Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREWCERVINTERFIXSDDL3.5X12MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270697766
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SCREW CERV SSVA OZARK 4.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699420
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW CERV SSVA OZARK 4.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699420
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW CERV SS VA OZARK 4X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699419
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW CERV SS VA OZARK 4X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699419
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW CERV ST ANG 3.7X18 MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692399
Hospital Revenue Code	278
Min. Negotiated Rate	$181.36
Max. Negotiated Rate	$292.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: Qualcare PPO/HMO/WC	$181.36

SCREW CERV ST ANG 3.7X18 MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692399
Hospital Revenue Code	278
Min. Negotiated Rate	$181.36
Max. Negotiated Rate	$604.52
Rate for Payer: Aetna Commercial	$362.71
Rate for Payer: Aetna Medicare Advantage	$362.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.31
Rate for Payer: Cigna Commercial	$604.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: Qualcare PPO/HMO/WC	$181.36

SCREW C FL THD 5.0x48 11425048

Facility

$530.75

Hospital Charge Code	270631228
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$128.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW C FL THD 5.0x48 11425048

Facility

$530.75

Hospital Charge Code	270631228
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$265.38
Rate for Payer: Aetna Commercial	$159.22
Rate for Payer: Aetna Medicare Advantage	$159.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.34
Rate for Payer: Cigna Commercial	$265.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW CMPRSN3.0mmx20mm NCS3020

Facility

$1,325.00

Hospital Charge Code	270643528
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSN3.0mmx20mm NCS3020

Facility

$1,325.00

Hospital Charge Code	270643528
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSN3.0mmx20mm NCS3022

Facility

$1,325.00

Hospital Charge Code	270643529
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSN3.0mmx20mm NCS3022

Facility

$1,325.00

Hospital Charge Code	270643529
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSN 3.mmx18mm NCS3018

Facility

$1,325.00

Hospital Charge Code	270643635
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSN 3.mmx18mm NCS3018

Facility

$1,325.00

Hospital Charge Code	270643635
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCREW CMPRSSN 3.0x16 NCS-3016

Facility

$1,390.00

Hospital Charge Code	270658884
Hospital Revenue Code	278
Min. Negotiated Rate	$208.50
Max. Negotiated Rate	$336.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$208.50

SCREW CMPRSSN 3.0x16 NCS-3016

Facility

$1,390.00

Hospital Charge Code	270658884
Hospital Revenue Code	278
Min. Negotiated Rate	$208.50
Max. Negotiated Rate	$695.00
Rate for Payer: Aetna Commercial	$417.00
Rate for Payer: Aetna Medicare Advantage	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$278.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.45
Rate for Payer: Cigna Commercial	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$208.50

SCREW COAR PITCH 2.0X12 401862

Facility

$197.25

Hospital Charge Code	270633383
Hospital Revenue Code	278
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$98.62
Rate for Payer: Aetna Commercial	$59.17
Rate for Payer: Aetna Medicare Advantage	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.30
Rate for Payer: Cigna Commercial	$98.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

SCREW COAR PITCH 2.0X12 401862

Facility

$197.25

Hospital Charge Code	270633383
Hospital Revenue Code	278
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$47.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

SCREW COAR PITCH 2.0X14 401864

Facility

$197.25

Hospital Charge Code	270633382
Hospital Revenue Code	278
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$98.62
Rate for Payer: Aetna Commercial	$59.17
Rate for Payer: Aetna Medicare Advantage	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.30
Rate for Payer: Cigna Commercial	$98.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

SCREW COAR PITCH 2.0X14 401864

Facility

$197.25

Hospital Charge Code	270633382
Hospital Revenue Code	278
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$47.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

SCREW COARSE PH 2.0 10m 401940

Facility

$980.00

Hospital Charge Code	270625814
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW COARSE PH 2.0 10m 401940

Facility

$980.00

Hospital Charge Code	270625814
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW COARSE PH 2.0 12m 401942

Facility

$980.00

Hospital Charge Code	270625817
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW COARSE PH 2.0 12m 401942

Facility

$980.00

Hospital Charge Code	270625817
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

Know your out-of-pocket cost for care.

All Charges