Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG 12.7dX60 118101022

Facility

$843.25

Hospital Charge Code	270632668
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 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$341.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW LAG 12.7x95mm DHS/DCS ST

Facility

$1,410.00

Hospital Charge Code	270666507
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$705.00
Rate for Payer: Aetna Commercial	$423.00
Rate for Payer: Aetna Medicare Advantage	$423.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$359.55
Rate for Payer: Cigna Commercial	$705.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.22
Rate for Payer: Qualcare PPO/HMO/WC	$211.50

SCREW LAG 1PC 11x90 22590141

Facility

$5,346.95

Hospital Charge Code	270634157
Hospital Revenue Code	278
Min. Negotiated Rate	$802.04
Max. Negotiated Rate	$1,293.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.96
Rate for Payer: Qualcare PPO/HMO/WC	$802.04

SCREW LAG 1PC 11x90 22590141

Facility

$5,346.95

Hospital Charge Code	270634157
Hospital Revenue Code	278
Min. Negotiated Rate	$802.04
Max. Negotiated Rate	$2,673.47
Rate for Payer: Aetna Commercial	$1,604.09
Rate for Payer: Aetna Medicare Advantage	$1,604.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,363.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,363.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,069.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,363.47
Rate for Payer: Cigna Commercial	$2,673.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.96
Rate for Payer: Qualcare PPO/HMO/WC	$802.04

SCREW LAG 1PCE 11x110 22590147

Facility

$996.25

Hospital Charge Code	270632852
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$241.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 1PCE 11x110 22590147

Facility

$996.25

Hospital Charge Code	270632852
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$298.88
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 1PCE 11x120 22590150

Facility

$967.25

Hospital Charge Code	270632312
Hospital Revenue Code	278
Min. Negotiated Rate	$145.09
Max. Negotiated Rate	$234.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.07
Rate for Payer: Qualcare PPO/HMO/WC	$145.09

SCREW LAG 1PCE 11x120 22590150

Facility

$967.25

Hospital Charge Code	270632312
Hospital Revenue Code	278
Min. Negotiated Rate	$145.09
Max. Negotiated Rate	$483.62
Rate for Payer: Aetna Commercial	$290.18
Rate for Payer: Aetna Medicare Advantage	$290.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.65
Rate for Payer: Cigna Commercial	$483.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.07
Rate for Payer: Qualcare PPO/HMO/WC	$145.09

SCREW LAG 1PIEC 11x80 22590132

Facility

$996.25

Hospital Charge Code	270633872
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$241.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 1PIEC 11x80 22590132

Facility

$996.25

Hospital Charge Code	270633872
Hospital Revenue Code	278
Min. Negotiated Rate	$149.44
Max. Negotiated Rate	$498.12
Rate for Payer: Aetna Commercial	$298.88
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.09
Rate for Payer: Qualcare PPO/HMO/WC	$149.44

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

SCREW LAG 4.5X30

Facility

$7,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270694523
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$576.00
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

SCREW LAG 6.5X100MM

Facility

$1,920.00

Hospital Charge Code	270670506
Hospital Revenue Code	278
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$464.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.64
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

SCREW LAG 70mm 200170

Facility

$1,021.85

Hospital Charge Code	270634279
Hospital Revenue Code	278
Min. Negotiated Rate	$153.28
Max. Negotiated Rate	$510.93
Rate for Payer: Aetna Commercial	$306.56
Rate for Payer: Aetna Medicare Advantage	$306.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.57
Rate for Payer: Cigna Commercial	$510.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.29
Rate for Payer: Qualcare PPO/HMO/WC	$153.28

SCREW LAG 70mm 200170

Facility

$1,021.85

Hospital Charge Code	270634279
Hospital Revenue Code	278
Min. Negotiated Rate	$153.28
Max. Negotiated Rate	$247.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.29
Rate for Payer: Qualcare PPO/HMO/WC	$153.28

SCREW LAG 80mm TELESCOP 29215

Facility

$2,500.00

Hospital Charge Code	270638193
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 80mm TELESCOP 29215

Facility

$2,500.00

Hospital Charge Code	270638193
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 85mm 29216

Facility

$2,500.00

Hospital Charge Code	270637712
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 85mm 29216

Facility

$2,500.00

Hospital Charge Code	270637712
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 85mm 29276

Facility

$1,825.00

Hospital Charge Code	270642239
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 85mm 29276

Facility

$1,825.00

Hospital Charge Code	270642239
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 90mm 29257

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637973
Hospital Revenue Code	278
Min. Negotiated Rate	$334.80
Max. Negotiated Rate	$1,116.00
Rate for Payer: Aetna Commercial	$669.60
Rate for Payer: Aetna Medicare Advantage	$669.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$569.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$569.16
Rate for Payer: Cigna Commercial	$1,116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80

SCREW LAG 90mm 29257

Facility

$2,232.00

Service Code	HCPCS C1713
Hospital Charge Code	270637973
Hospital Revenue Code	278
Min. Negotiated Rate	$334.80
Max. Negotiated Rate	$540.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.14
Rate for Payer: Qualcare PPO/HMO/WC	$334.80

Know your out-of-pocket cost for care.

All Charges