Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MTP TI LP 3.0X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693497
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW MT TI LOCKING 3.5X16MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684109
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

SCREW MT TI LOCKING 3.5X16MM

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270684109
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

SCREW MUC 7.0 05

Facility

$115.00

Service Code	HCPCS C1713
Hospital Charge Code	270687136
Hospital Revenue Code	278
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$27.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

SCREW MUC 7.0 05

Facility

$115.00

Service Code	HCPCS C1713
Hospital Charge Code	270687136
Hospital Revenue Code	278
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

SCREW MULTIAX 6.5x40 8696540

Facility

$5,927.25

Hospital Charge Code	270630621
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$1,434.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAX 6.5x40 8696540

Facility

$5,927.25

Hospital Charge Code	270630621
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$2,963.62
Rate for Payer: Aetna Commercial	$1,778.17
Rate for Payer: Aetna Medicare Advantage	$1,778.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.45
Rate for Payer: Cigna Commercial	$2,963.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAX 6.5x4.5 8696535

Facility

$5,927.25

Hospital Charge Code	270632352
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$1,434.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAX 6.5x4.5 8696535

Facility

$5,927.25

Hospital Charge Code	270632352
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$2,963.62
Rate for Payer: Aetna Commercial	$1,778.17
Rate for Payer: Aetna Medicare Advantage	$1,778.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.45
Rate for Payer: Cigna Commercial	$2,963.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAXEL 6.5x45 8696545

Facility

$5,927.25

Hospital Charge Code	270630620
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$1,434.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAXEL 6.5x45 8696545

Facility

$5,927.25

Hospital Charge Code	270630620
Hospital Revenue Code	278
Min. Negotiated Rate	$889.09
Max. Negotiated Rate	$2,963.62
Rate for Payer: Aetna Commercial	$1,778.17
Rate for Payer: Aetna Medicare Advantage	$1,778.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,511.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,185.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,511.45
Rate for Payer: Cigna Commercial	$2,963.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,434.39
Rate for Payer: Qualcare PPO/HMO/WC	$889.09

SCREW MULTIAX SET 4PK

Facility

$20,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270698934
Hospital Revenue Code	278
Min. Negotiated Rate	$3,030.00
Max. Negotiated Rate	$10,100.00
Rate for Payer: Aetna Commercial	$6,060.00
Rate for Payer: Aetna Medicare Advantage	$6,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,151.00
Rate for Payer: Cigna Commercial	$10,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,888.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,030.00

SCREW MULTIAX SET 4PK

Facility

$20,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270698934
Hospital Revenue Code	278
Min. Negotiated Rate	$3,030.00
Max. Negotiated Rate	$4,888.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,888.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,030.00

SCREW MULTI DIR. 2.7x18MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270673693
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 MULTI DIR. 2.7x18MM

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270673693
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 MULTI DIR. 2.7x22MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673614
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTI DIR. 2.7x22MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673614
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTI DIR. 2.7x28MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673613
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTI DIR. 2.7x28MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270673613
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW MULTIDIRECT 24mm MD-24

Facility

$421.65

Hospital Charge Code	270635024
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 24mm MD-24

Facility

$421.65

Hospital Charge Code	270635024
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 30mm MD-30

Facility

$421.65

Hospital Charge Code	270635025
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 30mm MD-30

Facility

$421.65

Hospital Charge Code	270635025
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$665.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.15
Rate for Payer: Cigna Commercial	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50

SCREW MULTIDIRECT 3.5MM 12MM

Facility

$1,330.00

Hospital Charge Code	270702052
Hospital Revenue Code	278
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$321.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.86
Rate for Payer: Qualcare PPO/HMO/WC	$199.50

Know your out-of-pocket cost for care.

All Charges