Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DPY CORE 4.5 32 1402232

Facility

$84.00

Hospital Charge Code	270622956
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 34 1402234

Facility

$84.00

Hospital Charge Code	270622957
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 34 1402234

Facility

$84.00

Hospital Charge Code	270622957
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 38 1402238

Facility

$84.00

Hospital Charge Code	270622958
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 38 1402238

Facility

$84.00

Hospital Charge Code	270622958
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 40 1402240

Facility

$84.00

Hospital Charge Code	270622961
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$25.20
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORE 4.5 40 1402240

Facility

$84.00

Hospital Charge Code	270622961
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW DPY CORT 3.5 16 1437716

Facility

$121.65

Hospital Charge Code	270622980
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DPY CORT 3.5 16 1437716

Facility

$121.65

Hospital Charge Code	270622980
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DPY CORT 3.5 18 1437718

Facility

$121.65

Hospital Charge Code	270622983
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$29.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DPY CORT 3.5 18 1437718

Facility

$121.65

Hospital Charge Code	270622983
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$36.49
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$271.21
Max. Negotiated Rate	$271.21
Rate for Payer: Qualcare PPO/HMO/WC	$271.21

SCREW DRIVER 3.9 X 2.5 MM

Facility

$1,808.10

Hospital Charge Code	270690988
Hospital Revenue Code	272
Min. Negotiated Rate	$235.05
Max. Negotiated Rate	$904.05
Rate for Payer: Aetna Commercial	$542.43
Rate for Payer: Aetna Medicare Advantage	$542.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.07
Rate for Payer: Cigna Commercial	$904.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.05
Rate for Payer: Oxford Commercial	$904.05
Rate for Payer: Qualcare PPO/HMO/WC	$271.21
Rate for Payer: UnitedHealthcare Commercial	$904.05

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$498.81
Max. Negotiated Rate	$1,918.50
Rate for Payer: Aetna Commercial	$1,151.10
Rate for Payer: Aetna Medicare Advantage	$1,151.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$978.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$978.43
Rate for Payer: Cigna Commercial	$1,918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$498.81
Rate for Payer: Oxford Commercial	$1,918.50
Rate for Payer: Qualcare PPO/HMO/WC	$575.55
Rate for Payer: UnitedHealthcare Commercial	$1,918.50

SCREWDRIVER BLADE CRUCIFRM 2MM

Facility

$3,837.00

Hospital Charge Code	270675736
Hospital Revenue Code	272
Min. Negotiated Rate	$575.55
Max. Negotiated Rate	$575.55
Rate for Payer: Qualcare PPO/HMO/WC	$575.55

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$187.15
Max. Negotiated Rate	$623.83
Rate for Payer: Aetna Commercial	$374.30
Rate for Payer: Aetna Medicare Advantage	$374.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.15
Rate for Payer: Cigna Commercial	$623.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.93
Rate for Payer: Qualcare PPO/HMO/WC	$187.15

SCREWDRIVER CANN HEX 2.5mm

Facility

$1,247.65

Service Code	HCPCS C1713
Hospital Charge Code	270684682
Hospital Revenue Code	278
Min. Negotiated Rate	$187.15
Max. Negotiated Rate	$301.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$249.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.93
Rate for Payer: Qualcare PPO/HMO/WC	$187.15

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$196.43
Max. Negotiated Rate	$755.50
Rate for Payer: Aetna Commercial	$453.30
Rate for Payer: Aetna Medicare Advantage	$453.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.31
Rate for Payer: Cigna Commercial	$755.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.43
Rate for Payer: Oxford Commercial	$755.50
Rate for Payer: Qualcare PPO/HMO/WC	$226.65
Rate for Payer: UnitedHealthcare Commercial	$755.50

SCREWDRIVER CANN HEX 3.5mm

Facility

$1,511.00

Hospital Charge Code	270654612
Hospital Revenue Code	272
Min. Negotiated Rate	$226.65
Max. Negotiated Rate	$226.65
Rate for Payer: Qualcare PPO/HMO/WC	$226.65

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$136.27
Max. Negotiated Rate	$136.27
Rate for Payer: Qualcare PPO/HMO/WC	$136.27

SCREWDRIVER CRUCIFORM SHAFT

Facility

$908.45

Hospital Charge Code	270652430
Hospital Revenue Code	272
Min. Negotiated Rate	$118.10
Max. Negotiated Rate	$454.23
Rate for Payer: Aetna Commercial	$272.54
Rate for Payer: Aetna Medicare Advantage	$272.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.65
Rate for Payer: Cigna Commercial	$454.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.10
Rate for Payer: Oxford Commercial	$454.23
Rate for Payer: Qualcare PPO/HMO/WC	$136.27
Rate for Payer: UnitedHealthcare Commercial	$454.23

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$202.95
Max. Negotiated Rate	$202.95
Rate for Payer: Qualcare PPO/HMO/WC	$202.95

SCREWDRIVER HEX SM W/HOLD SLV

Facility

$1,353.00

Hospital Charge Code	270669609
Hospital Revenue Code	272
Min. Negotiated Rate	$175.89
Max. Negotiated Rate	$676.50
Rate for Payer: Aetna Commercial	$405.90
Rate for Payer: Aetna Medicare Advantage	$405.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$345.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$345.01
Rate for Payer: Cigna Commercial	$676.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.89
Rate for Payer: Oxford Commercial	$676.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.95
Rate for Payer: UnitedHealthcare Commercial	$676.50

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$254.15
Max. Negotiated Rate	$254.15
Rate for Payer: Qualcare PPO/HMO/WC	$254.15

SCREWDRIVER LARGE HEXAGONAL

Facility

$1,694.35

Hospital Charge Code	270690989
Hospital Revenue Code	272
Min. Negotiated Rate	$220.27
Max. Negotiated Rate	$847.17
Rate for Payer: Aetna Commercial	$508.31
Rate for Payer: Aetna Medicare Advantage	$508.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.06
Rate for Payer: Cigna Commercial	$847.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.27
Rate for Payer: Oxford Commercial	$847.17
Rate for Payer: Qualcare PPO/HMO/WC	$254.15
Rate for Payer: UnitedHealthcare Commercial	$847.17

Know your out-of-pocket cost for care.

All Charges