Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 4.0x10 FTE 24801041

Facility

$184.00

Hospital Charge Code	270632918
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x10 FTE 24801041

Facility

$184.00

Hospital Charge Code	270632918
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x12 FTE 24801241

Facility

$184.00

Hospital Charge Code	270632919
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x12 FTE 24801241

Facility

$184.00

Hospital Charge Code	270632919
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 815341014

Facility

$129.00

Hospital Charge Code	270632510
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

SCREW CANC 4.0x14 815341014

Facility

$129.00

Hospital Charge Code	270632510
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

SCREW CANC 4.0x14 FO 248001441

Facility

$184.00

Hospital Charge Code	270632809
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 FO 248001441

Facility

$184.00

Hospital Charge Code	270632809
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 FTE 24801441

Facility

$184.00

Hospital Charge Code	270632920
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14 FTE 24801441

Facility

$184.00

Hospital Charge Code	270632920
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$102.00
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x14mm

Facility

$340.00

Hospital Charge Code	270673023
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

SCREW CANC 4.0x150mm

Facility

$195.00

Hospital Charge Code	270663679
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

SCREW CANC 4.0x150mm

Facility

$195.00

Hospital Charge Code	270663679
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

SCREW CANC 4.0x16 FO 248001641

Facility

$128.15

Hospital Charge Code	270632810
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$31.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW CANC 4.0x16 FO 248001641

Facility

$128.15

Hospital Charge Code	270632810
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$38.45
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW CANC 4.0x18 815341018

Facility

$129.00

Hospital Charge Code	270632512
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

SCREW CANC 4.0x18 815341018

Facility

$129.00

Hospital Charge Code	270632512
Hospital Revenue Code	278
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$38.70
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

SCREW CANC 4.0x18 FTE 24801841

Facility

$184.00

Hospital Charge Code	270632922
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$44.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x18 FTE 24801841

Facility

$184.00

Hospital Charge Code	270632922
Hospital Revenue Code	278
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$92.00
Rate for Payer: Aetna Commercial	$55.20
Rate for Payer: Aetna Medicare Advantage	$55.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.92
Rate for Payer: Cigna Commercial	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.53
Rate for Payer: Qualcare PPO/HMO/WC	$27.60

SCREW CANC 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$37.08
Rate for Payer: Aetna Commercial	$22.25
Rate for Payer: Aetna Medicare Advantage	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.91
Rate for Payer: Cigna Commercial	$37.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SCREW CANC 4.0x18mm F/THREAD

Facility

$74.15

Service Code	HCPCS C1713
Hospital Charge Code	270604236
Hospital Revenue Code	278
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$17.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$11.12

SCREW CANC 4.0x22 FO 248002241

Facility

$200.50

Hospital Charge Code	270632811
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW CANC 4.0x22 FO 248002241

Facility

$200.50

Hospital Charge Code	270632811
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW CANC 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
Hospital Revenue Code	278
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$82.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.28
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

Know your out-of-pocket cost for care.

All Charges