.50
Max. Negotiated Rate	$2,015.00
Rate for Payer: Aetna Commercial	$1,209.00
Rate for Payer: Aetna Medicare Advantage	$1,209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,027.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,027.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$806.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,027.65
Rate for Payer: Cigna Commercial	$2,015.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.26
Rate for Payer: Qualcare PPO/HMO/WC	$604.50

SCREW BUTTRESS 30MM

Facility

$4,030.00

Service Code	HCPCS C1713
Hospital Charge Code	270671021
Hospital Revenue Code	278
Min. Negotiated Rate	$604.50
Max. Negotiated Rate	$975.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$806.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.26
Rate for Payer: Qualcare PPO/HMO/WC	$604.50

SCREW BX FL THD 2.7 16 222716

Facility

$959.25

Hospital Charge Code	270620185
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$287.77
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

SCREW BX FL THD 2.7 16 222716

Facility

$959.25

Hospital Charge Code	270620185
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$232.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

SCREW BX FL THD 2.7 18 222718

Facility

$959.25

Hospital Charge Code	270620186
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$287.77
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

SCREW BX FL THD 2.7 18 222718

Facility

$959.25

Hospital Charge Code	270620186
Hospital Revenue Code	278
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$232.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

SCREW C0RT LGE 5.5X60 22536055

Facility

$587.60

Hospital Charge Code	270625983
Hospital Revenue Code	278
Min. Negotiated Rate	$88.14
Max. Negotiated Rate	$293.80
Rate for Payer: Aetna Commercial	$176.28
Rate for Payer: Aetna Medicare Advantage	$176.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.84
Rate for Payer: Cigna Commercial	$293.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.20
Rate for Payer: Qualcare PPO/HMO/WC	$88.14

SCREW C0RT LGE 5.5X60 22536055

Facility

$587.60

Hospital Charge Code	270625983
Hospital Revenue Code	278
Min. Negotiated Rate	$88.14
Max. Negotiated Rate	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.20
Rate for Payer: Qualcare PPO/HMO/WC	$88.14

SCREW CAMC 6.5X95MM

Facility

$1,890.00

Hospital Charge Code	270648952
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$457.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

SCREW CAMC 6.5X95MM

Facility

$1,890.00

Hospital Charge Code	270648952
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$567.00
Rate for Payer: Aetna Medicare Advantage	$567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.95
Rate for Payer: Cigna Commercial	$945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.38
Rate for Payer: Qualcare PPO/HMO/WC	$283.50

SCREW CAN 2.4 18 LONG 3 211818

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634247
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$226.20
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW CAN 2.4 18 LONG 3 211818

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634247
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$182.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

SCREW CAN 2.4 18 LONG 3 211818

Facility

$942.40

Hospital Charge Code	70634247
Hospital Revenue Code	278
Min. Negotiated Rate	$141.36
Max. Negotiated Rate	$228.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.06
Rate for Payer: Qualcare PPO/HMO/WC	$141.36

SCREW CAN 2.4 18 LONG 3 211818

Facility

$942.40

Hospital Charge Code	70634247
Hospital Revenue Code	278
Min. Negotiated Rate	$141.36
Max. Negotiated Rate	$471.20
Rate for Payer: Aetna Commercial	$282.72
Rate for Payer: Aetna Medicare Advantage	$282.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.31
Rate for Payer: Cigna Commercial	$471.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.06
Rate for Payer: Qualcare PPO/HMO/WC	$141.36

SCREW CAN 2.4 20 LONG 3 211820

Facility

$754.00

Service Code	HCPCS C1713
Hospital Charge Code	270634248
Hospital Revenue Code	278
Min. Negotiated Rate	$113.10
Max. Negotiated Rate	$377.00
Rate for Payer: Aetna Commercial	$226.20
Rate for Payer: Aetna Medicare Advantage	$226.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.27
Rate for Payer: Cigna Commercial	$377.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.47
Rate for Payer: Qualcare PPO/HMO/WC	$113.10

Know your out-of-pocket cost for care.

All Charges