Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW HMD DISTAL 50 3370-5050

Facility

$760.00

Hospital Charge Code	270617160
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

SCREW HMD DISTAL 50 3370-5050

Facility

$760.00

Hospital Charge Code	270617160
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

SCREW HMD FT 6.28 40 33705040

Facility

$797.65

Hospital Charge Code	270620984
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$398.82
Rate for Payer: Aetna Commercial	$239.29
Rate for Payer: Aetna Medicare Advantage	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.40
Rate for Payer: Cigna Commercial	$398.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

SCREW HMD FT 6.28 40 33705040

Facility

$797.65

Hospital Charge Code	270620984
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

SCREW HMD LAG 80MM 3370-2080

Facility

$1,786.45

Hospital Charge Code	270620983
Hospital Revenue Code	278
Min. Negotiated Rate	$267.97
Max. Negotiated Rate	$893.23
Rate for Payer: Aetna Commercial	$535.93
Rate for Payer: Aetna Medicare Advantage	$535.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.54
Rate for Payer: Cigna Commercial	$893.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.32
Rate for Payer: Qualcare PPO/HMO/WC	$267.97

SCREW HMD LAG 80MM 3370-2080

Facility

$1,786.45

Hospital Charge Code	270620983
Hospital Revenue Code	278
Min. Negotiated Rate	$267.97
Max. Negotiated Rate	$432.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.32
Rate for Payer: Qualcare PPO/HMO/WC	$267.97

SCREW HMD LAG 85MM 3370-2085

Facility

$1,609.65

Hospital Charge Code	270611709
Hospital Revenue Code	278
Min. Negotiated Rate	$241.45
Max. Negotiated Rate	$389.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.54
Rate for Payer: Qualcare PPO/HMO/WC	$241.45

SCREW HMD LAG 85MM 3370-2085

Facility

$1,609.65

Hospital Charge Code	270611709
Hospital Revenue Code	278
Min. Negotiated Rate	$241.45
Max. Negotiated Rate	$804.83
Rate for Payer: Aetna Commercial	$482.89
Rate for Payer: Aetna Medicare Advantage	$482.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$321.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.46
Rate for Payer: Cigna Commercial	$804.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.54
Rate for Payer: Qualcare PPO/HMO/WC	$241.45

SCREW HMD SET 3370

Facility

$607.25

Hospital Charge Code	270611708
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$146.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

SCREW HMD SET 3370

Facility

$607.25

Hospital Charge Code	270611708
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$303.62
Rate for Payer: Aetna Commercial	$182.18
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

SCREW HOLDING/DRIVER ASSY

Facility

$10,920.00

Hospital Charge Code	270686085
Hospital Revenue Code	272
Min. Negotiated Rate	$1,419.60
Max. Negotiated Rate	$5,460.00
Rate for Payer: Aetna Commercial	$3,276.00
Rate for Payer: Aetna Medicare Advantage	$3,276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,784.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,784.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,784.60
Rate for Payer: Cigna Commercial	$5,460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,419.60
Rate for Payer: Oxford Commercial	$5,460.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.00
Rate for Payer: UnitedHealthcare Commercial	$5,460.00

SCREW HOLDING/DRIVER ASSY

Facility

$10,920.00

Hospital Charge Code	270686085
Hospital Revenue Code	272
Min. Negotiated Rate	$1,638.00
Max. Negotiated Rate	$1,638.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.00

SCREW HUMERAL TAPER SIZE 25 OR

Facility

$2,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270679727
Hospital Revenue Code	278
Min. Negotiated Rate	$401.25
Max. Negotiated Rate	$647.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.35
Rate for Payer: Qualcare PPO/HMO/WC	$401.25

SCREW HUMERAL TAPER SIZE 25 OR

Facility

$2,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270679727
Hospital Revenue Code	278
Min. Negotiated Rate	$401.25
Max. Negotiated Rate	$1,337.50
Rate for Payer: Aetna Commercial	$802.50
Rate for Payer: Aetna Medicare Advantage	$802.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$682.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$682.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$682.12
Rate for Payer: Cigna Commercial	$1,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.35
Rate for Payer: Qualcare PPO/HMO/WC	$401.25

SCREW, IDTI ALIF SA,LAT 5.0X25

Facility

$2,845.00

Hospital Charge Code	270703003
Hospital Revenue Code	278
Min. Negotiated Rate	$426.75
Max. Negotiated Rate	$1,422.50
Rate for Payer: Aetna Commercial	$853.50
Rate for Payer: Aetna Medicare Advantage	$853.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$725.48
Rate for Payer: Cigna Commercial	$1,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.49
Rate for Payer: Qualcare PPO/HMO/WC	$426.75

SCREW, IDTI ALIF SA,LAT 5.0X25

Facility

$2,845.00

Hospital Charge Code	270703003
Hospital Revenue Code	278
Min. Negotiated Rate	$426.75
Max. Negotiated Rate	$688.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$569.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.49
Rate for Payer: Qualcare PPO/HMO/WC	$426.75

SCREW IF VENTED BC 9MMX20 MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688545
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW IF VENTED BC 9MMX20 MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270688545
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW IMF 2.0x8MM 50-20358

Facility

$583.45

Hospital Charge Code	270647582
Hospital Revenue Code	278
Min. Negotiated Rate	$87.52
Max. Negotiated Rate	$291.73
Rate for Payer: Aetna Commercial	$175.03
Rate for Payer: Aetna Medicare Advantage	$175.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.78
Rate for Payer: Cigna Commercial	$291.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.19
Rate for Payer: Qualcare PPO/HMO/WC	$87.52

SCREW IMF 2.0x8MM 50-20358

Facility

$583.45

Hospital Charge Code	270647582
Hospital Revenue Code	278
Min. Negotiated Rate	$87.52
Max. Negotiated Rate	$141.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.19
Rate for Payer: Qualcare PPO/HMO/WC	$87.52

SCREW IMLG 5.5DIAX65 225306555

Facility

$615.95

Hospital Charge Code	270637424
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$307.98
Rate for Payer: Aetna Commercial	$184.78
Rate for Payer: Aetna Medicare Advantage	$184.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.07
Rate for Payer: Cigna Commercial	$307.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

SCREW IMLG 5.5DIAX65 225306555

Facility

$615.95

Hospital Charge Code	270637424
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$149.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

SCREW IM LG 5.5x50 22535055

Facility

$672.65

Hospital Charge Code	270625705
Hospital Revenue Code	278
Min. Negotiated Rate	$100.90
Max. Negotiated Rate	$336.32
Rate for Payer: Aetna Commercial	$201.79
Rate for Payer: Aetna Medicare Advantage	$201.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.53
Rate for Payer: Cigna Commercial	$336.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.78
Rate for Payer: Qualcare PPO/HMO/WC	$100.90

SCREW IM LG 5.5x50 22535055

Facility

$672.65

Hospital Charge Code	270625705
Hospital Revenue Code	278
Min. Negotiated Rate	$100.90
Max. Negotiated Rate	$162.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.78
Rate for Payer: Qualcare PPO/HMO/WC	$100.90

SCREW IM MED4.2x20 2253-20-42

Facility

$570.45

Hospital Charge Code	270630549
Hospital Revenue Code	278
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$285.23
Rate for Payer: Aetna Commercial	$171.13
Rate for Payer: Aetna Medicare Advantage	$171.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.46
Rate for Payer: Cigna Commercial	$285.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.57

Know your out-of-pocket cost for care.

All Charges