Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FEMORAL POST SZ3 10MM

Facility

$3,604.00

Hospital Charge Code	270677099
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$1,802.00
Rate for Payer: Aetna Commercial	$1,081.20
Rate for Payer: Aetna Medicare Advantage	$1,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$919.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$919.02
Rate for Payer: Cigna Commercial	$1,802.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL POST SZ5 10MM

Facility

$3,604.00

Hospital Charge Code	270676758
Hospital Revenue Code	278
Min. Negotiated Rate	$540.60
Max. Negotiated Rate	$872.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$720.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$872.17
Rate for Payer: Qualcare PPO/HMO/WC	$540.60

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$107.10
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMORAL STANDARD

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270684559
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$310.00
Rate for Payer: Aetna Commercial	$186.00
Rate for Payer: Aetna Medicare Advantage	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.10
Rate for Payer: Cigna Commercial	$310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: Qualcare PPO/HMO/WC	$93.00

SCREW FEMUR

Facility

$620.00

Service Code	HCPCS C1713
Hospital Charge Code	270681644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$150.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.04
Rate for Payer: Qualcare PPO/HMO/WC	$93.00

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$107.10
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FEMUR STERILE

Facility

$357.00

Service Code	HCPCS C1713
Hospital Charge Code	270682314
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW FIX ANG SD ADM 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694449
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW FIX ANG SD ADM 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694449
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW FIXED 3.75 X 14

Facility

$2,000.00

Hospital Charge Code	270667752
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW FIXED 4.0X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270691987
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$330.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

SCREW FIXED 4.0X14MM

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270691987
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20

SCREW FIXED 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688413
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW FIXED 4.0 X 16MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270688413
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW FIXED DIAMOND 4.3x12MM

Facility

$2,045.00

Hospital Charge Code	270657727
Hospital Revenue Code	278
Min. Negotiated Rate	$306.75
Max. Negotiated Rate	$494.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: Qualcare PPO/HMO/WC	$306.75

SCREW FIXED DIAMOND 4.3x12MM

Facility

$2,045.00

Hospital Charge Code	270657727
Hospital Revenue Code	278
Min. Negotiated Rate	$306.75
Max. Negotiated Rate	$1,022.50
Rate for Payer: Aetna Commercial	$613.50
Rate for Payer: Aetna Medicare Advantage	$613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$521.48
Rate for Payer: Cigna Commercial	$1,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: Qualcare PPO/HMO/WC	$306.75

SCREW FIXED LAG 100mm DC29259

Facility

$2,325.00

Hospital Charge Code	635452
Hospital Revenue Code	272
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.25
Rate for Payer: Oxford Commercial	$1,162.50
Rate for Payer: Qualcare PPO/HMO/WC	$348.75
Rate for Payer: UnitedHealthcare Commercial	$1,162.50

SCREW FIXED LAG 100mm DC29259

Facility

$1,860.00

Hospital Charge Code	270635452
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

SCREW FIXED LAG 100mm DC29259

Facility

$2,325.00

Hospital Charge Code	635452
Hospital Revenue Code	272
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$348.75
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW FIXED LAG 100mm DC29259

Facility

$1,860.00

Hospital Charge Code	270635452
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$558.00
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

SCREW FIXED LAG 105m

Facility

$2,906.25

Hospital Charge Code	270637151
Hospital Revenue Code	278
Min. Negotiated Rate	$435.94
Max. Negotiated Rate	$1,453.12
Rate for Payer: Aetna Commercial	$871.88
Rate for Payer: Aetna Medicare Advantage	$871.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$741.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$741.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$741.09
Rate for Payer: Cigna Commercial	$1,453.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.31
Rate for Payer: Qualcare PPO/HMO/WC	$435.94

SCREW FIXED LAG 105m

Facility

$2,906.25

Hospital Charge Code	270637151
Hospital Revenue Code	278
Min. Negotiated Rate	$435.94
Max. Negotiated Rate	$703.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.31
Rate for Payer: Qualcare PPO/HMO/WC	$435.94

Know your out-of-pocket cost for care.

All Charges