Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMPR FT 5.0X70MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698942
Hospital Revenue Code	278
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$622.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$386.10

SCREW COMPR FT 5.0X70MM

Facility

$2,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270698942
Hospital Revenue Code	278
Min. Negotiated Rate	$386.10
Max. Negotiated Rate	$1,287.00
Rate for Payer: Aetna Commercial	$772.20
Rate for Payer: Aetna Medicare Advantage	$772.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.37
Rate for Payer: Cigna Commercial	$1,287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$386.10

SCREW COMPR FT 7.0X80MM XL

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694117
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

SCREW COMPR FT 7.0X80MM XL

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694117
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

SCREW COMPR FT MINI 3.5X34MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697362
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW COMPR FT MINI 3.5X34MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697362
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 COMPR FT STD 4.0X32MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698815
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMPR FT STD 4.0X32MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698815
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMPR FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698816
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMPR FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698816
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMPR HDLESS 2.4X14 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270684722
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$448.75
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLESS 2.4X14 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270684722
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLESS SHRT 2.4x14

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681952
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$448.75
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLESS SHRT 2.4x14

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681952
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW COMPR HDLSS LNG 2.4x24MM

Facility

$6,705.95

Service Code	HCPCS C1713
Hospital Charge Code	270683630
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.89
Max. Negotiated Rate	$3,352.97
Rate for Payer: Aetna Commercial	$2,011.79
Rate for Payer: Aetna Medicare Advantage	$2,011.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,710.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,710.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,341.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,710.02
Rate for Payer: Cigna Commercial	$3,352.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,622.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.89

SCREW COMPR HDLSS LNG 2.4x24MM

Facility

$6,705.95

Service Code	HCPCS C1713
Hospital Charge Code	270683630
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.89
Max. Negotiated Rate	$1,622.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,341.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,622.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.89

SCREW COMPR HEADLESS 2.4x16MM

Facility

$147.30

Hospital Charge Code	270678208
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$73.65
Rate for Payer: Aetna Commercial	$44.19
Rate for Payer: Aetna Medicare Advantage	$44.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.56
Rate for Payer: Cigna Commercial	$73.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x16MM

Facility

$147.30

Hospital Charge Code	270678208
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x22MM

Facility

$147.30

Hospital Charge Code	270678209
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x22MM

Facility

$147.30

Hospital Charge Code	270678209
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$73.65
Rate for Payer: Aetna Commercial	$44.19
Rate for Payer: Aetna Medicare Advantage	$44.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.56
Rate for Payer: Cigna Commercial	$73.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW COMPR HEADLESS 2.4x40MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270678413
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$726.15
Rate for Payer: Aetna Commercial	$435.69
Rate for Payer: Aetna Medicare Advantage	$435.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.34
Rate for Payer: Cigna Commercial	$726.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCREW COMPR HEADLESS 2.4x40MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270678413
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$351.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCREW COMPR LKG 3.0X16MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698256
Hospital Revenue Code	278
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$822.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

SCREW COMPR LKG 3.0X16MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698256
Hospital Revenue Code	278
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,020.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

SCREW COMPR LKG 3.0X18MM

Facility

$3,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270698257
Hospital Revenue Code	278
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,020.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.80
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

Know your out-of-pocket cost for care.

All Charges