Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PERIPHERAL 30MM

Facility

$600.00

Hospital Charge Code	270672420
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 36MM

Facility

$600.00

Hospital Charge Code	270672421
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 36MM

Facility

$600.00

Hospital Charge Code	270672421
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 42MM

Facility

$600.00

Hospital Charge Code	270672422
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 42MM

Facility

$600.00

Hospital Charge Code	270672422
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 4.5x24MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270671581
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW PERIPHERAL 4.5x24MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270671581
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW PERIPHERAL 4.5x28MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671580
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW PERIPHERAL 4.5x28MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270671580
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW PERIPHERAL 4.5x32MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672126
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW PERIPHERAL 4.5x32MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672126
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

SCREW PERIPHERAL 48MM

Facility

$600.00

Hospital Charge Code	270672423
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPHERAL 48MM

Facility

$600.00

Hospital Charge Code	270672423
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW PERIPR VAL OPTILINK 12MM

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693771
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$470.85
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERIPR VAL OPTILINK 12MM

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693771
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERIPR VAL OPTILINK 5.0

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693770
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$784.75
Rate for Payer: Aetna Commercial	$470.85
Rate for Payer: Aetna Medicare Advantage	$470.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.22
Rate for Payer: Cigna Commercial	$784.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERIPR VAL OPTILINK 5.0

Facility

$1,569.50

Service Code	HCPCS C1713
Hospital Charge Code	270693770
Hospital Revenue Code	278
Min. Negotiated Rate	$235.43
Max. Negotiated Rate	$379.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$313.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.43

SCREW PERI SELF-TAP 234801235

Facility

$114.15

Hospital Charge Code	270630833
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$57.08
Rate for Payer: Aetna Commercial	$34.24
Rate for Payer: Aetna Medicare Advantage	$34.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.11
Rate for Payer: Cigna Commercial	$57.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW PERI SELF-TAP 234801235

Facility

$114.15

Hospital Charge Code	270630833
Hospital Revenue Code	278
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.62
Rate for Payer: Qualcare PPO/HMO/WC	$17.12

SCREW PERI SELF-TAP 234801435

Facility

$122.25

Hospital Charge Code	270630834
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 SELF-TAP 234801435

Facility

$122.25

Hospital Charge Code	270630834
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 SELF-TAP 234801635

Facility

$122.25

Hospital Charge Code	270630835
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 SELF-TAP 234801635

Facility

$122.25

Hospital Charge Code	270630835
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 SELF-TAP 234802035

Facility

$128.15

Hospital Charge Code	270630836
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 SELF-TAP 234802035

Facility

$128.15

Hospital Charge Code	270630836
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

Know your out-of-pocket cost for care.

All Charges