Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MALLEOLAR 4.5x65mm

Facility

$132.00

Hospital Charge Code	270673437
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW MANDIBLE 2.4 X 12 MM

Facility

$535.00

Hospital Charge Code	270666927
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$160.50
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MANDIBLE 2.4 X 12 MM

Facility

$535.00

Hospital Charge Code	270666927
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MANDIBLE 2.4 X 16 MM

Facility

$535.00

Hospital Charge Code	270666928
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$160.50
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MANDIBLE 2.4 X 16 MM

Facility

$535.00

Hospital Charge Code	270666928
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW MARINER SOLID 6.5X40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694931
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MARINER SOLID 6.5X40MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694931
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MARINER SOLID 6.5X45MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694932
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MARINER SOLID 6.5X45MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270694932
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW MAS 7.5 x 30mm 9697530

Facility

$5,753.65

Hospital Charge Code	270630335
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$1,726.10
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS 7.5 x 30mm 9697530

Facility

$5,753.65

Hospital Charge Code	270630335
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS 7.5 x 35mm 9697535

Facility

$5,753.65

Hospital Charge Code	270630334
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$1,392.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS 7.5 x 35mm 9697535

Facility

$5,753.65

Hospital Charge Code	270630334
Hospital Revenue Code	278
Min. Negotiated Rate	$863.05
Max. Negotiated Rate	$2,876.82
Rate for Payer: Aetna Commercial	$1,726.10
Rate for Payer: Aetna Medicare Advantage	$1,726.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,467.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,150.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,467.18
Rate for Payer: Cigna Commercial	$2,876.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,392.38
Rate for Payer: Qualcare PPO/HMO/WC	$863.05

SCREW MAS PLIF FIXATION LOCK

Facility

$1,805.00

Hospital Charge Code	270663766
Hospital Revenue Code	278
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$902.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$541.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.27
Rate for Payer: Cigna Commercial	$902.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

SCREW MAS PLIF FIXATION LOCK

Facility

$1,805.00

Hospital Charge Code	270663766
Hospital Revenue Code	278
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.81
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

SCREW MAS RELINE 5.5X40MM

Facility

$6,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270691368
Hospital Revenue Code	278
Min. Negotiated Rate	$1,031.25
Max. Negotiated Rate	$3,437.50
Rate for Payer: Aetna Commercial	$2,062.50
Rate for Payer: Aetna Medicare Advantage	$2,062.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,753.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,753.12
Rate for Payer: Cigna Commercial	$3,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.25

SCREW MAS RELINE 5.5X40MM

Facility

$6,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270691368
Hospital Revenue Code	278
Min. Negotiated Rate	$1,031.25
Max. Negotiated Rate	$1,663.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,031.25

SCREW MATRIXNEURO TI SD 4MM

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270695274
Hospital Revenue Code	278
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$166.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

SCREW MATRIXNEURO TI SD 4MM

Facility

$690.00

Service Code	HCPCS C1713
Hospital Charge Code	270695274
Hospital Revenue Code	278
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$207.00
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.98
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

SCREW MAXCESS-C 12MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270667694
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SCREW MAXCESS-C 12MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270667694
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$175.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SCREW MAXTORQUE SD 4.0X35MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270700667
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW MAXTORQUE SD 4.0X35MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270700667
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW MAXTORQUE SD LT 4X37.5MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270700710
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW MAXTORQUE SD LT 4X37.5MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270700710
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$319.50
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

Know your out-of-pocket cost for care.

All Charges