Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ORTHOLOC NONLKG 3.5X50MM

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270700641
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

SCREW ORTHOLOC NONLKG 3.5X50MM

Facility

$1,365.00

Service Code	HCPCS C1713
Hospital Charge Code	270700641
Hospital Revenue Code	278
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$330.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$273.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.33
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

SCREW OSTEOPENIA 5.0MMx14MM

Facility

$372.75

Hospital Charge Code	270647951
Hospital Revenue Code	278
Min. Negotiated Rate	$55.91
Max. Negotiated Rate	$186.38
Rate for Payer: Aetna Commercial	$111.83
Rate for Payer: Aetna Medicare Advantage	$111.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.05
Rate for Payer: Cigna Commercial	$186.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.21
Rate for Payer: Qualcare PPO/HMO/WC	$55.91

SCREW OSTEOPENIA 5.0MMx14MM

Facility

$372.75

Hospital Charge Code	270647951
Hospital Revenue Code	278
Min. Negotiated Rate	$55.91
Max. Negotiated Rate	$90.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.21
Rate for Payer: Qualcare PPO/HMO/WC	$55.91

SCREW OTPD CANN 2.2/120MM

Facility

$420.00

Hospital Charge Code	270606261
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/120MM

Facility

$420.00

Hospital Charge Code	270606261
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/12MM

Facility

$500.00

Hospital Charge Code	270606257
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 OTPD CANN 2.2/12MM

Facility

$500.00

Hospital Charge Code	270606257
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 OTPD CANN 2.2/12MM

Facility

$382.45

Hospital Charge Code	270606264
Hospital Revenue Code	278
Min. Negotiated Rate	$57.37
Max. Negotiated Rate	$92.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.55
Rate for Payer: Qualcare PPO/HMO/WC	$57.37

SCREW OTPD CANN 2.2/12MM

Facility

$382.45

Hospital Charge Code	270606264
Hospital Revenue Code	278
Min. Negotiated Rate	$57.37
Max. Negotiated Rate	$191.22
Rate for Payer: Aetna Commercial	$114.73
Rate for Payer: Aetna Medicare Advantage	$114.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.52
Rate for Payer: Cigna Commercial	$191.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.55
Rate for Payer: Qualcare PPO/HMO/WC	$57.37

SCREW OTPD CANN 2.2/14MM

Facility

$484.00

Hospital Charge Code	270606258
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW OTPD CANN 2.2/14MM

Facility

$484.00

Hospital Charge Code	270606258
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW OTPD CANN 2.2/14MM

Facility

$436.85

Hospital Charge Code	270606265
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/14MM

Facility

$436.85

Hospital Charge Code	270606265
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$105.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/16MM

Facility

$420.00

Hospital Charge Code	270606259
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/16MM

Facility

$436.85

Hospital Charge Code	270606267
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/16MM

Facility

$420.00

Hospital Charge Code	270606259
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/16MM

Facility

$436.85

Hospital Charge Code	270606267
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$105.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/18MM

Facility

$436.85

Hospital Charge Code	270606268
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/18MM

Facility

$420.00

Hospital Charge Code	270606260
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/18MM

Facility

$420.00

Hospital Charge Code	270606260
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

SCREW OTPD CANN 2.2/18MM

Facility

$436.85

Hospital Charge Code	270606268
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$105.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/20MM

Facility

$436.85

Hospital Charge Code	270606269
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$105.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/20MM

Facility

$436.85

Hospital Charge Code	270606269
Hospital Revenue Code	278
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$131.06
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.72
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

SCREW OTPD CANN 2.2/22MM

Facility

$420.00

Hospital Charge Code	270606262
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

Know your out-of-pocket cost for care.

All Charges