Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC P/THRD 3.5x44MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270629207
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x44MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270629207
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x46MM

Facility

$827.50

Service Code	HCPCS C1713
Hospital Charge Code	270655866
Hospital Revenue Code	278
Min. Negotiated Rate	$124.12
Max. Negotiated Rate	$200.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.25
Rate for Payer: Qualcare PPO/HMO/WC	$124.12

SCREW CANC P/THRD 3.5x46MM

Facility

$827.50

Service Code	HCPCS C1713
Hospital Charge Code	270655866
Hospital Revenue Code	278
Min. Negotiated Rate	$124.12
Max. Negotiated Rate	$413.75
Rate for Payer: Aetna Commercial	$248.25
Rate for Payer: Aetna Medicare Advantage	$248.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.01
Rate for Payer: Cigna Commercial	$413.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.25
Rate for Payer: Qualcare PPO/HMO/WC	$124.12

SCREW CANC P/THRD 3.5x48MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655868
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x48MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655868
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x50MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270648935
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x50MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270648935
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC PT THD4x40 24804040

Facility

$200.50

Hospital Charge Code	270639427
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 PT THD4x40 24804040

Facility

$200.50

Hospital Charge Code	270639427
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 Q/FIX P/THD 3x30MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270679308
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CANC Q/FIX P/THD 3x30MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270679308
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CANC Q/FIX P/THD 3x32MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270648824
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$279.00
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

SCREW CANC Q/FIX P/THD 3x32MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270648824
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

SCREW CANC Q/FIX P/THD 3x40MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676999
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CANC Q/FIX P/THD 3x40MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676999
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CANC TL 7.3x16mm 95mm

Facility

$1,128.35

Service Code	HCPCS C1713
Hospital Charge Code	270605032
Hospital Revenue Code	278
Min. Negotiated Rate	$169.25
Max. Negotiated Rate	$273.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.06
Rate for Payer: Qualcare PPO/HMO/WC	$169.25

SCREW CANC TL 7.3x16mm 95mm

Facility

$1,128.35

Service Code	HCPCS C1713
Hospital Charge Code	270605032
Hospital Revenue Code	278
Min. Negotiated Rate	$169.25
Max. Negotiated Rate	$564.17
Rate for Payer: Aetna Commercial	$338.50
Rate for Payer: Aetna Medicare Advantage	$338.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.73
Rate for Payer: Cigna Commercial	$564.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.06
Rate for Payer: Qualcare PPO/HMO/WC	$169.25

SCREW CANC TTN 4/95MM

Facility

$38.00

Hospital Charge Code	27060335
Hospital Revenue Code	279
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$19.00

SCREW CANC TTN 4/95MM

Facility

$38.00

Hospital Charge Code	27060335
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SCREW CAN FL THR 4x65 11424065

Facility

$426.65

Hospital Charge Code	270625287
Hospital Revenue Code	278
Min. Negotiated Rate	$64.00
Max. Negotiated Rate	$103.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.00

SCREW CAN FL THR 4x65 11424065

Facility

$426.65

Hospital Charge Code	270625287
Hospital Revenue Code	278
Min. Negotiated Rate	$64.00
Max. Negotiated Rate	$213.32
Rate for Payer: Aetna Commercial	$128.00
Rate for Payer: Aetna Medicare Advantage	$128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.80
Rate for Payer: Cigna Commercial	$213.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.00

SCREW CAN FUL 5X36 1142-50-36

Facility

$568.60

Hospital Charge Code	270635051
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN FUL 5X36 1142-50-36

Facility

$568.60

Hospital Charge Code	270635051
Hospital Revenue Code	278
Min. Negotiated Rate	$85.29
Max. Negotiated Rate	$284.30
Rate for Payer: Aetna Commercial	$170.58
Rate for Payer: Aetna Medicare Advantage	$170.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.99
Rate for Payer: Cigna Commercial	$284.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.29

SCREW CAN FULL THRD HD 3X20MM

Facility

$962.50

Hospital Charge Code	270702430
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

Know your out-of-pocket cost for care.

All Charges