Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG ONE-PIECE 11mm 105mm

Facility

$1,045.00

Hospital Charge Code	270637268
Hospital Revenue Code	278
Min. Negotiated Rate	$156.75
Max. Negotiated Rate	$522.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$313.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.48
Rate for Payer: Cigna Commercial	$522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.89
Rate for Payer: Qualcare PPO/HMO/WC	$156.75

SCREW LAG ONE-PIECE 2259-01-40

Facility

$1,086.20

Hospital Charge Code	270635484
Hospital Revenue Code	278
Min. Negotiated Rate	$162.93
Max. Negotiated Rate	$543.10
Rate for Payer: Aetna Commercial	$325.86
Rate for Payer: Aetna Medicare Advantage	$325.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.98
Rate for Payer: Cigna Commercial	$543.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.86
Rate for Payer: Qualcare PPO/HMO/WC	$162.93

SCREW LAG ONE-PIECE 2259-01-40

Facility

$1,086.20

Hospital Charge Code	270635484
Hospital Revenue Code	278
Min. Negotiated Rate	$162.93
Max. Negotiated Rate	$262.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.86
Rate for Payer: Qualcare PPO/HMO/WC	$162.93

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LAG SHORT THRD 3.5X38MM

Facility

$2,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270698538
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LAG SOLD SLDG 110m 29281

Facility

$1,720.00

Service Code	HCPCS C1713
Hospital Charge Code	270641178
Hospital Revenue Code	278
Min. Negotiated Rate	$258.00
Max. Negotiated Rate	$860.00
Rate for Payer: Aetna Commercial	$516.00
Rate for Payer: Aetna Medicare Advantage	$516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$438.60
Rate for Payer: Cigna Commercial	$860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.24
Rate for Payer: Qualcare PPO/HMO/WC	$258.00

SCREW LAG SOLD SLDG 110m 29281

Facility

$1,720.00

Service Code	HCPCS C1713
Hospital Charge Code	270641178
Hospital Revenue Code	278
Min. Negotiated Rate	$258.00
Max. Negotiated Rate	$416.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.24
Rate for Payer: Qualcare PPO/HMO/WC	$258.00

SCREW LAG SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID 105MM SLIDING

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270647300
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID 110 29281

Facility

$2,050.00

Hospital Charge Code	270638577
Hospital Revenue Code	278
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$615.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

SCREW LAG SOLID 110 29281

Facility

$2,050.00

Hospital Charge Code	270638577
Hospital Revenue Code	278
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$496.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.10
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

SCREW LAG SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID FIXED 100mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639321
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID FIXED 120mm

Facility

$2,590.00

Hospital Charge Code	270645552
Hospital Revenue Code	278
Min. Negotiated Rate	$388.50
Max. Negotiated Rate	$1,295.00
Rate for Payer: Aetna Commercial	$777.00
Rate for Payer: Aetna Medicare Advantage	$777.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.45
Rate for Payer: Cigna Commercial	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.78
Rate for Payer: Qualcare PPO/HMO/WC	$388.50

SCREW LAG SOLID FIXED 120mm

Facility

$2,590.00

Hospital Charge Code	270645552
Hospital Revenue Code	278
Min. Negotiated Rate	$388.50
Max. Negotiated Rate	$626.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.78
Rate for Payer: Qualcare PPO/HMO/WC	$388.50

SCREW LAG SOLID FIXED 75MM

Facility

$2,725.00

Hospital Charge Code	270662052
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 SOLID FIXED 75MM

Facility

$2,725.00

Hospital Charge Code	270662052
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 SOLID SLIDING 105mm

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270680836
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$516.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

SCREW LAG SOLID SLIDING 105mm

Facility

$2,135.00

Service Code	HCPCS C1713
Hospital Charge Code	270680836
Hospital Revenue Code	278
Min. Negotiated Rate	$320.25
Max. Negotiated Rate	$1,067.50
Rate for Payer: Aetna Commercial	$640.50
Rate for Payer: Aetna Medicare Advantage	$640.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$427.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.42
Rate for Payer: Cigna Commercial	$1,067.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$516.67
Rate for Payer: Qualcare PPO/HMO/WC	$320.25

SCREW LAG SOLID SLIDING 80MM

Facility

$2,725.00

Hospital Charge Code	270664900
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 SOLID SLIDING 80MM

Facility

$2,725.00

Hospital Charge Code	270664900
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 SOLID SLIDING 90mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270646649
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID SLIDING 90mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270646649
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID SLIDING 95mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639212
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG SOLID SLIDING 95mm

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270639212
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

Know your out-of-pocket cost for care.

All Charges