Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FIXOS ST COMP 2.5X24MM

Facility

$2,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270699829
Hospital Revenue Code	278
Min. Negotiated Rate	$334.50
Max. Negotiated Rate	$539.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: Qualcare PPO/HMO/WC	$334.50

SCREW FIXOS TWIST-OFF 2X11MM

Facility

$2,615.00

Service Code	HCPCS C1713
Hospital Charge Code	270671307
Hospital Revenue Code	278
Min. Negotiated Rate	$392.25
Max. Negotiated Rate	$1,307.50
Rate for Payer: Aetna Commercial	$784.50
Rate for Payer: Aetna Medicare Advantage	$784.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$666.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$666.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$666.83
Rate for Payer: Cigna Commercial	$1,307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.83
Rate for Payer: Qualcare PPO/HMO/WC	$392.25

SCREW FIXOS TWIST-OFF 2X11MM

Facility

$2,615.00

Service Code	HCPCS C1713
Hospital Charge Code	270671307
Hospital Revenue Code	278
Min. Negotiated Rate	$392.25
Max. Negotiated Rate	$632.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$523.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.83
Rate for Payer: Qualcare PPO/HMO/WC	$392.25

SCREW FIX SELF DRILL 3.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694463
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW FIX SELF DRILL 3.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694463
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW FORTE CANC FT 4.0X16MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270661146
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$636.30
Rate for Payer: Aetna Commercial	$381.78
Rate for Payer: Aetna Medicare Advantage	$381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.51
Rate for Payer: Cigna Commercial	$636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW FORTE CANC FT 4.0X16MM

Facility

$1,272.60

Service Code	HCPCS C1713
Hospital Charge Code	270661146
Hospital Revenue Code	278
Min. Negotiated Rate	$190.89
Max. Negotiated Rate	$307.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$254.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.97
Rate for Payer: Qualcare PPO/HMO/WC	$190.89

SCREW FORTE CANC FULL THD

Facility

$200.50

Hospital Charge Code	270630838
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW FORTE CANC FULL THD

Facility

$200.50

Hospital Charge Code	270630839
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW FORTE CANC FULL THD

Facility

$200.50

Hospital Charge Code	270630838
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW FORTE CANC FULL THD

Facility

$200.50

Hospital Charge Code	270630839
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW FREE LOCK LAG STD

Facility

$623.15

Hospital Charge Code	270656344
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$311.57
Rate for Payer: Aetna Commercial	$186.94
Rate for Payer: Aetna Medicare Advantage	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.90
Rate for Payer: Cigna Commercial	$311.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD

Facility

$623.15

Hospital Charge Code	270656344
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD

Facility

$490.05

Hospital Charge Code	270656365
Hospital Revenue Code	278
Min. Negotiated Rate	$73.51
Max. Negotiated Rate	$245.03
Rate for Payer: Aetna Commercial	$147.01
Rate for Payer: Aetna Medicare Advantage	$147.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.96
Rate for Payer: Cigna Commercial	$245.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.59
Rate for Payer: Qualcare PPO/HMO/WC	$73.51

SCREW FREE LOCK LAG STD

Facility

$490.05

Hospital Charge Code	270656365
Hospital Revenue Code	278
Min. Negotiated Rate	$73.51
Max. Negotiated Rate	$118.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.59
Rate for Payer: Qualcare PPO/HMO/WC	$73.51

SCREW FREE LOCK LAG STD 13TH.

Facility

$623.15

Service Code	HCPCS C1713
Hospital Charge Code	270656363
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$311.57
Rate for Payer: Aetna Commercial	$186.94
Rate for Payer: Aetna Medicare Advantage	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.90
Rate for Payer: Cigna Commercial	$311.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD 13TH.

Facility

$623.15

Service Code	HCPCS C1713
Hospital Charge Code	270656363
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD 13TH.

Facility

$623.15

Hospital Charge Code	270656348
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD 13TH.

Facility

$623.15

Hospital Charge Code	270656348
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$311.57
Rate for Payer: Aetna Commercial	$186.94
Rate for Payer: Aetna Medicare Advantage	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.90
Rate for Payer: Cigna Commercial	$311.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREE LOCK LAG STD 13THD

Facility

$756.00

Service Code	HCPCS C1713
Hospital Charge Code	270650797
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$226.80
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW FREE LOCK LAG STD 13THD

Facility

$756.00

Service Code	HCPCS C1713
Hospital Charge Code	270650797
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW FREELOCK LAG STD 13THD.

Facility

$623.15

Hospital Charge Code	270656350
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FREELOCK LAG STD 13THD.

Facility

$623.15

Hospital Charge Code	270656350
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$311.57
Rate for Payer: Aetna Commercial	$186.94
Rate for Payer: Aetna Medicare Advantage	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.90
Rate for Payer: Cigna Commercial	$311.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW FRLK 12.7T 55mm 11810520

Facility

$855.25

Hospital Charge Code	270625764
Hospital Revenue Code	278
Min. Negotiated Rate	$128.29
Max. Negotiated Rate	$206.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.97
Rate for Payer: Qualcare PPO/HMO/WC	$128.29

SCREW FRLK 12.7T 55mm 11810520

Facility

$855.25

Hospital Charge Code	270625764
Hospital Revenue Code	278
Min. Negotiated Rate	$128.29
Max. Negotiated Rate	$427.62
Rate for Payer: Aetna Commercial	$256.57
Rate for Payer: Aetna Medicare Advantage	$256.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.09
Rate for Payer: Cigna Commercial	$427.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.97
Rate for Payer: Qualcare PPO/HMO/WC	$128.29

Know your out-of-pocket cost for care.

All Charges