Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT 2.4x22 SLTAP 401522

Facility

$297.65

Hospital Charge Code	270634485
Hospital Revenue Code	278
Min. Negotiated Rate	$44.65
Max. Negotiated Rate	$148.82
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$89.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.90
Rate for Payer: Cigna Commercial	$148.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.03
Rate for Payer: Qualcare PPO/HMO/WC	$44.65

SCREW CORT 3.5/20MM****

Facility

$17.80

Hospital Charge Code	27601833
Hospital Revenue Code	279
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SCREW CORT 3.5/20MM****

Facility

$17.80

Hospital Charge Code	27601833
Hospital Revenue Code	279
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$8.90
Rate for Payer: Aetna Commercial	$5.34
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$8.90

SCREW CORT 3.5/20MM****

Facility

$35.60

Hospital Charge Code	270601833
Hospital Revenue Code	279
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$5.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.34

SCREW CORT 3.5/20MM****

Facility

$35.60

Hospital Charge Code	270601833
Hospital Revenue Code	279
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$17.80
Rate for Payer: Aetna Commercial	$10.68
Rate for Payer: Aetna Medicare Advantage	$10.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.08
Rate for Payer: Cigna Commercial	$17.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.34
Rate for Payer: UnitedHealthcare Commercial	$17.80

SCREW CORT 3.5/22MM****

Facility

$35.60

Hospital Charge Code	270601834
Hospital Revenue Code	279
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$17.80
Rate for Payer: Aetna Commercial	$10.68
Rate for Payer: Aetna Medicare Advantage	$10.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.08
Rate for Payer: Cigna Commercial	$17.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.63
Rate for Payer: Oxford Commercial	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.34
Rate for Payer: UnitedHealthcare Commercial	$17.80

SCREW CORT 3.5/22MM****

Facility

$35.60

Hospital Charge Code	270601834
Hospital Revenue Code	279
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$5.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.34

SCREW CORT 3.5MM 10-20MM

Facility

$39.00

Hospital Charge Code	1603638
Hospital Revenue Code	274
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$19.50
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.44
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

SCREW CORT 3.5MM 10-20MM

Facility

$39.00

Hospital Charge Code	1603638
Hospital Revenue Code	274
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.44
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

SCREW CORT 3.5MM 22-32MM

Facility

$42.00

Hospital Charge Code	1603646
Hospital Revenue Code	274
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

SCREW CORT 3.5MM 22-32MM

Facility

$42.00

Hospital Charge Code	1603646
Hospital Revenue Code	274
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$10.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

SCREW CORT 3.5MM 34-50MM

Facility

$46.00

Hospital Charge Code	1603653
Hospital Revenue Code	274
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$23.00
Rate for Payer: Aetna Commercial	$13.80
Rate for Payer: Aetna Medicare Advantage	$13.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.73
Rate for Payer: Cigna Commercial	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

SCREW CORT 3.5MM 34-50MM

Facility

$46.00

Hospital Charge Code	1603653
Hospital Revenue Code	274
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

SCREW CORT 3.5mm X 28 CO3280

Facility

$300.00

Hospital Charge Code	270641011
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 CORT 3.5mm X 28 CO3280

Facility

$300.00

Hospital Charge Code	270641011
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 CORT 3.5x14MM CS14000

Facility

$540.00

Hospital Charge Code	270648144
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

SCREW CORT 3.5x14MM CS14000

Facility

$540.00

Hospital Charge Code	270648144
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$162.00
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.68
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

SCREW CORT 3.5X22.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705901
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5X22.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705901
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5X27.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705902
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$324.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5X27.5MM

Facility

$1,339.00

Service Code	HCPCS C1713
Hospital Charge Code	270705902
Hospital Revenue Code	278
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$669.50
Rate for Payer: Aetna Commercial	$401.70
Rate for Payer: Aetna Medicare Advantage	$401.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.44
Rate for Payer: Cigna Commercial	$669.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.04
Rate for Payer: Qualcare PPO/HMO/WC	$200.85

SCREW CORT 3.5x44mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644881
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$27.12
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x44mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644881
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$27.12
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW CORT 3.5x46mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270644815
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

Know your out-of-pocket cost for care.

All Charges