Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$57.27
Max. Negotiated Rate	$220.28
Rate for Payer: Aetna Commercial	$132.16
Rate for Payer: Aetna Medicare Advantage	$132.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.34
Rate for Payer: Cigna Commercial	$220.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.27
Rate for Payer: Oxford Commercial	$220.28
Rate for Payer: Qualcare PPO/HMO/WC	$66.08
Rate for Payer: UnitedHealthcare Commercial	$220.28

SCREWDRIVER LARGE HEXONGAL SHO

Facility

$440.55

Hospital Charge Code	270690990
Hospital Revenue Code	272
Min. Negotiated Rate	$66.08
Max. Negotiated Rate	$66.08
Rate for Payer: Qualcare PPO/HMO/WC	$66.08

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$34.53
Max. Negotiated Rate	$34.53
Rate for Payer: Qualcare PPO/HMO/WC	$34.53

SCREWDRIVER SHAFT HEXAGONAL LG

Facility

$230.20

Hospital Charge Code	270652433
Hospital Revenue Code	272
Min. Negotiated Rate	$29.93
Max. Negotiated Rate	$115.10
Rate for Payer: Aetna Commercial	$69.06
Rate for Payer: Aetna Medicare Advantage	$69.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.70
Rate for Payer: Cigna Commercial	$115.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.93
Rate for Payer: Oxford Commercial	$115.10
Rate for Payer: Qualcare PPO/HMO/WC	$34.53
Rate for Payer: UnitedHealthcare Commercial	$115.10

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$469.50
Max. Negotiated Rate	$757.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: Qualcare PPO/HMO/WC	$469.50

SCREW DRIVER SHAFT SD6 SLF 2MM

Facility

$3,130.00

Hospital Charge Code	270674259
Hospital Revenue Code	278
Min. Negotiated Rate	$469.50
Max. Negotiated Rate	$1,565.00
Rate for Payer: Aetna Commercial	$939.00
Rate for Payer: Aetna Medicare Advantage	$939.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.15
Rate for Payer: Cigna Commercial	$1,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.46
Rate for Payer: Qualcare PPO/HMO/WC	$469.50

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$183.60
Max. Negotiated Rate	$296.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: Qualcare PPO/HMO/WC	$183.60

SCREW DRIVER SHAFT T8 105MM

Facility

$1,224.00

Hospital Charge Code	270674258
Hospital Revenue Code	278
Min. Negotiated Rate	$183.60
Max. Negotiated Rate	$612.00
Rate for Payer: Aetna Commercial	$367.20
Rate for Payer: Aetna Medicare Advantage	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.12
Rate for Payer: Cigna Commercial	$612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.21
Rate for Payer: Qualcare PPO/HMO/WC	$183.60

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$198.45
Max. Negotiated Rate	$198.45
Rate for Payer: Qualcare PPO/HMO/WC	$198.45

SCREWDRIVER SHFT CANN HEX 4MM

Facility

$1,323.00

Hospital Charge Code	270675152
Hospital Revenue Code	272
Min. Negotiated Rate	$171.99
Max. Negotiated Rate	$661.50
Rate for Payer: Aetna Commercial	$396.90
Rate for Payer: Aetna Medicare Advantage	$396.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.37
Rate for Payer: Cigna Commercial	$661.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.99
Rate for Payer: Oxford Commercial	$661.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.45
Rate for Payer: UnitedHealthcare Commercial	$661.50

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$115.88
Rate for Payer: Aetna Commercial	$69.53
Rate for Payer: Aetna Medicare Advantage	$69.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.10
Rate for Payer: Cigna Commercial	$115.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Oxford Commercial	$115.88
Rate for Payer: Qualcare PPO/HMO/WC	$34.76
Rate for Payer: UnitedHealthcare Commercial	$115.88

SCREWDRIVER SMALL HEX SHAFT

Facility

$231.75

Hospital Charge Code	270614767
Hospital Revenue Code	272
Min. Negotiated Rate	$34.76
Max. Negotiated Rate	$34.76
Rate for Payer: Qualcare PPO/HMO/WC	$34.76

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$654.62
Max. Negotiated Rate	$654.62
Rate for Payer: Qualcare PPO/HMO/WC	$654.62

SCREWDRIVER STARDRIVE 341 MM

Facility

$4,364.15

Hospital Charge Code	270691505
Hospital Revenue Code	272
Min. Negotiated Rate	$567.34
Max. Negotiated Rate	$2,182.07
Rate for Payer: Aetna Commercial	$1,309.24
Rate for Payer: Aetna Medicare Advantage	$1,309.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,112.86
Rate for Payer: Cigna Commercial	$2,182.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$567.34
Rate for Payer: Oxford Commercial	$2,182.07
Rate for Payer: Qualcare PPO/HMO/WC	$654.62
Rate for Payer: UnitedHealthcare Commercial	$2,182.07

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$151.44
Max. Negotiated Rate	$582.48
Rate for Payer: Aetna Commercial	$349.49
Rate for Payer: Aetna Medicare Advantage	$349.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.06
Rate for Payer: Cigna Commercial	$582.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.44
Rate for Payer: Oxford Commercial	$582.48
Rate for Payer: Qualcare PPO/HMO/WC	$174.74
Rate for Payer: UnitedHealthcare Commercial	$582.48

SCREWDRIVER STRDRV 55MM

Facility

$1,164.95

Hospital Charge Code	270677660
Hospital Revenue Code	272
Min. Negotiated Rate	$174.74
Max. Negotiated Rate	$174.74
Rate for Payer: Qualcare PPO/HMO/WC	$174.74

SCREWDRIVER T15 CANN COMP SR

Facility

$2,618.20

Service Code	HCPCS C1713
Hospital Charge Code	270693426
Hospital Revenue Code	278
Min. Negotiated Rate	$392.73
Max. Negotiated Rate	$1,309.10
Rate for Payer: Aetna Commercial	$785.46
Rate for Payer: Aetna Medicare Advantage	$785.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.64
Rate for Payer: Cigna Commercial	$1,309.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.60
Rate for Payer: Qualcare PPO/HMO/WC	$392.73

SCREWDRIVER T15 CANN COMP SR

Facility

$2,618.20

Service Code	HCPCS C1713
Hospital Charge Code	270693426
Hospital Revenue Code	278
Min. Negotiated Rate	$392.73
Max. Negotiated Rate	$633.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$633.60
Rate for Payer: Qualcare PPO/HMO/WC	$392.73

SCREWDRIVER T25 3.5

Facility

$3,975.00

Hospital Charge Code	270692386
Hospital Revenue Code	272
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$596.25
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREWDRIVER T25 3.5

Facility

$3,975.00

Hospital Charge Code	270692386
Hospital Revenue Code	272
Min. Negotiated Rate	$516.75
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.75
Rate for Payer: Oxford Commercial	$1,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Commercial	$1,987.50

SCREWDRIVER T40 277 MM

Facility

$4,364.15

Hospital Charge Code	270691507
Hospital Revenue Code	272
Min. Negotiated Rate	$567.34
Max. Negotiated Rate	$2,182.07
Rate for Payer: Aetna Commercial	$1,309.24
Rate for Payer: Aetna Medicare Advantage	$1,309.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,112.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,112.86
Rate for Payer: Cigna Commercial	$2,182.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$567.34
Rate for Payer: Oxford Commercial	$2,182.07
Rate for Payer: Qualcare PPO/HMO/WC	$654.62
Rate for Payer: UnitedHealthcare Commercial	$2,182.07

SCREWDRIVER T40 277 MM

Facility

$4,364.15

Hospital Charge Code	270691507
Hospital Revenue Code	272
Min. Negotiated Rate	$654.62
Max. Negotiated Rate	$654.62
Rate for Payer: Qualcare PPO/HMO/WC	$654.62

SCREWDRIVER TAKEHOME BMT 72330

Facility

$1,080.85

Hospital Charge Code	270616769
Hospital Revenue Code	272
Min. Negotiated Rate	$162.13
Max. Negotiated Rate	$162.13
Rate for Payer: Qualcare PPO/HMO/WC	$162.13

SCREWDRIVER TAKEHOME BMT 72330

Facility

$1,080.85

Hospital Charge Code	270616769
Hospital Revenue Code	272
Min. Negotiated Rate	$140.51
Max. Negotiated Rate	$540.42
Rate for Payer: Aetna Commercial	$324.25
Rate for Payer: Aetna Medicare Advantage	$324.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.62
Rate for Payer: Cigna Commercial	$540.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.51
Rate for Payer: Oxford Commercial	$540.42
Rate for Payer: Qualcare PPO/HMO/WC	$162.13
Rate for Payer: UnitedHealthcare Commercial	$540.42

SCREW D/THRD TI 2.0x22mm

Facility

$1,125.00

Hospital Charge Code	270669704
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

Know your out-of-pocket cost for care.

All Charges