Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FRLOK COMP LAG 115MM

Facility

$602.00

Hospital Charge Code	1605211
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 115MM

Facility

$602.00

Hospital Charge Code	1605211
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 120MM

Facility

$602.00

Hospital Charge Code	1605245
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 120MM

Facility

$602.00

Hospital Charge Code	1605245
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 125MM

Facility

$602.00

Hospital Charge Code	1605237
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 125MM

Facility

$602.00

Hospital Charge Code	1605237
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 130MM

Facility

$602.00

Hospital Charge Code	1605229
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 130MM

Facility

$602.00

Hospital Charge Code	1605229
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 60MM

Facility

$602.00

Hospital Charge Code	1605195
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 60MM

Facility

$602.00

Hospital Charge Code	1605195
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 65MM

Facility

$602.00

Hospital Charge Code	1605203
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$145.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 65MM

Facility

$602.00

Hospital Charge Code	1605203
Hospital Revenue Code	274
Min. Negotiated Rate	$90.30
Max. Negotiated Rate	$301.00
Rate for Payer: Aetna Commercial	$180.60
Rate for Payer: Aetna Medicare Advantage	$180.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.51
Rate for Payer: Cigna Commercial	$301.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.68
Rate for Payer: Qualcare PPO/HMO/WC	$90.30

SCREW FRLOK COMP LAG 90MM

Facility

$951.25

Hospital Charge Code	270606022
Hospital Revenue Code	278
Min. Negotiated Rate	$142.69
Max. Negotiated Rate	$230.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: Qualcare PPO/HMO/WC	$142.69

SCREW FRLOK COMP LAG 90MM

Facility

$951.25

Hospital Charge Code	270606022
Hospital Revenue Code	278
Min. Negotiated Rate	$142.69
Max. Negotiated Rate	$475.62
Rate for Payer: Aetna Commercial	$285.38
Rate for Payer: Aetna Medicare Advantage	$285.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.57
Rate for Payer: Cigna Commercial	$475.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: Qualcare PPO/HMO/WC	$142.69

SCREW FRLOK SHORT LAG 65MM

Facility

$708.00

Hospital Charge Code	1605153
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 65MM

Facility

$708.00

Hospital Charge Code	1605153
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 70MM

Facility

$708.00

Hospital Charge Code	1605146
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 70MM

Facility

$708.00

Hospital Charge Code	1605146
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 80MM

Facility

$708.00

Hospital Charge Code	1605161
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 80MM

Facility

$708.00

Hospital Charge Code	1605161
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 85MM

Facility

$708.00

Hospital Charge Code	1605179
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 85MM

Facility

$708.00

Hospital Charge Code	1605179
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 90MM

Facility

$708.00

Hospital Charge Code	1605187
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK SHORT LAG 90MM

Facility

$708.00

Hospital Charge Code	1605187
Hospital Revenue Code	274
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW FRLOK STD LAG 55-140MM**

Facility

$733.00

Hospital Charge Code	1605708
Hospital Revenue Code	274
Min. Negotiated Rate	$109.95
Max. Negotiated Rate	$366.50
Rate for Payer: Aetna Commercial	$219.90
Rate for Payer: Aetna Medicare Advantage	$219.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.91
Rate for Payer: Cigna Commercial	$366.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.39
Rate for Payer: Qualcare PPO/HMO/WC	$109.95

Know your out-of-pocket cost for care.

All Charges