Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW FULL THREAD T10 3.5X20MM

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270694742
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

SCREW FULL THREAD T10 3.5X20MM

Facility

$1,025.00

Service Code	HCPCS C1713
Hospital Charge Code	270694742
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

SCREW FULLY THREAD 20.13MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700859
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$288.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW FULLY THREAD 20.13MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700859
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW FULLY THREADED 14MM

Facility

$650.00

Hospital Charge Code	270664023
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW FULLY THREADED 14MM

Facility

$650.00

Hospital Charge Code	270664023
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW FULLY THREADED 24MM

Facility

$650.00

Hospital Charge Code	270664022
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW FULLY THREADED 24MM

Facility

$650.00

Hospital Charge Code	270664022
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW FULLY THREADED 2.5X 12MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700858
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$481.25
Rate for Payer: Aetna Commercial	$288.75
Rate for Payer: Aetna Medicare Advantage	$288.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.44
Rate for Payer: Cigna Commercial	$481.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW FULLY THREADED 2.5X 12MM

Facility

$962.50

Service Code	HCPCS C1713
Hospital Charge Code	270700858
Hospital Revenue Code	278
Min. Negotiated Rate	$144.38
Max. Negotiated Rate	$232.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.93
Rate for Payer: Qualcare PPO/HMO/WC	$144.38

SCREW FULLY THREADED 4.0 X4

Facility

$2,135.00

Hospital Charge Code	270667928
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$1,067.50
Rate for Payer: Aetna Commercial	$640.50
Rate for Payer: Aetna Medicare Advantage	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.42
Rate for Payer: Cigna Commercial	$1,067.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

SCREW FULLY THREADED 4.0 X4

Facility

$2,135.00

Hospital Charge Code	270667928
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$516.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

SCREW FUL THD 6.5x75 815761075

Facility

$168.70

Hospital Charge Code	270633176
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$40.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW FUL THD 6.5x75 815761075

Facility

$168.70

Hospital Charge Code	270633176
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$84.35
Rate for Payer: Aetna Commercial	$50.61
Rate for Payer: Aetna Medicare Advantage	$50.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.02
Rate for Payer: Cigna Commercial	$84.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW FX AGL M8 35x7.5 859-735

Facility

$3,422.45

Hospital Charge Code	270617305
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$828.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW FX AGL M8 35x7.5 859-735

Facility

$3,422.45

Hospital Charge Code	270617305
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$1,711.22
Rate for Payer: Aetna Commercial	$1,026.73
Rate for Payer: Aetna Medicare Advantage	$1,026.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.72
Rate for Payer: Cigna Commercial	$1,711.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW FX AGL M8 40x6.5 859-640

Facility

$3,422.45

Hospital Charge Code	270617304
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$828.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW FX AGL M8 40x6.5 859-640

Facility

$3,422.45

Hospital Charge Code	270617304
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$1,711.22
Rate for Payer: Aetna Commercial	$1,026.73
Rate for Payer: Aetna Medicare Advantage	$1,026.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.72
Rate for Payer: Cigna Commercial	$1,711.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW FX AGL M8 45x6.5 859-645

Facility

$3,422.45

Hospital Charge Code	270617306
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$1,711.22
Rate for Payer: Aetna Commercial	$1,026.73
Rate for Payer: Aetna Medicare Advantage	$1,026.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.72
Rate for Payer: Cigna Commercial	$1,711.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW FX AGL M8 45x6.5 859-645

Facility

$3,422.45

Hospital Charge Code	270617306
Hospital Revenue Code	278
Min. Negotiated Rate	$513.37
Max. Negotiated Rate	$828.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$684.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$828.23
Rate for Payer: Qualcare PPO/HMO/WC	$513.37

SCREW G7 6.5MM 15MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270681466
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW G7 6.5MM 15MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270681466
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW G7 6.5MM 25MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270681467
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW G7 6.5MM 25MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270681467
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW GAMMA LAG 12/130MM

Facility

$778.00

Hospital Charge Code	1605575
Hospital Revenue Code	274
Min. Negotiated Rate	$116.70
Max. Negotiated Rate	$188.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.28
Rate for Payer: Qualcare PPO/HMO/WC	$116.70

Know your out-of-pocket cost for care.

All Charges