Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN CONI P/THD 7.3x55MM

Facility

$1,074.00

Hospital Charge Code	270657184
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$322.20
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x60MM

Facility

$1,074.00

Hospital Charge Code	270657180
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x65MM

Facility

$1,074.00

Hospital Charge Code	270657186
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$322.20
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$322.20
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x70MM

Facility

$1,074.00

Hospital Charge Code	270657192
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x75MM

Facility

$1,074.00

Hospital Charge Code	270657189
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$322.20
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$259.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN CONI P/THD 7.3x80MM

Facility

$1,074.00

Hospital Charge Code	270657195
Hospital Revenue Code	278
Min. Negotiated Rate	$161.10
Max. Negotiated Rate	$537.00
Rate for Payer: Aetna Commercial	$322.20
Rate for Payer: Aetna Medicare Advantage	$322.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.87
Rate for Payer: Cigna Commercial	$537.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.91
Rate for Payer: Qualcare PPO/HMO/WC	$161.10

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$235.50
Max. Negotiated Rate	$379.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: Qualcare PPO/HMO/WC	$235.50

SCREW CANN COUNTERSINK 3.8MM

Facility

$1,570.00

Hospital Charge Code	270661043
Hospital Revenue Code	278
Min. Negotiated Rate	$235.50
Max. Negotiated Rate	$785.00
Rate for Payer: Aetna Commercial	$471.00
Rate for Payer: Aetna Medicare Advantage	$471.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.35
Rate for Payer: Cigna Commercial	$785.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.94
Rate for Payer: Qualcare PPO/HMO/WC	$235.50

SCREW CANNC Ti 6.5X65 AR13265T

Facility

$496.00

Hospital Charge Code	270636943
Hospital Revenue Code	278
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$148.80
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

SCREW CANNC Ti 6.5X65 AR13265T

Facility

$496.00

Hospital Charge Code	270636943
Hospital Revenue Code	278
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$120.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

SCREW CANN DART FIRE 2.8MM

Facility

$576.00

Service Code	HCPCS C1713
Hospital Charge Code	270699129
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW CANN DART FIRE 2.8MM

Facility

$576.00

Service Code	HCPCS C1713
Hospital Charge Code	270699129
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW CANN EXT PEDIC 7.5X40MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW CANN EXT PEDIC 7.5X40MM

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREWCANNEXTTABPOLYAX6.5X45MM

Facility

$7,562.50

Service Code	HCPCS C1713
Hospital Charge Code	270698060
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.38
Max. Negotiated Rate	$3,781.25
Rate for Payer: Aetna Commercial	$2,268.75
Rate for Payer: Aetna Medicare Advantage	$2,268.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,928.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,928.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,928.44
Rate for Payer: Cigna Commercial	$3,781.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.38

SCREWCANNEXTTABPOLYAX6.5X45MM

Facility

$7,562.50

Service Code	HCPCS C1713
Hospital Charge Code	270698060
Hospital Revenue Code	278
Min. Negotiated Rate	$1,134.38
Max. Negotiated Rate	$1,830.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,830.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,134.38

SCREW CANN F/THD 4.5x40MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270660920
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW CANN F/THD 4.5x40MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270660920
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW CANN F/THD 4.5x54MM

Facility

$880.65

Service Code	HCPCS C1713
Hospital Charge Code	270604919
Hospital Revenue Code	278
Min. Negotiated Rate	$132.10
Max. Negotiated Rate	$440.32
Rate for Payer: Aetna Commercial	$264.19
Rate for Payer: Aetna Medicare Advantage	$264.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.57
Rate for Payer: Cigna Commercial	$440.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.12
Rate for Payer: Qualcare PPO/HMO/WC	$132.10

SCREW CANN F/THD 4.5x54MM

Facility

$880.65

Service Code	HCPCS C1713
Hospital Charge Code	270604919
Hospital Revenue Code	278
Min. Negotiated Rate	$132.10
Max. Negotiated Rate	$213.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.12
Rate for Payer: Qualcare PPO/HMO/WC	$132.10

Know your out-of-pocket cost for care.

All Charges