Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CRETX 3.5 MM X24 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683627
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
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 CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X26 MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270683628
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CRETX 3.5 MM X26 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270683629
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 CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW CROSS 3.5X22MM

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270700090
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW CROSS 3.5x32mm

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270685331
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW CRT LG 5.5X27.5 22533055

Facility

$611.25

Hospital Charge Code	270625982
Hospital Revenue Code	278
Min. Negotiated Rate	$91.69
Max. Negotiated Rate	$305.62
Rate for Payer: Aetna Commercial	$183.38
Rate for Payer: Aetna Medicare Advantage	$183.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.87
Rate for Payer: Cigna Commercial	$305.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.92
Rate for Payer: Qualcare PPO/HMO/WC	$91.69

SCREW CRT LG 5.5X27.5 22533055

Facility

$611.25

Hospital Charge Code	270625982
Hospital Revenue Code	278
Min. Negotiated Rate	$91.69
Max. Negotiated Rate	$147.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.92
Rate for Payer: Qualcare PPO/HMO/WC	$91.69

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$60.84
Max. Negotiated Rate	$202.80
Rate for Payer: Aetna Commercial	$121.68
Rate for Payer: Aetna Medicare Advantage	$121.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.43
Rate for Payer: Cigna Commercial	$202.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: Qualcare PPO/HMO/WC	$60.84

SCREW CRT LO PR SLF-TPN 3.5-16

Facility

$405.60

Service Code	HCPCS C1713
Hospital Charge Code	270688191
Hospital Revenue Code	278
Min. Negotiated Rate	$60.84
Max. Negotiated Rate	$98.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.16
Rate for Payer: Qualcare PPO/HMO/WC	$60.84

SCREW CRT S 2.7x14 48270104101

Facility

$61.35

Hospital Charge Code	270633306
Hospital Revenue Code	278
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$30.68
Rate for Payer: Aetna Commercial	$18.41
Rate for Payer: Aetna Medicare Advantage	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.64
Rate for Payer: Cigna Commercial	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SCREW CRT S 2.7x14 48270104101

Facility

$61.35

Hospital Charge Code	270633306
Hospital Revenue Code	278
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CRTX LOW PROF 3.5x16MM

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663168
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$47.27
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CRTX LOW PRO HD 3.5x22MM

Facility

$148.50

Hospital Charge Code	270676229
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCREW CTR-DRV 2.7x10mm

Facility

$153.65

Hospital Charge Code	270610980
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW CTR-DRV 2.7x10mm

Facility

$153.65

Hospital Charge Code	270610980
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW CTR-DRV 2.7x12mm

Facility

$156.00

Hospital Charge Code	270610981
Hospital Revenue Code	278
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$78.00
Rate for Payer: Aetna Commercial	$46.80
Rate for Payer: Aetna Medicare Advantage	$46.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.78
Rate for Payer: Cigna Commercial	$78.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

SCREW CTR-DRV 2.7x12mm

Facility

$156.00

Hospital Charge Code	270610981
Hospital Revenue Code	278
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$37.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

SCREW CTR-DRV 2.7x14mm

Facility

$161.65

Hospital Charge Code	270610982
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$48.49
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SCREW CTR-DRV 2.7x14mm

Facility

$161.65

Hospital Charge Code	270610982
Hospital Revenue Code	278
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$39.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.12
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

Know your out-of-pocket cost for care.

All Charges