Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW HELIX R, 4.5 X 13MM V

Facility

$2,725.00

Hospital Charge Code	270667691
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW HELIX R, 4.5 X 13MM V

Facility

$2,725.00

Hospital Charge Code	270667691
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW HELIX R, 4 X 13MM FIX

Facility

$2,725.00

Hospital Charge Code	270666088
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW HELIX R, 4 X 13MM FIX

Facility

$2,725.00

Hospital Charge Code	270666088
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW HERBERT 6.5X90MM

Facility

$2,961.25

Hospital Charge Code	270703124
Hospital Revenue Code	278
Min. Negotiated Rate	$444.19
Max. Negotiated Rate	$716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.62
Rate for Payer: Qualcare PPO/HMO/WC	$444.19

SCREW HERBERT 6.5X90MM

Facility

$2,961.25

Hospital Charge Code	270703124
Hospital Revenue Code	278
Min. Negotiated Rate	$444.19
Max. Negotiated Rate	$1,480.62
Rate for Payer: Aetna Commercial	$888.38
Rate for Payer: Aetna Medicare Advantage	$888.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$755.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$755.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$755.12
Rate for Payer: Cigna Commercial	$1,480.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.62
Rate for Payer: Qualcare PPO/HMO/WC	$444.19

SCREW HEX 14MM

Facility

$600.00

Hospital Charge Code	270703561
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW HEX 14MM

Facility

$600.00

Hospital Charge Code	270703561
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW HEXALOBE LAG 1.5X9MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270697370
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW HEXALOBE LAG 1.5X9MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270697370
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW HEX LK 3.5 4.75 X 30 MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270690721
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW HEX LK 3.5 4.75 X 30 MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270690721
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW HFN LAG 10.5MM X 100 MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692325
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW HFN LAG 10.5MM X 100 MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692325
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW HFN LAG 10.5MM X 80MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702242
Hospital Revenue Code	278
Min. Negotiated Rate	$649.12
Max. Negotiated Rate	$1,047.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: Qualcare PPO/HMO/WC	$649.12

SCREW HFN LAG 10.5MM X 80MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702242
Hospital Revenue Code	278
Min. Negotiated Rate	$649.12
Max. Negotiated Rate	$1,298.25
Rate for Payer: Aetna Commercial	$1,298.25
Rate for Payer: Aetna Medicare Advantage	$1,298.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,103.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,103.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$865.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,103.51
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.26
Rate for Payer: Qualcare PPO/HMO/WC	$649.12

SCREW HFN LAG 5MM X 95MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687403
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW HFN LAG 5MM X 95MM

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270687403
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

SCREW HIGH COMPR 25m HBS-HCS25

Facility

$1,527.75

Hospital Charge Code	270636601
Hospital Revenue Code	278
Min. Negotiated Rate	$229.16
Max. Negotiated Rate	$763.88
Rate for Payer: Aetna Commercial	$458.32
Rate for Payer: Aetna Medicare Advantage	$458.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$389.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$389.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$389.58
Rate for Payer: Cigna Commercial	$763.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.72
Rate for Payer: Qualcare PPO/HMO/WC	$229.16

SCREW HIGH COMPR 25m HBS-HCS25

Facility

$1,527.75

Hospital Charge Code	270636601
Hospital Revenue Code	278
Min. Negotiated Rate	$229.16
Max. Negotiated Rate	$369.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$305.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.72
Rate for Payer: Qualcare PPO/HMO/WC	$229.16

SCREW HLCOMP 6.5

Facility

$1,483.35

Service Code	HCPCS C1713
Hospital Charge Code	270687866
Hospital Revenue Code	278
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$358.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.97
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

SCREW HLCOMP 6.5

Facility

$1,483.35

Service Code	HCPCS C1713
Hospital Charge Code	270687866
Hospital Revenue Code	278
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$741.67
Rate for Payer: Aetna Commercial	$445.00
Rate for Payer: Aetna Medicare Advantage	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.25
Rate for Payer: Cigna Commercial	$741.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.97
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

SCREW HLCOMP 6.5

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270687865
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

SCREW HLCOMP 6.5

Facility

$1,468.35

Service Code	HCPCS C1713
Hospital Charge Code	270687865
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$440.50
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

SCREW HMD CANC 6.5 60 52124060

Facility

$422.45

Hospital Charge Code	270620200
Hospital Revenue Code	278
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$126.73
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

Know your out-of-pocket cost for care.

All Charges