Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$138.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.57

SCREW INCAP HX 5.0x35 71642235

Facility

$778.75

Hospital Charge Code	270633372
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INCAP HX 5.0x35 71642235

Facility

$778.75

Hospital Charge Code	270633372
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$389.38
Rate for Payer: Aetna Commercial	$233.62
Rate for Payer: Aetna Medicare Advantage	$233.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.58
Rate for Payer: Cigna Commercial	$389.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INCORE 3.5X24MM TI

Facility

$1,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270688354
Hospital Revenue Code	278
Min. Negotiated Rate	$246.00
Max. Negotiated Rate	$820.00
Rate for Payer: Aetna Commercial	$492.00
Rate for Payer: Aetna Medicare Advantage	$492.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$418.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$418.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$328.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$418.20
Rate for Payer: Cigna Commercial	$820.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.88
Rate for Payer: Qualcare PPO/HMO/WC	$246.00

SCREW INCORE 3.5X24MM TI

Facility

$1,640.00

Service Code	HCPCS C1713
Hospital Charge Code	270688354
Hospital Revenue Code	278
Min. Negotiated Rate	$246.00
Max. Negotiated Rate	$396.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$328.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.88
Rate for Payer: Qualcare PPO/HMO/WC	$246.00

SCREW INCORE 3.5X32MM IT

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270687067
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE 3.5X32MM IT

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270687067
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE 3.5X38MM TI

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270688352
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE 3.5X38MM TI

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270688352
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE 3.5X54MM TI

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270688353
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE 3.5X54MM TI

Facility

$1,380.00

Service Code	HCPCS C1713
Hospital Charge Code	270688353
Hospital Revenue Code	278
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.96
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

SCREW INCORE LAPIDUS 5.9MMX 28

Facility

$24,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270688763
Hospital Revenue Code	278
Min. Negotiated Rate	$3,607.50
Max. Negotiated Rate	$12,025.00
Rate for Payer: Aetna Commercial	$7,215.00
Rate for Payer: Aetna Medicare Advantage	$7,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,132.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,132.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,132.75
Rate for Payer: Cigna Commercial	$12,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,820.10
Rate for Payer: Qualcare PPO/HMO/WC	$3,607.50

SCREW INCORE LAPIDUS 5.9MMX 28

Facility

$24,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270688763
Hospital Revenue Code	278
Min. Negotiated Rate	$3,607.50
Max. Negotiated Rate	$5,820.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,820.10
Rate for Payer: Qualcare PPO/HMO/WC	$3,607.50

SCREW INFINITY OCP 3.5X12MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699634
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW INFINITY OCP 3.5X12MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699634
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW INFINITY OCP 4.0X12MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699633
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW INFINITY OCP 4.0X12MM

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699633
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW INFL IN-FAST BONE

Facility

$1,724.85

Hospital Charge Code	270607866
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$417.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

SCREW INFL IN-FAST BONE

Facility

$1,724.85

Hospital Charge Code	270607866
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$517.46
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

SCREW INHX CAP 5.0x40 71642240

Facility

$778.75

Hospital Charge Code	270633373
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INHX CAP 5.0x40 71642240

Facility

$778.75

Hospital Charge Code	270633373
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$389.38
Rate for Payer: Aetna Commercial	$233.62
Rate for Payer: Aetna Medicare Advantage	$233.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.58
Rate for Payer: Cigna Commercial	$389.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INHX CAP 5.0x55 71642255

Facility

$778.75

Hospital Charge Code	270633374
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$389.38
Rate for Payer: Aetna Commercial	$233.62
Rate for Payer: Aetna Medicare Advantage	$233.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.58
Rate for Payer: Cigna Commercial	$389.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INHX CAP 5.0x55 71642255

Facility

$778.75

Hospital Charge Code	270633374
Hospital Revenue Code	278
Min. Negotiated Rate	$116.81
Max. Negotiated Rate	$188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.81

SCREW INNER MNTR

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270663778
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 INNER MNTR

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270663778
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

Know your out-of-pocket cost for care.

All Charges