Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PEG NON LOCKING 2.5X26MM

Facility

$585.00

Hospital Charge Code	270671105
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW PELV CORTEX ST 3.5X75MM

Facility

$151.05

Service Code	HCPCS C1713
Hospital Charge Code	270696623
Hospital Revenue Code	278
Min. Negotiated Rate	$22.66
Max. Negotiated Rate	$75.53
Rate for Payer: Aetna Commercial	$45.31
Rate for Payer: Aetna Medicare Advantage	$45.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.52
Rate for Payer: Cigna Commercial	$75.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.55
Rate for Payer: Qualcare PPO/HMO/WC	$22.66

SCREW PELV CORTEX ST 3.5X75MM

Facility

$151.05

Service Code	HCPCS C1713
Hospital Charge Code	270696623
Hospital Revenue Code	278
Min. Negotiated Rate	$22.66
Max. Negotiated Rate	$36.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.55
Rate for Payer: Qualcare PPO/HMO/WC	$22.66

SCREW PELV CORT S/TAP 3.5x70MM

Facility

$117.75

Service Code	HCPCS C1713
Hospital Charge Code	270665809
Hospital Revenue Code	278
Min. Negotiated Rate	$17.66
Max. Negotiated Rate	$58.88
Rate for Payer: Aetna Commercial	$35.33
Rate for Payer: Aetna Medicare Advantage	$35.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.03
Rate for Payer: Cigna Commercial	$58.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.66

SCREW PELV CORT S/TAP 3.5x70MM

Facility

$117.75

Service Code	HCPCS C1713
Hospital Charge Code	270665809
Hospital Revenue Code	278
Min. Negotiated Rate	$17.66
Max. Negotiated Rate	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.66

SCREW PELV CORT S/TAP 3.5x85MM

Facility

$121.30

Service Code	HCPCS C1713
Hospital Charge Code	270677980
Hospital Revenue Code	278
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$60.65
Rate for Payer: Aetna Commercial	$36.39
Rate for Payer: Aetna Medicare Advantage	$36.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.93
Rate for Payer: Cigna Commercial	$60.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.35
Rate for Payer: Qualcare PPO/HMO/WC	$18.20

SCREW PELV CORT S/TAP 3.5x85MM

Facility

$121.30

Service Code	HCPCS C1713
Hospital Charge Code	270677980
Hospital Revenue Code	278
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.35
Rate for Payer: Qualcare PPO/HMO/WC	$18.20

SCREW PELVIC COTEX 3.5MM 80MM

Facility

$121.30

Service Code	HCPCS C1713
Hospital Charge Code	270678176
Hospital Revenue Code	278
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.35
Rate for Payer: Qualcare PPO/HMO/WC	$18.20

SCREW PELVIC COTEX 3.5MM 80MM

Facility

$121.30

Service Code	HCPCS C1713
Hospital Charge Code	270678176
Hospital Revenue Code	278
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$60.65
Rate for Payer: Aetna Commercial	$36.39
Rate for Payer: Aetna Medicare Advantage	$36.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.93
Rate for Payer: Cigna Commercial	$60.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.35
Rate for Payer: Qualcare PPO/HMO/WC	$18.20

SCREW PELVIC G2

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270681215
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC G2

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270681215
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270686371
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684558
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270686371
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684558
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684591
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC LONG

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684591
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC STANDARD

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684557
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$155.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$93.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.05
Rate for Payer: Cigna Commercial	$155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PELVIC STANDARD

Facility

$310.00

Service Code	HCPCS C1713
Hospital Charge Code	270684557
Hospital Revenue Code	278
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$75.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.02
Rate for Payer: Qualcare PPO/HMO/WC	$46.50

SCREW PER 3.5x18x2.7 234801835

Facility

$122.25

Hospital Charge Code	270633305
Hospital Revenue Code	278
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$61.12
Rate for Payer: Aetna Commercial	$36.67
Rate for Payer: Aetna Medicare Advantage	$36.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.17
Rate for Payer: Cigna Commercial	$61.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

SCREW PER 3.5x18x2.7 234801835

Facility

$122.25

Hospital Charge Code	270633305
Hospital Revenue Code	278
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

SCREW PERACLR 3.5x18 234702018

Facility

$111.40

Hospital Charge Code	270637142
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$26.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW PERACLR 3.5x18 234702018

Facility

$111.40

Hospital Charge Code	270637142
Hospital Revenue Code	278
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$55.70
Rate for Payer: Aetna Commercial	$33.42
Rate for Payer: Aetna Medicare Advantage	$33.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$55.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.71

SCREW PERI 3.5MMX16MM W/2.7

Facility

$185.00

Service Code	HCPCS C1713
Hospital Charge Code	270661509
Hospital Revenue Code	278
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$44.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.77
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

SCREW PERI 3.5MMX16MM W/2.7

Facility

$185.00

Service Code	HCPCS C1713
Hospital Charge Code	270661509
Hospital Revenue Code	278
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.77
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

Know your out-of-pocket cost for care.

All Charges