Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC 5X25MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705903
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X25MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705903
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X30MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705904
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X30MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705904
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X35MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705905
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 5X35MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705905
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CANC 6.5SS 16X80

Facility

$295.00

Hospital Charge Code	270638321
Hospital Revenue Code	278
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$71.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

SCREW CANC 6.5SS 16X80

Facility

$295.00

Hospital Charge Code	270638321
Hospital Revenue Code	278
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$88.50
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

SCREW CANC 6.5X100MM

Facility

$1,890.00

Hospital Charge Code	270648951
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 CANC 6.5X100MM

Facility

$1,890.00

Hospital Charge Code	270648951
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 CANC 6.5X30MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698258
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW CANC 6.5X30MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698258
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW CANC 6.6X95MM

Facility

$1,890.00

Hospital Charge Code	270648950
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 CANC 6.6X95MM

Facility

$1,890.00

Hospital Charge Code	270648950
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 CANC BONE 6.5X25

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694023
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW CANC BONE 6.5X25

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694023
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW CANC BONE 6.5X35

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694025
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW CANC BONE 6.5X35

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694025
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW CANCEL 4.0mmX16mm CA4160

Facility

$300.00

Hospital Charge Code	270638667
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CANCEL 4.0mmX16mm CA4160

Facility

$300.00

Hospital Charge Code	270638667
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CANCELLOS S 4.0 X 32MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270665936
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW CANCELLOS S 4.0 X 32MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270665936
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW CANCELLOUS 25-65MM ALTA

Facility

$541.00

Hospital Charge Code	270335178
Hospital Revenue Code	278
Min. Negotiated Rate	$81.15
Max. Negotiated Rate	$270.50
Rate for Payer: Aetna Commercial	$162.30
Rate for Payer: Aetna Medicare Advantage	$162.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.96
Rate for Payer: Cigna Commercial	$270.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.92
Rate for Payer: Qualcare PPO/HMO/WC	$81.15

SCREW CANCELLOUS 25-65MM ALTA

Facility

$541.00

Hospital Charge Code	270335178
Hospital Revenue Code	278
Min. Negotiated Rate	$81.15
Max. Negotiated Rate	$130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.92
Rate for Payer: Qualcare PPO/HMO/WC	$81.15

SCREW CANCELLOUS 3.0X12MM

Facility

$440.00

Hospital Charge Code	270669462
Hospital Revenue Code	278
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$132.00
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$88.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.48
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

Know your out-of-pocket cost for care.

All Charges