Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LCKNG T25 34MM 4.OMMM TI

Facility

$1,340.00

Hospital Charge Code	270662826
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$324.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

SCREW LCKNG T25 34MM 4.OMMM TI

Facility

$1,340.00

Hospital Charge Code	270662826
Hospital Revenue Code	278
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$402.00
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.28
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

SCREW LCKNG T25 4.0x26mm TI

Facility

$888.00

Hospital Charge Code	270662827
Hospital Revenue Code	278
Min. Negotiated Rate	$133.20
Max. Negotiated Rate	$444.00
Rate for Payer: Aetna Commercial	$266.40
Rate for Payer: Aetna Medicare Advantage	$266.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.44
Rate for Payer: Cigna Commercial	$444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.90
Rate for Payer: Qualcare PPO/HMO/WC	$133.20

SCREW LCKNG T25 4.0x26mm TI

Facility

$888.00

Hospital Charge Code	270662827
Hospital Revenue Code	278
Min. Negotiated Rate	$133.20
Max. Negotiated Rate	$214.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.90
Rate for Payer: Qualcare PPO/HMO/WC	$133.20

SCREW LCKNG T25 4.0x40mm TI

Facility

$888.00

Hospital Charge Code	270662825
Hospital Revenue Code	278
Min. Negotiated Rate	$133.20
Max. Negotiated Rate	$444.00
Rate for Payer: Aetna Commercial	$266.40
Rate for Payer: Aetna Medicare Advantage	$266.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.44
Rate for Payer: Cigna Commercial	$444.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.90
Rate for Payer: Qualcare PPO/HMO/WC	$133.20

SCREW LCKNG T25 4.0x40mm TI

Facility

$888.00

Hospital Charge Code	270662825
Hospital Revenue Code	278
Min. Negotiated Rate	$133.20
Max. Negotiated Rate	$214.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.90
Rate for Payer: Qualcare PPO/HMO/WC	$133.20

SCREW LCK SQR 2.7MMX 15MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699270
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW LCK SQR 2.7MMX 15MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699270
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW LCK SQR 2.7MMX 20MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270699267
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW LCK SQR 2.7MMX 20MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270699267
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW LCK SQU 2.7 MMX10 MM

Facility

$825.00

Hospital Charge Code	270702389
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$199.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

SCREW LCK SQU 2.7 MMX10 MM

Facility

$825.00

Hospital Charge Code	270702389
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$247.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

SCREW LCK SQUARE 2.7 X 11MM

Facility

$990.00

Service Code	HCPCS C1713
Hospital Charge Code	270702078
Hospital Revenue Code	278
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$239.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.58
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

SCREW LCK SQUARE 2.7 X 11MM

Facility

$990.00

Service Code	HCPCS C1713
Hospital Charge Code	270702078
Hospital Revenue Code	278
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$297.00
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.58
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

SCREW LEAD CORT TI 5.0X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270691840
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW LEAD CORT TI 5.0X20MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270691840
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$1,416.75
Max. Negotiated Rate	$2,285.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75

SCREW LEGACY MAC 5.5x50mm

Facility

$9,445.00

Service Code	HCPCS C1713
Hospital Charge Code	270685219
Hospital Revenue Code	278
Min. Negotiated Rate	$1,416.75
Max. Negotiated Rate	$4,722.50
Rate for Payer: Aetna Commercial	$2,833.50
Rate for Payer: Aetna Medicare Advantage	$2,833.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,408.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,889.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,408.47
Rate for Payer: Cigna Commercial	$4,722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,285.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,416.75

SCREW LEG Ti 10.5X105MM

Facility

$3,685.00

Hospital Charge Code	270647252
Hospital Revenue Code	278
Min. Negotiated Rate	$552.75
Max. Negotiated Rate	$891.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: Qualcare PPO/HMO/WC	$552.75

SCREW LEG Ti 10.5X105MM

Facility

$3,685.00

Hospital Charge Code	270647252
Hospital Revenue Code	278
Min. Negotiated Rate	$552.75
Max. Negotiated Rate	$1,842.50
Rate for Payer: Aetna Commercial	$1,105.50
Rate for Payer: Aetna Medicare Advantage	$1,105.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.67
Rate for Payer: Cigna Commercial	$1,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: Qualcare PPO/HMO/WC	$552.75

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

SCREW LEV 1MAX 1.5 X 4 MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704119
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$107.44
Max. Negotiated Rate	$173.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: Qualcare PPO/HMO/WC	$107.44

SCREW LG BORE ACL 10x25MM

Facility

$716.25

Hospital Charge Code	270676799
Hospital Revenue Code	278
Min. Negotiated Rate	$107.44
Max. Negotiated Rate	$358.12
Rate for Payer: Aetna Commercial	$214.88
Rate for Payer: Aetna Medicare Advantage	$214.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.64
Rate for Payer: Cigna Commercial	$358.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.33
Rate for Payer: Qualcare PPO/HMO/WC	$107.44

SCREW LG LCK 15.8Dx55 11811520

Facility

$946.90

Hospital Charge Code	270639204
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

Know your out-of-pocket cost for care.

All Charges