Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN ASNIS III 4X60MM

Facility

$1,360.00

Hospital Charge Code	270670725
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW CANN ASNIS III 6.5X85MM

Facility

$2,020.00

Hospital Charge Code	270668042
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$606.00
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW CANN ASNIS III 6.5X85MM

Facility

$2,020.00

Hospital Charge Code	270668042
Hospital Revenue Code	278
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$488.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.84
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

SCREW CANN ASNIS III 6.5X90MM

Facility

$2,120.00

Hospital Charge Code	270670024
Hospital Revenue Code	278
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$636.00
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

SCREW CANN ASNIS III 6.5X90MM

Facility

$2,120.00

Hospital Charge Code	270670024
Hospital Revenue Code	278
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$513.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.04
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

SCREW CANN BONE SCREW 16MM

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270688164
Hospital Revenue Code	278
Min. Negotiated Rate	$21.48
Max. Negotiated Rate	$71.60
Rate for Payer: Aetna Commercial	$42.96
Rate for Payer: Aetna Medicare Advantage	$42.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.52
Rate for Payer: Cigna Commercial	$71.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: Qualcare PPO/HMO/WC	$21.48

SCREW CANN BONE SCREW 16MM

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270688164
Hospital Revenue Code	278
Min. Negotiated Rate	$21.48
Max. Negotiated Rate	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.65
Rate for Payer: Qualcare PPO/HMO/WC	$21.48

SCREW CANN CAN 40 6.5x70mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673601
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN CAN 40 6.5x70mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673601
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN CAN 40 6.5x75mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673602
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN CAN 40 6.5x75mm

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270673602
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

SCREW CANN CAN 40 6.5x80mm

Facility

$1,765.00

Service Code	HCPCS C1713
Hospital Charge Code	270662013
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$529.50
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW CANN CAN 40 6.5x80mm

Facility

$1,765.00

Service Code	HCPCS C1713
Hospital Charge Code	270662013
Hospital Revenue Code	278
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$427.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$353.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

SCREW CANN CANC 4.0 X 42 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684092
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SCREW CANN CANC 4.0 X 42 MM

Facility

$1,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270684092
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$435.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

SCREW CANN CANC 50X20 10422550

Facility

$604.85

Hospital Charge Code	270612492
Hospital Revenue Code	278
Min. Negotiated Rate	$90.73
Max. Negotiated Rate	$302.43
Rate for Payer: Aetna Commercial	$181.46
Rate for Payer: Aetna Medicare Advantage	$181.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.24
Rate for Payer: Cigna Commercial	$302.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.37
Rate for Payer: Qualcare PPO/HMO/WC	$90.73

SCREW CANN CANC 50X20 10422550

Facility

$604.85

Hospital Charge Code	270612492
Hospital Revenue Code	278
Min. Negotiated Rate	$90.73
Max. Negotiated Rate	$146.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.37
Rate for Payer: Qualcare PPO/HMO/WC	$90.73

SCREW CANN COMP 6.5 HDLS 56MM

Facility

$4,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270697159
Hospital Revenue Code	278
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$1,161.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.60
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

SCREW CANN COMP 6.5 HDLS 56MM

Facility

$4,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270697159
Hospital Revenue Code	278
Min. Negotiated Rate	$720.00
Max. Negotiated Rate	$2,400.00
Rate for Payer: Aetna Commercial	$1,440.00
Rate for Payer: Aetna Medicare Advantage	$1,440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,224.00
Rate for Payer: Cigna Commercial	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.60
Rate for Payer: Qualcare PPO/HMO/WC	$720.00

SCREW CANN COMP HDLESS ST18MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691912
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW CANN COMP HDLESS ST18MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270691912
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW CANN COMP HDLS 2.5X10MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700720
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CANN COMP HDLS 2.5X10MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700720
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CANN COMP HDLS 2.5X12MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700719
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CANN COMP HDLS 2.5X12MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700719
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

Know your out-of-pocket cost for care.

All Charges