Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 CAPTURE LOPRO 2.5x12MM

Facility

$790.00

Hospital Charge Code	270668721
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 CAPTURE LOPRO 2.5x12MM

Facility

$790.00

Hospital Charge Code	270668721
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 CAPTURE LOPRO 2.5X14MM

Facility

$790.00

Hospital Charge Code	270669821
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 CAPTURE LOPRO 2.5X14MM

Facility

$790.00

Hospital Charge Code	270669821
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 CAPTURE LOPRO 2x14MM

Facility

$790.00

Hospital Charge Code	270669819
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 CAPTURE LOPRO 2x14MM

Facility

$790.00

Hospital Charge Code	270669819
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 casncellous 6.5x25

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270684678
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 casncellous 6.5x25

Facility

$143.20

Service Code	HCPCS C1713
Hospital Charge Code	270684678
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 CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$2,631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

SCREW CAYMAN 5.0X 40MM

Facility

$10,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270698867
Hospital Revenue Code	278
Min. Negotiated Rate	$1,631.25
Max. Negotiated Rate	$5,437.50
Rate for Payer: Aetna Commercial	$3,262.50
Rate for Payer: Aetna Medicare Advantage	$3,262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,773.12
Rate for Payer: Cigna Commercial	$5,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,631.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,631.25

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$122.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

SCREW CC OFFSET SZ JJ

Facility

$506.50

Service Code	HCPCS C1713
Hospital Charge Code	270674857
Hospital Revenue Code	278
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$253.25
Rate for Payer: Aetna Commercial	$151.95
Rate for Payer: Aetna Medicare Advantage	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.16
Rate for Payer: Cigna Commercial	$253.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.57
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$291.68
Rate for Payer: Aetna Commercial	$175.00
Rate for Payer: Aetna Medicare Advantage	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.75
Rate for Payer: Cigna Commercial	$291.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X30MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704900
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X35MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704577
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$291.68
Rate for Payer: Aetna Commercial	$175.00
Rate for Payer: Aetna Medicare Advantage	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.75
Rate for Payer: Cigna Commercial	$291.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 4.5X35MM

Facility

$583.35

Service Code	HCPCS C1713
Hospital Charge Code	270704577
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$141.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.50

SCREW CENTER 6.5x28MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672127
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW CENTER 6.5x28MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672127
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW CENTER 6.5x44MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671579
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 CENTER 6.5x44MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671579
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 CENTRAL 15MM

Facility

$850.00

Hospital Charge Code	270672416
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 15MM

Facility

$850.00

Hospital Charge Code	270672416
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 20MM

Facility

$850.00

Hospital Charge Code	270672417
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW CENTRAL 20MM

Facility

$850.00

Hospital Charge Code	270672417
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

Know your out-of-pocket cost for care.

All Charges