Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 4.0x24mm

Facility

$340.00

Hospital Charge Code	270673024
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 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
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 4.0x28mm

Facility

$340.00

Hospital Charge Code	270673025
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 4.0x34 815341034

Facility

$153.85

Hospital Charge Code	270632514
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$46.16
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x34 815341034

Facility

$153.85

Hospital Charge Code	270632514
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0X36 FT 815341036

Facility

$153.85

Service Code	HCPCS C1713
Hospital Charge Code	270632802
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$46.16
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x38mm

Facility

$340.00

Hospital Charge Code	270673026
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 4.0x38mm

Facility

$340.00

Hospital Charge Code	270673026
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 4.0x40 FT 815341040

Facility

$153.85

Hospital Charge Code	270632803
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x40 FT 815341040

Facility

$153.85

Hospital Charge Code	270632803
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$46.16
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x42 815341042

Facility

$153.85

Hospital Charge Code	270632518
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$46.16
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x42 815341042

Facility

$153.85

Hospital Charge Code	270632518
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x44 815341044

Facility

$153.85

Hospital Charge Code	270632515
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$76.92
Rate for Payer: Aetna Commercial	$46.16
Rate for Payer: Aetna Medicare Advantage	$46.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.23
Rate for Payer: Cigna Commercial	$76.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x44 815341044

Facility

$153.85

Hospital Charge Code	270632515
Hospital Revenue Code	278
Min. Negotiated Rate	$23.08
Max. Negotiated Rate	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$23.08

SCREW CANC 4.0x6 815341016

Facility

$129.00

Hospital Charge Code	270632511
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 4.0x6 815341016

Facility

$129.00

Hospital Charge Code	270632511
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 4.0x70mm

Facility

$195.00

Hospital Charge Code	270663678
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 4.0x70mm

Facility

$195.00

Hospital Charge Code	270663678
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 4.0x75mm

Facility

$195.00

Hospital Charge Code	270663714
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 4.0x75mm

Facility

$195.00

Hospital Charge Code	270663714
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 4X26mm F2480-026-41

Facility

$200.50

Hospital Charge Code	270634934
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 4X26mm F2480-026-41

Facility

$200.50

Hospital Charge Code	270634934
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 5.0 32 RD156932

Facility

$713.65

Hospital Charge Code	270621707
Hospital Revenue Code	278
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$172.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.70
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

SCREW CANC 5.0 32 RD156932

Facility

$713.65

Hospital Charge Code	270621707
Hospital Revenue Code	278
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$214.09
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.70
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

Know your out-of-pocket cost for care.

All Charges