Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 MICRO 2.5x30MM

Facility

$1,475.00

Hospital Charge Code	270677993
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR MICRO 2.5x30MM

Facility

$1,475.00

Hospital Charge Code	270677993
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR MINI 3.5x18MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677992
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR MINI 3.5x18MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270677992
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR MINI 3.5x24MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679010
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR MINI 3.5x24MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270679010
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMPR SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681868
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Aetna Commercial	$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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681869
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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681868
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 SHRT 3.0x32mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681869
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 SHRT 3.0x40mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681870
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 SHRT 3.0x40mm

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270681870
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 COMP RVS CNTRL 6.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671257
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW COMP RVS CNTRL 6.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270671257
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CONCENTR GLENOSPH 36x2MM

Facility

$12,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270671582
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$3,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

SCREW CONCENTR GLENOSPH 36x2MM

Facility

$12,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270671582
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$3,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

SCREW CONICAL CANN 7.3X85MM

Facility

$1,180.00

Hospital Charge Code	270638843
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW CONICAL CANN 7.3X85MM

Facility

$1,180.00

Hospital Charge Code	270638843
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW CONICAL EXTRACTION 2.5MM

Facility

$273.00

Hospital Charge Code	270654497
Hospital Revenue Code	278
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$66.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.07
Rate for Payer: Qualcare PPO/HMO/WC	$40.95

SCREW CONICAL EXTRACTION 2.5MM

Facility

$273.00

Hospital Charge Code	270654497
Hospital Revenue Code	278
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$136.50
Rate for Payer: Aetna Commercial	$81.90
Rate for Payer: Aetna Medicare Advantage	$81.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.61
Rate for Payer: Cigna Commercial	$136.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.07
Rate for Payer: Qualcare PPO/HMO/WC	$40.95

SCREW CONNECTING SDRVE LOCKING

Facility

$969.80

Service Code	HCPCS C1713
Hospital Charge Code	270693775
Hospital Revenue Code	278
Min. Negotiated Rate	$145.47
Max. Negotiated Rate	$484.90
Rate for Payer: Aetna Commercial	$290.94
Rate for Payer: Aetna Medicare Advantage	$290.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.30
Rate for Payer: Cigna Commercial	$484.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.69
Rate for Payer: Qualcare PPO/HMO/WC	$145.47

SCREW CONNECTING SDRVE LOCKING

Facility

$969.80

Service Code	HCPCS C1713
Hospital Charge Code	270693775
Hospital Revenue Code	278
Min. Negotiated Rate	$145.47
Max. Negotiated Rate	$234.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.69
Rate for Payer: Qualcare PPO/HMO/WC	$145.47

SCREW CORDICAL 36MM 4.5CM

Facility

$109.55

Hospital Charge Code	270654981
Hospital Revenue Code	278
Min. Negotiated Rate	$16.43
Max. Negotiated Rate	$26.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.51
Rate for Payer: Qualcare PPO/HMO/WC	$16.43

SCREW CORDICAL 36MM 4.5CM

Facility

$109.55

Hospital Charge Code	270654981
Hospital Revenue Code	278
Min. Negotiated Rate	$16.43
Max. Negotiated Rate	$54.77
Rate for Payer: Aetna Commercial	$32.87
Rate for Payer: Aetna Medicare Advantage	$32.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.94
Rate for Payer: Cigna Commercial	$54.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.51
Rate for Payer: Qualcare PPO/HMO/WC	$16.43

Know your out-of-pocket cost for care.

All Charges