Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PERI 3.5MMX22MM W/2.7

Facility

$185.00

Hospital Charge Code	270661510
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

SCREW PERI 3.5MMX22MM W/2.7

Facility

$185.00

Hospital Charge Code	270661510
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 3.5mmx30mm 23483035

Facility

$122.25

Hospital Charge Code	270634819
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 PERI 3.5mmx30mm 23483035

Facility

$122.25

Hospital Charge Code	270634819
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 PERI 3.5mmx34m 23483435

Facility

$122.25

Hospital Charge Code	270634820
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 PERI 3.5mmx34m 23483435

Facility

$122.25

Hospital Charge Code	270634820
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 PERI 3.5mmx40mm 23484035

Facility

$122.25

Hospital Charge Code	270634821
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 PERI 3.5mmx40mm 23484035

Facility

$122.25

Hospital Charge Code	270634821
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 PERI 3.5mmx42mm 23484235

Facility

$122.25

Hospital Charge Code	270634822
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 PERI 3.5mmx42mm 23484235

Facility

$122.25

Hospital Charge Code	270634822
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 PERI 3.5mmx54mm 23485435

Facility

$122.25

Hospital Charge Code	270634823
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 PERI 3.5mmx54mm 23485435

Facility

$122.25

Hospital Charge Code	270634823
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 PERI 3.5x10 ST 23481035

Facility

$117.50

Hospital Charge Code	270632916
Hospital Revenue Code	278
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$28.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.43
Rate for Payer: Qualcare PPO/HMO/WC	$17.62

SCREW PERI 3.5x10 ST 23481035

Facility

$117.50

Hospital Charge Code	270632916
Hospital Revenue Code	278
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$58.75
Rate for Payer: Aetna Commercial	$35.25
Rate for Payer: Aetna Medicare Advantage	$35.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.96
Rate for Payer: Cigna Commercial	$58.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.43
Rate for Payer: Qualcare PPO/HMO/WC	$17.62

SCREW PERI 3.5x12 ST 234801235

Facility

$122.45

Hospital Charge Code	270632917
Hospital Revenue Code	278
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$29.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

SCREW PERI 3.5x12 ST 234801235

Facility

$122.45

Hospital Charge Code	270632917
Hospital Revenue Code	278
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$61.23
Rate for Payer: Aetna Commercial	$36.73
Rate for Payer: Aetna Medicare Advantage	$36.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.22
Rate for Payer: Cigna Commercial	$61.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

SCREW PERI 3.5x26 234802635

Facility

$128.15

Hospital Charge Code	270632807
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$38.45
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW PERI 3.5x26 234802635

Facility

$128.15

Hospital Charge Code	270632807
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$31.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

SCREW PERI 3.5X26 2348-028-35

Facility

$134.60

Hospital Charge Code	270638711
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$32.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.19

SCREW PERI 3.5X26 2348-028-35

Facility

$134.60

Hospital Charge Code	270638711
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$67.30
Rate for Payer: Aetna Commercial	$40.38
Rate for Payer: Aetna Medicare Advantage	$40.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.32
Rate for Payer: Cigna Commercial	$67.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.19

SCREW PERI 3.5x32 234803235

Facility

$117.50

Hospital Charge Code	270632808
Hospital Revenue Code	278
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$28.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.43
Rate for Payer: Qualcare PPO/HMO/WC	$17.62

SCREW PERI 3.5x32 234803235

Facility

$117.50

Hospital Charge Code	270632808
Hospital Revenue Code	278
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$58.75
Rate for Payer: Aetna Commercial	$35.25
Rate for Payer: Aetna Medicare Advantage	$35.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.96
Rate for Payer: Cigna Commercial	$58.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.43
Rate for Payer: Qualcare PPO/HMO/WC	$17.62

SCREW PERI 3.5X36 2348-036-35

Facility

$134.60

Hospital Charge Code	270638712
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$67.30
Rate for Payer: Aetna Commercial	$40.38
Rate for Payer: Aetna Medicare Advantage	$40.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.32
Rate for Payer: Cigna Commercial	$67.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.19

SCREW PERI 3.5X36 2348-036-35

Facility

$134.60

Hospital Charge Code	270638712
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$32.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.19

SCREW PERI 3.5X50 2348-050-35

Facility

$134.60

Hospital Charge Code	270638713
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$67.30
Rate for Payer: Aetna Commercial	$40.38
Rate for Payer: Aetna Medicare Advantage	$40.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.32
Rate for Payer: Cigna Commercial	$67.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$20.19

Know your out-of-pocket cost for care.

All Charges