Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CAN, SHT THD HD 3X28MM

Facility

$962.50

Hospital Charge Code	270702193
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$288.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW CAN, SHT THD HD 3X28MM

Facility

$962.50

Hospital Charge Code	270702193
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

SCREW CAN TD 6.5x40 8157640080

Facility

$183.60

Hospital Charge Code	270633168
Hospital Revenue Code	278
Min. Negotiated Rate	$27.54
Max. Negotiated Rate	$44.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.43
Rate for Payer: Qualcare PPO/HMO/WC	$27.54

SCREW CAN TD 6.5x40 8157640080

Facility

$183.60

Hospital Charge Code	270633168
Hospital Revenue Code	278
Min. Negotiated Rate	$27.54
Max. Negotiated Rate	$91.80
Rate for Payer: Aetna Commercial	$55.08
Rate for Payer: Aetna Medicare Advantage	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.82
Rate for Payer: Cigna Commercial	$91.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.43
Rate for Payer: Qualcare PPO/HMO/WC	$27.54

SCREW CAN THD 5.0x32 11425032

Facility

$568.60

Hospital Charge Code	270634952
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 THD 5.0x32 11425032

Facility

$568.60

Hospital Charge Code	270634952
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 THD 5.0x32 11425132

Facility

$568.00

Hospital Charge Code	270635969
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$170.40
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

SCREW CAN THD 5.0x32 11425132

Facility

$568.00

Hospital Charge Code	270635969
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

SCREW CAN THD 5.0x34 11425134

Facility

$568.60

Hospital Charge Code	270634953
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 THD 5.0x34 11425134

Facility

$568.60

Hospital Charge Code	270634953
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 CAP 3370-1-060

Facility

$401.65

Hospital Charge Code	270615320
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: Qualcare PPO/HMO/WC	$60.25

SCREW CAP 3370-1-060

Facility

$401.65

Hospital Charge Code	270615320
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$200.82
Rate for Payer: Aetna Commercial	$120.50
Rate for Payer: Aetna Medicare Advantage	$120.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.42
Rate for Payer: Cigna Commercial	$200.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: Qualcare PPO/HMO/WC	$60.25

SCREW CAP 4.5 X 15CM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689209
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 15CM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689209
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$295.43
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 15 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689213
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$295.43
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 15 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689213
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 20MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689208
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$295.43
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 20MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689208
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 25MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689210
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$295.43
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP 4.5 X 25MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270689210
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW CAP LOCKING NCB

Facility

$790.00

Hospital Charge Code	270658846
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CAP LOCKING NCB

Facility

$790.00

Hospital Charge Code	270658846
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$237.00
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW CAP RECN 6.4x75 71632375

Facility

$1,309.50

Hospital Charge Code	270633369
Hospital Revenue Code	278
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$316.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: Qualcare PPO/HMO/WC	$196.43

SCREW CAP RECN 6.4x75 71632375

Facility

$1,309.50

Hospital Charge Code	270633369
Hospital Revenue Code	278
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$654.75
Rate for Payer: Aetna Commercial	$392.85
Rate for Payer: Aetna Medicare Advantage	$392.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.92
Rate for Payer: Cigna Commercial	$654.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: Qualcare PPO/HMO/WC	$196.43

SCREW CAP RECN 6.4x90 71632390

Facility

$1,309.50

Hospital Charge Code	270633370
Hospital Revenue Code	278
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$316.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.90
Rate for Payer: Qualcare PPO/HMO/WC	$196.43

Know your out-of-pocket cost for care.

All Charges