Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPRESSION 6.5mm X 80mm

Facility

$1,750.00

Hospital Charge Code	270637463
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$429.00
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

SCREW COMPRESSION 8X14.5MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670457
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,520.78
Max. Negotiated Rate	$5,069.25
Rate for Payer: Aetna Commercial	$3,041.55
Rate for Payer: Aetna Medicare Advantage	$3,041.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,585.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,585.32
Rate for Payer: Cigna Commercial	$5,069.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78

SCREW COMPRESSION FUSION NAIL

Facility

$10,138.50

Service Code	HCPCS C1713
Hospital Charge Code	270672592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,520.78
Max. Negotiated Rate	$2,453.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,027.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,453.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.78

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663859
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663858
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$428.40
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663859
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$428.40
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEADLESS

Facility

$1,428.00

Hospital Charge Code	270663857
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$428.40
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

SCREW COMPRESSION HEX 2

Facility

$183.80

Hospital Charge Code	270637448
Hospital Revenue Code	278
Min. Negotiated Rate	$27.57
Max. Negotiated Rate	$91.90
Rate for Payer: Aetna Commercial	$55.14
Rate for Payer: Aetna Medicare Advantage	$55.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.87
Rate for Payer: Cigna Commercial	$91.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.57

SCREW COMPRESSION HEX 2

Facility

$183.80

Hospital Charge Code	270637448
Hospital Revenue Code	278
Min. Negotiated Rate	$27.57
Max. Negotiated Rate	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.48
Rate for Payer: Qualcare PPO/HMO/WC	$27.57

SCREW COMPRESSION T2 TIBIAL

Facility

$1,335.00

Hospital Charge Code	270651303
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW COMPRESSION T2 TIBIAL

Facility

$1,335.00

Hospital Charge Code	270651303
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW COMPRESS MINI 3.5X26MM

Facility

$1,802.50

Hospital Charge Code	270703126
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$540.75
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SCREW COMPRESS MINI 3.5X26MM

Facility

$1,802.50

Hospital Charge Code	270703126
Hospital Revenue Code	278
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$436.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

SCREW COMPRESS SLD 5.0MMX44MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681220
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW COMPRESS SLD 5.0MMX44MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681220
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW COMPR FT 40 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690951
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 40 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690951
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 44 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690952
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 44 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690952
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 46 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690953
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW COMPR FT 46 MM 5.0MM

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690953
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

Know your out-of-pocket cost for care.

All Charges