Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ECT CANC PT THD 35-50MM

Facility

$49.00

Hospital Charge Code	1603745
Hospital Revenue Code	274
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SCREW ECT CANC PT THD 35-50MM

Facility

$49.00

Hospital Charge Code	1603745
Hospital Revenue Code	274
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SCREW ECT CORT 1.5/16MM

Facility

$27.73

Hospital Charge Code	2706012001
Hospital Revenue Code	274
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$13.87
Rate for Payer: Aetna Commercial	$8.32
Rate for Payer: Aetna Medicare Advantage	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.07
Rate for Payer: Cigna Commercial	$13.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.16

SCREW ECT CORT 1.5/16MM

Facility

$27.73

Hospital Charge Code	2706012001
Hospital Revenue Code	274
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$6.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.16

SCREW ECT CORT SF TP 4.5/42MM

Facility

$32.64

Hospital Charge Code	270605550
Hospital Revenue Code	279
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$16.32
Rate for Payer: Aetna Commercial	$9.79
Rate for Payer: Aetna Medicare Advantage	$9.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.32
Rate for Payer: Cigna Commercial	$16.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.24
Rate for Payer: Oxford Commercial	$16.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.90
Rate for Payer: UnitedHealthcare Commercial	$16.32

SCREW ECT CORT SF TP 4.5/42MM

Facility

$32.64

Hospital Charge Code	270605550
Hospital Revenue Code	279
Min. Negotiated Rate	$4.90
Max. Negotiated Rate	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$4.90

SCREW ECT MALLEOLAR 4.5MM***

Facility

$54.00

Hospital Charge Code	1602325
Hospital Revenue Code	274
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

SCREW ECT MALLEOLAR 4.5MM***

Facility

$54.00

Hospital Charge Code	1602325
Hospital Revenue Code	274
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

SCREW ECT PT THD 4.0/10-20MM

Facility

$41.00

Hospital Charge Code	1603729
Hospital Revenue Code	274
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$9.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

SCREW ECT PT THD 4.0/10-20MM

Facility

$41.00

Hospital Charge Code	1603729
Hospital Revenue Code	274
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$20.50
Rate for Payer: Aetna Commercial	$12.30
Rate for Payer: Aetna Medicare Advantage	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.46
Rate for Payer: Cigna Commercial	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

SCREW EDS AXIAL 6.5 55 7006555

Facility

$5,391.25

Hospital Charge Code	270628750
Hospital Revenue Code	278
Min. Negotiated Rate	$808.69
Max. Negotiated Rate	$2,695.62
Rate for Payer: Aetna Commercial	$1,617.38
Rate for Payer: Aetna Medicare Advantage	$1,617.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,374.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,374.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,374.77
Rate for Payer: Cigna Commercial	$2,695.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.68
Rate for Payer: Qualcare PPO/HMO/WC	$808.69

SCREW EDS AXIAL 6.5 55 7006555

Facility

$5,391.25

Hospital Charge Code	270628750
Hospital Revenue Code	278
Min. Negotiated Rate	$808.69
Max. Negotiated Rate	$1,304.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,304.68
Rate for Payer: Qualcare PPO/HMO/WC	$808.69

SCREW ES2 5.5 X 40 MM

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701778
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

SCREW ES2 5.5 X 40 MM

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701778
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

SCREW ES2 6.5 X 40 MM

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701779
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,100.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

SCREW ES2 6.5 X 40 MM

Facility

$7,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270701779
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

SCREW EVOL TIBIAL BASE SZ 6 RT

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697690
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,150.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

SCREW EVOL TIBIAL BASE SZ 6 RT

Facility

$10,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697690
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

SCREW EXPEDIUM 6 MM X 50 MM

Facility

$9,825.00

Hospital Charge Code	270667350
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW EXPEDIUM 6 MM X 50 MM

Facility

$9,825.00

Hospital Charge Code	270667350
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$2,947.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW EXPEDIUM 6X45MM

Facility

$5,500.00

Hospital Charge Code	270667864
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

SCREW EXPEDIUM 6X45MM

Facility

$5,500.00

Hospital Charge Code	270667864
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

SCREW EXPEDIUM 7 MM X 35 MM

Facility

$9,825.00

Hospital Charge Code	270665351
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW EXPEDIUM 7 MM X 35 MM

Facility

$9,825.00

Hospital Charge Code	270665351
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$2,947.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW EXPED POLY SI 5.5X7X40MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270661528
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Know your out-of-pocket cost for care.

All Charges