Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTICAL 3.5X12MM

Facility

$585.00

Hospital Charge Code	270638281
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW CORTICAL 3.5x12mm CS-12

Facility

$347.25

Hospital Charge Code	270635661
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$84.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

SCREW CORTICAL 3.5x12mm CS-12

Facility

$347.25

Hospital Charge Code	270635661
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$173.62
Rate for Payer: Aetna Commercial	$104.17
Rate for Payer: Aetna Medicare Advantage	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.55
Rate for Payer: Cigna Commercial	$173.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

SCREW CORTICAL 3.5x14 23472014

Facility

$111.40

Hospital Charge Code	270639412
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$33.42
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW CORTICAL 3.5x14 23472014

Facility

$111.40

Hospital Charge Code	270639412
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$26.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW CORTICAL 3.5x14 23481435

Facility

$128.15

Hospital Charge Code	270639406
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$38.45
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW CORTICAL 3.5x14 23481435

Facility

$128.15

Hospital Charge Code	270639406
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$31.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW CORTICAL 3.5x14MM

Facility

$540.00

Hospital Charge Code	27068144
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 CORTICAL 3.5x14MM

Facility

$540.00

Hospital Charge Code	27068144
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 CORTICAL 3.5x14MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656455
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CORTICAL 3.5x14MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270656455
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CORTICAL 3.5x14mm CS-14

Facility

$347.25

Hospital Charge Code	270635662
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$173.62
Rate for Payer: Aetna Commercial	$104.17
Rate for Payer: Aetna Medicare Advantage	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.55
Rate for Payer: Cigna Commercial	$173.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

SCREW CORTICAL 3.5x14mm CS-14

Facility

$347.25

Hospital Charge Code	270635662
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$84.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

SCREW CORTICAL 3.5X16

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270691342
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SCREW CORTICAL 3.5X16

Facility

$450.00

Service Code	HCPCS C1713
Hospital Charge Code	270691342
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$135.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

SCREW CORTICAL 3.5x16 23472016

Facility

$111.40

Hospital Charge Code	270639426
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$33.42
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW CORTICAL 3.5x16 23472016

Facility

$111.40

Hospital Charge Code	270639426
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$26.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW CORTICAL 3.5x16mm

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676941
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 CORTICAL 3.5x16mm

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676941
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 CORTICAL 3.5x16mm

Facility

$585.00

Hospital Charge Code	270638282
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW CORTICAL 3.5x16mm

Facility

$585.00

Hospital Charge Code	270638282
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW CORTICAL 3.5x16MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661507
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CORTICAL 3.5x16MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661507
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW CORTICAL 3.5x16mm CS-16

Facility

$347.25

Hospital Charge Code	270635663
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$84.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

SCREW CORTICAL 3.5x16mm CS-16

Facility

$347.25

Hospital Charge Code	270635663
Hospital Revenue Code	278
Min. Negotiated Rate	$52.09
Max. Negotiated Rate	$173.62
Rate for Payer: Aetna Commercial	$104.17
Rate for Payer: Aetna Medicare Advantage	$104.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.55
Rate for Payer: Cigna Commercial	$173.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.03
Rate for Payer: Qualcare PPO/HMO/WC	$52.09

Know your out-of-pocket cost for care.

All Charges