Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT TITN 3.5/1MM

Facility

$35.60

Hospital Charge Code	270603160
Hospital Revenue Code	279
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$5.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.34

SCREW CORTX 2.4 SLFTP T8SD12MM

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270659970
Hospital Revenue Code	278
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$59.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03

SCREW CORTX 2.4 SLFTP T8SD12MM

Facility

$246.90

Service Code	HCPCS C1713
Hospital Charge Code	270659970
Hospital Revenue Code	278
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$123.45
Rate for Payer: Aetna Commercial	$74.07
Rate for Payer: Aetna Medicare Advantage	$74.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.96
Rate for Payer: Cigna Commercial	$123.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.75
Rate for Payer: Qualcare PPO/HMO/WC	$37.03

SCREW CORT Z NAIL 5.0 X 30

Facility

$1,110.00

Hospital Charge Code	270658847
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$333.00
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 30

Facility

$1,110.00

Hospital Charge Code	270658847
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 40

Facility

$1,110.00

Hospital Charge Code	270658857
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$333.00
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 40

Facility

$1,110.00

Hospital Charge Code	270658857
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 42.5

Facility

$1,110.00

Hospital Charge Code	270658848
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 42.5

Facility

$1,110.00

Hospital Charge Code	270658848
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$333.00
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 50

Facility

$1,110.00

Hospital Charge Code	270658858
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$555.00
Rate for Payer: Aetna Commercial	$333.00
Rate for Payer: Aetna Medicare Advantage	$333.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.05
Rate for Payer: Cigna Commercial	$555.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW CORT Z NAIL 5.0 X 50

Facility

$1,110.00

Hospital Charge Code	270658858
Hospital Revenue Code	278
Min. Negotiated Rate	$166.50
Max. Negotiated Rate	$268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.62
Rate for Payer: Qualcare PPO/HMO/WC	$166.50

SCREW COT LG 5.5 X 70 22537055

Facility

$672.65

Hospital Charge Code	270625980
Hospital Revenue Code	278
Min. Negotiated Rate	$100.90
Max. Negotiated Rate	$336.32
Rate for Payer: Aetna Commercial	$201.79
Rate for Payer: Aetna Medicare Advantage	$201.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.53
Rate for Payer: Cigna Commercial	$336.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.78
Rate for Payer: Qualcare PPO/HMO/WC	$100.90

SCREW COT LG 5.5 X 70 22537055

Facility

$672.65

Hospital Charge Code	270625980
Hospital Revenue Code	278
Min. Negotiated Rate	$100.90
Max. Negotiated Rate	$162.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.78
Rate for Payer: Qualcare PPO/HMO/WC	$100.90

SCREW COT LG 5.5 X 80 22538055

Facility

$539.25

Hospital Charge Code	270625979
Hospital Revenue Code	278
Min. Negotiated Rate	$80.89
Max. Negotiated Rate	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: Qualcare PPO/HMO/WC	$80.89

SCREW COT LG 5.5 X 80 22538055

Facility

$539.25

Hospital Charge Code	270625979
Hospital Revenue Code	278
Min. Negotiated Rate	$80.89
Max. Negotiated Rate	$269.62
Rate for Payer: Aetna Commercial	$161.78
Rate for Payer: Aetna Medicare Advantage	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.51
Rate for Payer: Cigna Commercial	$269.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.50
Rate for Payer: Qualcare PPO/HMO/WC	$80.89

SCREW COUNTER SINK 1.5- 2.0MM

Facility

$624.20

Hospital Charge Code	270663617
Hospital Revenue Code	278
Min. Negotiated Rate	$93.63
Max. Negotiated Rate	$151.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63

SCREW COUNTER SINK 1.5- 2.0MM

Facility

$624.20

Hospital Charge Code	270663617
Hospital Revenue Code	278
Min. Negotiated Rate	$93.63
Max. Negotiated Rate	$312.10
Rate for Payer: Aetna Commercial	$187.26
Rate for Payer: Aetna Medicare Advantage	$187.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.17
Rate for Payer: Cigna Commercial	$312.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63

SCREW C PT THD 5.0x46 11425146

Facility

$530.75

Hospital Charge Code	270631229
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$265.38
Rate for Payer: Aetna Commercial	$159.22
Rate for Payer: Aetna Medicare Advantage	$159.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.34
Rate for Payer: Cigna Commercial	$265.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW C PT THD 5.0x46 11425146

Facility

$530.75

Hospital Charge Code	270631229
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$128.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW CREO 6.5X30MM MODULAR

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693569
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

SCREW CREO 6.5X30MM MODULAR

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693569
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

SCREW CREO AMP 5.5MM POLYAX TU

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693439
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SCREW CREO AMP 5.5MM POLYAX TU

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270693439
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

SCREW CREO AMP 6.5X35MM

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693570
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

SCREW CREO AMP 6.5X35MM

Facility

$3,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693570
Hospital Revenue Code	278
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

Know your out-of-pocket cost for care.

All Charges