Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW IRIXC ST RESCUE 3.7X13MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW IRIXC ST RESCUE 3.7X13MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270697558
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW IRIX SELF DRILL 3.5X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698376
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW IRIX SELF DRILL 3.5X14MM

Facility

$6,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270698376
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

SCREW JONES 4.5x40MM

Facility

$4,270.00

Hospital Charge Code	270656798
Hospital Revenue Code	278
Min. Negotiated Rate	$640.50
Max. Negotiated Rate	$1,033.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.34
Rate for Payer: Qualcare PPO/HMO/WC	$640.50

SCREW JONES 4.5x40MM

Facility

$4,270.00

Hospital Charge Code	270656798
Hospital Revenue Code	278
Min. Negotiated Rate	$640.50
Max. Negotiated Rate	$2,135.00
Rate for Payer: Aetna Commercial	$1,281.00
Rate for Payer: Aetna Medicare Advantage	$1,281.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,088.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,088.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,088.85
Rate for Payer: Cigna Commercial	$2,135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,033.34
Rate for Payer: Qualcare PPO/HMO/WC	$640.50

SCREW JONES P/THD 4.5x55MM

Facility

$3,975.00

Hospital Charge Code	270673454
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREW JONES P/THD 4.5x55MM

Facility

$3,975.00

Hospital Charge Code	270673454
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREW JONES SHORT TH 5.5X 56MM

Facility

$3,231.25

Service Code	HCPCS C1713
Hospital Charge Code	270701366
Hospital Revenue Code	278
Min. Negotiated Rate	$484.69
Max. Negotiated Rate	$781.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.96
Rate for Payer: Qualcare PPO/HMO/WC	$484.69

SCREW JONES SHORT TH 5.5X 56MM

Facility

$3,231.25

Service Code	HCPCS C1713
Hospital Charge Code	270701366
Hospital Revenue Code	278
Min. Negotiated Rate	$484.69
Max. Negotiated Rate	$1,615.62
Rate for Payer: Aetna Commercial	$969.38
Rate for Payer: Aetna Medicare Advantage	$969.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.97
Rate for Payer: Cigna Commercial	$1,615.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.96
Rate for Payer: Qualcare PPO/HMO/WC	$484.69

SCREW KIT TORQUE DEFINING

Facility

$2,077.40

Service Code	HCPCS C1713
Hospital Charge Code	270668548
Hospital Revenue Code	278
Min. Negotiated Rate	$311.61
Max. Negotiated Rate	$502.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.73
Rate for Payer: Qualcare PPO/HMO/WC	$311.61

SCREW KIT TORQUE DEFINING

Facility

$2,077.40

Service Code	HCPCS C1713
Hospital Charge Code	270668548
Hospital Revenue Code	278
Min. Negotiated Rate	$311.61
Max. Negotiated Rate	$1,038.70
Rate for Payer: Aetna Commercial	$623.22
Rate for Payer: Aetna Medicare Advantage	$623.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.74
Rate for Payer: Cigna Commercial	$1,038.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.73
Rate for Payer: Qualcare PPO/HMO/WC	$311.61

SCREW KIT TORQUE SQ DRIVE

Facility

$1,260.00

Hospital Charge Code	270669870
Hospital Revenue Code	272
Min. Negotiated Rate	$163.80
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$378.00
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.80
Rate for Payer: Oxford Commercial	$630.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Commercial	$630.00

SCREW KIT TORQUE SQ DRIVE

Facility

$1,260.00

Hospital Charge Code	270669870
Hospital Revenue Code	272
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW KMD 1.6 5MM 14-1S1-1605

Facility

$153.65

Hospital Charge Code	270607677
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW KMD 1.6 5MM 14-1S1-1605

Facility

$153.65

Hospital Charge Code	270607677
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW KREULOCK 2.4X14MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270695524
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KREULOCK 2.4X14MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270695524
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KREULOCK 2.7X10MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705613
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X10MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705613
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X16MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705616
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X16MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705616
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X22MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705617
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK 2.7X22MM

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270705617
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCREW KREULOCK COMP SS2.7X12MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699068
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$387.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

Know your out-of-pocket cost for care.

All Charges