Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MULTIDIRECTIONAL 22 MD22

Facility

$421.65

Hospital Charge Code	270634963
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 MULTIDIRECTIONAL 22 MD22

Facility

$421.65

Hospital Charge Code	270634963
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 MULTIDIRECTIONAL 26 MD26

Facility

$421.65

Hospital Charge Code	270634964
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 MULTIDIRECTIONAL 26 MD26

Facility

$421.65

Hospital Charge Code	270634964
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 MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270687426
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$379.14
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MULTILOC 4.5 48MM

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688213
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$404.67
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$378.00
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW MULTILOC 4.5x25MM STER

Facility

$1,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270687698
Hospital Revenue Code	278
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$304.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.92
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$379.14
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5x38MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650153
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$305.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5x40MM STER

Facility

$1,263.80

Service Code	HCPCS C1713
Hospital Charge Code	270650154
Hospital Revenue Code	278
Min. Negotiated Rate	$189.57
Max. Negotiated Rate	$631.90
Rate for Payer: Aetna Commercial	$379.14
Rate for Payer: Aetna Medicare Advantage	$379.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$252.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.27
Rate for Payer: Cigna Commercial	$631.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.84
Rate for Payer: Qualcare PPO/HMO/WC	$189.57

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$404.67
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MULTILOC 4.5 X 52 MM STE

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688212
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW MVX CANN 28 P23528

Facility

$500.00

Hospital Charge Code	270609876
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 28 P23528

Facility

$500.00

Hospital Charge Code	270609876
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 30 P23530

Facility

$500.00

Hospital Charge Code	270609877
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 30 P23530

Facility

$500.00

Hospital Charge Code	270609877
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 32 P23532

Facility

$500.00

Hospital Charge Code	270609878
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 32 P23532

Facility

$500.00

Hospital Charge Code	270609878
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 34 P23534

Facility

$500.00

Hospital Charge Code	270609879
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 34 P23534

Facility

$500.00

Hospital Charge Code	270609879
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

SCREW MVX CANN 36 P23536

Facility

$500.00

Hospital Charge Code	270609880
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

Know your out-of-pocket cost for care.

All Charges