Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW NEXGEN SDV 4.0X18MM

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270696974
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$508.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

SCREW NEXXT MIS PED 6.5X45MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693615
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

SCREW NEXXT MIS PED 6.5X45MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693615
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

SCREW NEXXT MIS PED 7.5X40MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693616
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

SCREW NEXXT MIS PED 7.5X40MM

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270693616
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

SCREW N-FORCE 7.3 X 5.5MM

Facility

$1,842.50

Service Code	HCPCS C1713
Hospital Charge Code	270687094
Hospital Revenue Code	278
Min. Negotiated Rate	$276.38
Max. Negotiated Rate	$921.25
Rate for Payer: Aetna Commercial	$552.75
Rate for Payer: Aetna Medicare Advantage	$552.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$368.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.84
Rate for Payer: Cigna Commercial	$921.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.88
Rate for Payer: Qualcare PPO/HMO/WC	$276.38

SCREW N-FORCE 7.3 X 5.5MM

Facility

$1,842.50

Service Code	HCPCS C1713
Hospital Charge Code	270687094
Hospital Revenue Code	278
Min. Negotiated Rate	$276.38
Max. Negotiated Rate	$445.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$368.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.88
Rate for Payer: Qualcare PPO/HMO/WC	$276.38

SCREW NKNG PIT SCW 3.5 X 34MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701641
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NKNG PIT SCW 3.5 X 34MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701641
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW NL 18MM

Facility

$370.00

Hospital Charge Code	270661803
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW NL 18MM

Facility

$370.00

Hospital Charge Code	270661803
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW NL 2.4X24MM

Facility

$370.00

Hospital Charge Code	270703492
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW NL 2.4X24MM

Facility

$370.00

Hospital Charge Code	270703492
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW NL 3.5X10MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270702890
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$234.00
Rate for Payer: Aetna Commercial	$140.40
Rate for Payer: Aetna Medicare Advantage	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.34
Rate for Payer: Cigna Commercial	$234.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

SCREW NL 3.5X10MM

Facility

$468.00

Service Code	HCPCS C1713
Hospital Charge Code	270702890
Hospital Revenue Code	278
Min. Negotiated Rate	$70.20
Max. Negotiated Rate	$113.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.26
Rate for Payer: Qualcare PPO/HMO/WC	$70.20

SCREW NL 3X12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270669409
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW NL 3X12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270669409
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW NL 4.5 38

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270687140
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NL 4.5 38

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270687140
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NL 4.5X28MM

Facility

$305.10

Service Code	HCPCS C1713
Hospital Charge Code	270700879
Hospital Revenue Code	278
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$73.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.83
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

SCREW NL 4.5X28MM

Facility

$305.10

Service Code	HCPCS C1713
Hospital Charge Code	270700879
Hospital Revenue Code	278
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$152.55
Rate for Payer: Aetna Commercial	$91.53
Rate for Payer: Aetna Medicare Advantage	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.83
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

SCREW NL 4.5X30MM

Facility

$305.10

Service Code	HCPCS C1713
Hospital Charge Code	270700880
Hospital Revenue Code	278
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$152.55
Rate for Payer: Aetna Commercial	$91.53
Rate for Payer: Aetna Medicare Advantage	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.83
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

SCREW NL 4.5X30MM

Facility

$305.10

Service Code	HCPCS C1713
Hospital Charge Code	270700880
Hospital Revenue Code	278
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$73.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.83
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

SCREW NL 4.5 X 60

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270687139
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$131.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

SCREW NL 4.5 X 60

Facility

$545.00

Service Code	HCPCS C1713
Hospital Charge Code	270687139
Hospital Revenue Code	278
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.89
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

Know your out-of-pocket cost for care.

All Charges