Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
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 LAG 105mm SOLID FX 29260

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270640725
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 LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$664.50
Max. Negotiated Rate	$2,215.00
Rate for Payer: Aetna Commercial	$1,329.00
Rate for Payer: Aetna Medicare Advantage	$1,329.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,129.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,129.65
Rate for Payer: Cigna Commercial	$2,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: Qualcare PPO/HMO/WC	$664.50

SCREW LAG 10.5x100MM

Facility

$4,430.00

Hospital Charge Code	270673899
Hospital Revenue Code	278
Min. Negotiated Rate	$664.50
Max. Negotiated Rate	$1,072.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$886.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.06
Rate for Payer: Qualcare PPO/HMO/WC	$664.50

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$633.98
Max. Negotiated Rate	$1,022.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: Qualcare PPO/HMO/WC	$633.98

SCREW LAG 10.5X85MM

Facility

$4,226.50

Service Code	HCPCS C1713
Hospital Charge Code	270698911
Hospital Revenue Code	278
Min. Negotiated Rate	$633.98
Max. Negotiated Rate	$2,113.25
Rate for Payer: Aetna Commercial	$1,267.95
Rate for Payer: Aetna Medicare Advantage	$1,267.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.76
Rate for Payer: Cigna Commercial	$2,113.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.81
Rate for Payer: Qualcare PPO/HMO/WC	$633.98

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$1,022.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LAG 10.5X95MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270700453
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$2,112.50
Rate for Payer: Aetna Commercial	$1,267.50
Rate for Payer: Aetna Medicare Advantage	$1,267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.38
Rate for Payer: Cigna Commercial	$2,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
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 LAG 10X70 MM

Facility

$4,327.50

Service Code	HCPCS C1716
Hospital Charge Code	270702402
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 LAG 110mm 29261

Facility

$1,806.00

Hospital Charge Code	270640179
Hospital Revenue Code	278
Min. Negotiated Rate	$270.90
Max. Negotiated Rate	$437.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.05
Rate for Payer: Qualcare PPO/HMO/WC	$270.90

SCREW LAG 110mm 29261

Facility

$1,806.00

Hospital Charge Code	270640179
Hospital Revenue Code	278
Min. Negotiated Rate	$270.90
Max. Negotiated Rate	$903.00
Rate for Payer: Aetna Commercial	$541.80
Rate for Payer: Aetna Medicare Advantage	$541.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.53
Rate for Payer: Cigna Commercial	$903.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.05
Rate for Payer: Qualcare PPO/HMO/WC	$270.90

SCREW LAG 110mm 3370-2-110

Facility

$1,041.65

Hospital Charge Code	270615321
Hospital Revenue Code	278
Min. Negotiated Rate	$156.25
Max. Negotiated Rate	$520.83
Rate for Payer: Aetna Commercial	$312.50
Rate for Payer: Aetna Medicare Advantage	$312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.62
Rate for Payer: Cigna Commercial	$520.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.08
Rate for Payer: Qualcare PPO/HMO/WC	$156.25

SCREW LAG 110mm 3370-2-110

Facility

$1,041.65

Hospital Charge Code	270615321
Hospital Revenue Code	278
Min. Negotiated Rate	$156.25
Max. Negotiated Rate	$252.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$208.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.08
Rate for Payer: Qualcare PPO/HMO/WC	$156.25

SCREW LAG 115MM

Facility

$2,500.00

Hospital Charge Code	270637603
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LAG 115MM

Facility

$2,500.00

Hospital Charge Code	270637603
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LAG 1181-10-27

Facility

$946.90

Hospital Charge Code	270638802
Hospital Revenue Code	278
Min. Negotiated Rate	$142.03
Max. Negotiated Rate	$473.45
Rate for Payer: Aetna Commercial	$284.07
Rate for Payer: Aetna Medicare Advantage	$284.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.46
Rate for Payer: Cigna Commercial	$473.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: Qualcare PPO/HMO/WC	$142.03

SCREW LAG 1181-10-27

Facility

$946.90

Hospital Charge Code	270638802
Hospital Revenue Code	278
Min. Negotiated Rate	$142.03
Max. Negotiated Rate	$229.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: Qualcare PPO/HMO/WC	$142.03

SCREW LAG 120mm DC29263

Facility

$1,825.00

Hospital Charge Code	270642453
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

SCREW LAG 120mm DC29263

Facility

$1,825.00

Hospital Charge Code	270642453
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$547.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

SCREW LAG 12.7dX125 118101055

Facility

$846.45

Hospital Charge Code	270632669
Hospital Revenue Code	278
Min. Negotiated Rate	$126.97
Max. Negotiated Rate	$423.23
Rate for Payer: Aetna Commercial	$253.94
Rate for Payer: Aetna Medicare Advantage	$253.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.84
Rate for Payer: Cigna Commercial	$423.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.84
Rate for Payer: Qualcare PPO/HMO/WC	$126.97

SCREW LAG 12.7dX125 118101055

Facility

$846.45

Hospital Charge Code	270632669
Hospital Revenue Code	278
Min. Negotiated Rate	$126.97
Max. Negotiated Rate	$204.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.84
Rate for Payer: Qualcare PPO/HMO/WC	$126.97

SCREW LAG 12.7dX55 118101020

Facility

$843.25

Hospital Charge Code	270632667
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$204.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

SCREW LAG 12.7dX55 118101020

Facility

$843.25

Hospital Charge Code	270632667
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

SCREW LAG 12.7dX60 118101022

Facility

$843.25

Hospital Charge Code	270632668
Hospital Revenue Code	278
Min. Negotiated Rate	$126.49
Max. Negotiated Rate	$421.62
Rate for Payer: Aetna Commercial	$252.97
Rate for Payer: Aetna Medicare Advantage	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.03
Rate for Payer: Cigna Commercial	$421.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.07
Rate for Payer: Qualcare PPO/HMO/WC	$126.49

Know your out-of-pocket cost for care.

All Charges