Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW PERI SELF-TAP 234802235

Facility

$128.15

Hospital Charge Code	270630837
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 234802235

Facility

$128.15

Hospital Charge Code	270630837
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 SELF TAP 3.5X12MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661351
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW PERI SELF TAP 3.5X12MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270661351
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW PERITICULAR 60m 23472660

Facility

$117.00

Hospital Charge Code	270632308
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$28.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

SCREW PERITICULAR 60m 23472660

Facility

$117.00

Hospital Charge Code	270632308
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$35.10
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.31
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

SCREW PERITICULAR 70m 23472370

Facility

$116.95

Hospital Charge Code	270632309
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

SCREW PERITICULAR 70m 23472370

Facility

$116.95

Hospital Charge Code	270632309
Hospital Revenue Code	278
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$58.48
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.82
Rate for Payer: Cigna Commercial	$58.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.54

SCREW PERITICULAR 75m 23472675

Facility

$109.20

Hospital Charge Code	270632310
Hospital Revenue Code	278
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$54.60
Rate for Payer: Aetna Commercial	$32.76
Rate for Payer: Aetna Medicare Advantage	$32.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.85
Rate for Payer: Cigna Commercial	$54.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.43
Rate for Payer: Qualcare PPO/HMO/WC	$16.38

SCREW PERITICULAR 75m 23472675

Facility

$109.20

Hospital Charge Code	270632310
Hospital Revenue Code	278
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.43
Rate for Payer: Qualcare PPO/HMO/WC	$16.38

SCREW PERP AEQ PERF REV 5X14MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700527
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X14MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700527
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X18MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700526
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X18MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700526
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X30MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700529
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X30MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700529
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X34MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700521
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PERP AEQ PERF REV 5X34MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270700521
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SCREW PINNACLE CANC 6.5X35MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700356
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 PINNACLE CANC 6.5X35MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270700356
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 PLATE COMPR 3.5x20MM

Facility

$934.80

Hospital Charge Code	270667923
Hospital Revenue Code	278
Min. Negotiated Rate	$140.22
Max. Negotiated Rate	$467.40
Rate for Payer: Aetna Commercial	$280.44
Rate for Payer: Aetna Medicare Advantage	$280.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.37
Rate for Payer: Cigna Commercial	$467.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.22

SCREW PLATE COMPR 3.5x20MM

Facility

$934.80

Hospital Charge Code	270667923
Hospital Revenue Code	278
Min. Negotiated Rate	$140.22
Max. Negotiated Rate	$226.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.22
Rate for Payer: Qualcare PPO/HMO/WC	$140.22

SCREW PLATE LOCKING 2.7x14MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657185
Hospital Revenue Code	278
Min. Negotiated Rate	$160.28
Max. Negotiated Rate	$258.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28

SCREW PLATE LOCKING 2.7x14MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657185
Hospital Revenue Code	278
Min. Negotiated Rate	$160.28
Max. Negotiated Rate	$534.25
Rate for Payer: Aetna Commercial	$320.55
Rate for Payer: Aetna Medicare Advantage	$320.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.47
Rate for Payer: Cigna Commercial	$534.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28

SCREW PLATE LOCKING 2.7x16MM

Facility

$1,068.50

Service Code	HCPCS C1713
Hospital Charge Code	270657187
Hospital Revenue Code	278
Min. Negotiated Rate	$160.28
Max. Negotiated Rate	$258.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.58
Rate for Payer: Qualcare PPO/HMO/WC	$160.28

Know your out-of-pocket cost for care.

All Charges