Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CTR-DRV 2x4mm

Facility

$96.85

Hospital Charge Code	270610960
Hospital Revenue Code	278
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$23.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

SCREW CTR-DRV 2x7mm

Facility

$99.25

Hospital Charge Code	270610962
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW CTR-DRV 2x7mm

Facility

$99.25

Hospital Charge Code	270610962
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$24.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.02
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

SCREW CTR-DRV 2x9mm

Facility

$101.65

Hospital Charge Code	270610963
Hospital Revenue Code	278
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$24.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.25

SCREW CTR-DRV 2x9mm

Facility

$101.65

Hospital Charge Code	270610963
Hospital Revenue Code	278
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$50.83
Rate for Payer: Aetna Commercial	$30.50
Rate for Payer: Aetna Medicare Advantage	$30.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.92
Rate for Payer: Cigna Commercial	$50.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.25

SCREW CTR-DRV EMER 2.3x5mm

Facility

$96.85

Hospital Charge Code	270610970
Hospital Revenue Code	278
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$48.42
Rate for Payer: Aetna Commercial	$29.05
Rate for Payer: Aetna Medicare Advantage	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.70
Rate for Payer: Cigna Commercial	$48.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

SCREW CTR-DRV EMER 2.3x5mm

Facility

$96.85

Hospital Charge Code	270610970
Hospital Revenue Code	278
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$23.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

SCREW CTR-DRV EMER 2.3x7mm

Facility

$870.00

Hospital Charge Code	270610971
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW CTR-DRV EMER 2.3x7mm

Facility

$870.00

Hospital Charge Code	270610971
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$261.00
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW CTR-DRV EMER 2.3x9mm

Facility

$104.00

Hospital Charge Code	270610972
Hospital Revenue Code	278
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.17
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

SCREW CTR-DRV EMER 2.3x9mm

Facility

$104.00

Hospital Charge Code	270610972
Hospital Revenue Code	278
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.17
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

SCREW CTR-DRV EMER 3.2x10mm

Facility

$225.65

Hospital Charge Code	270610991
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$54.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

SCREW CTR-DRV EMER 3.2x10mm

Facility

$225.65

Hospital Charge Code	270610991
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$112.83
Rate for Payer: Aetna Commercial	$67.69
Rate for Payer: Aetna Medicare Advantage	$67.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.54
Rate for Payer: Cigna Commercial	$112.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

SCREW CTR-DRV EMER 3.2x12mm

Facility

$225.65

Hospital Charge Code	270610992
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$54.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

SCREW CTR-DRV EMER 3.2x12mm

Facility

$225.65

Hospital Charge Code	270610992
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$112.83
Rate for Payer: Aetna Commercial	$67.69
Rate for Payer: Aetna Medicare Advantage	$67.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.54
Rate for Payer: Cigna Commercial	$112.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

SCREW CTR-DRV EMER 3.2x20mm

Facility

$240.00

Hospital Charge Code	270610994
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

SCREW CTR-DRV EMER 3.2x20mm

Facility

$240.00

Hospital Charge Code	270610994
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$72.00
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 12MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699247
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$548.10
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW CURE ACP FIX RESCUE 14MM

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270699246
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$548.10
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW DAKOTE ACDF SD 4.0X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270696965
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$280.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

SCREW DARCO 4.5X 45

Facility

$1,160.00

Service Code	HCPCS C1713
Hospital Charge Code	270686743
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$580.00
Rate for Payer: Aetna Commercial	$348.00
Rate for Payer: Aetna Medicare Advantage	$348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.80
Rate for Payer: Cigna Commercial	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.72
Rate for Payer: Qualcare PPO/HMO/WC	$174.00

Know your out-of-pocket cost for care.

All Charges