Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.5 X 85

Facility

$937.50

Hospital Charge Code	270664333
Hospital Revenue Code	278
Min. Negotiated Rate	$140.62
Max. Negotiated Rate	$468.75
Rate for Payer: Aetna Commercial	$281.25
Rate for Payer: Aetna Medicare Advantage	$281.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.06
Rate for Payer: Cigna Commercial	$468.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62

SCREW LOCKING 3.5 X 85

Facility

$937.50

Hospital Charge Code	270664333
Hospital Revenue Code	278
Min. Negotiated Rate	$140.62
Max. Negotiated Rate	$226.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.62

SCREW LOCKING 3.5 X 8MM

Facility

$730.00

Hospital Charge Code	270667389
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$365.00
Rate for Payer: Aetna Commercial	$219.00
Rate for Payer: Aetna Medicare Advantage	$219.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.15
Rate for Payer: Cigna Commercial	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

SCREW LOCKING 3.5 X 8MM

Facility

$730.00

Hospital Charge Code	270667389
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$176.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.66
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

SCREW LOCKING 36mm 3705-36

Facility

$615.00

Hospital Charge Code	270640112
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 36mm 3705-36

Facility

$615.00

Hospital Charge Code	270640112
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 38mm 3705-38

Facility

$615.00

Hospital Charge Code	270640113
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 38mm 3705-38

Facility

$615.00

Hospital Charge Code	270640113
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 3MMX12MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270669554
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING 3MMX12MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270669554
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING 4.0MM 26MM

Facility

$594.00

Hospital Charge Code	270660399
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM 26MM

Facility

$594.00

Hospital Charge Code	270660399
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 40mm 3705-40

Facility

$615.00

Hospital Charge Code	270640116
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 40mm 3705-40

Facility

$615.00

Hospital Charge Code	270640116
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 4.0MM X 36MM

Facility

$594.00

Hospital Charge Code	270666920
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 36MM

Facility

$594.00

Hospital Charge Code	270666920
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 38MM

Facility

$594.00

Hospital Charge Code	270666921
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0MM X 42MM

Facility

$594.00

Hospital Charge Code	270666922
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0X14MM

Facility

$594.00

Hospital Charge Code	270669251
Hospital Revenue Code	278
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$178.20
Rate for Payer: Aetna Medicare Advantage	$178.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.47
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.75
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

SCREW LOCKING 4.0 x 20mm370520

Facility

$560.00

Hospital Charge Code	270638776
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$135.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 4.0 x 20mm370520

Facility

$560.00

Hospital Charge Code	270638776
Hospital Revenue Code	278
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$168.00
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.52
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SCREW LOCKING 4.0x22mm

Facility

$1,060.00

Hospital Charge Code	270664512
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

Know your out-of-pocket cost for care.

All Charges