Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW POST ARTHROSCOPY CANCELL

Facility

$445.00

Hospital Charge Code	270655967
Hospital Revenue Code	278
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$107.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.69
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

SCREW POST PLUG

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270686980
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 POST PLUG

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270686980
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 PP LKG ST T6 SD 5.0X14MM

Facility

$3,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270700476
Hospital Revenue Code	278
Min. Negotiated Rate	$507.75
Max. Negotiated Rate	$819.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.17
Rate for Payer: Qualcare PPO/HMO/WC	$507.75

SCREW PP LKG ST T6 SD 5.0X14MM

Facility

$3,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270700476
Hospital Revenue Code	278
Min. Negotiated Rate	$507.75
Max. Negotiated Rate	$1,692.50
Rate for Payer: Aetna Commercial	$1,015.50
Rate for Payer: Aetna Medicare Advantage	$1,015.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$863.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$863.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$863.17
Rate for Payer: Cigna Commercial	$1,692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.17
Rate for Payer: Qualcare PPO/HMO/WC	$507.75

SCREW PRARCLR 3.5x26 234702026

Facility

$111.40

Hospital Charge Code	270639268
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 PRARCLR 3.5x26 234702026

Facility

$111.40

Hospital Charge Code	270639268
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 PRARTLR 3.5x24 234702024

Facility

$111.40

Hospital Charge Code	270639267
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 PRARTLR 3.5x24 234702024

Facility

$111.40

Hospital Charge Code	270639267
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 PRECEPT - 6.5X45MM

Facility

$10,285.00

Hospital Charge Code	270657319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$5,142.50
Rate for Payer: Aetna Commercial	$3,085.50
Rate for Payer: Aetna Medicare Advantage	$3,085.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,622.68
Rate for Payer: Cigna Commercial	$5,142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

SCREW PRECEPT - 6.5X45MM

Facility

$10,285.00

Hospital Charge Code	270657319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,542.75
Max. Negotiated Rate	$2,488.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,488.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.75

SCREW PROFILE 8x25MM

Facility

$1,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270673366
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$438.00
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

SCREW PROFILE 8x25MM

Facility

$1,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270673366
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$353.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

SCREW PRRTCLR 3.5x28 234702028

Facility

$111.40

Hospital Charge Code	270639269
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 PRRTCLR 3.5x28 234702028

Facility

$111.40

Hospital Charge Code	270639269
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 PT 4X40MM

Facility

$931.50

Service Code	HCPCS C1713
Hospital Charge Code	270701133
Hospital Revenue Code	278
Min. Negotiated Rate	$139.72
Max. Negotiated Rate	$465.75
Rate for Payer: Aetna Commercial	$279.45
Rate for Payer: Aetna Medicare Advantage	$279.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.53
Rate for Payer: Cigna Commercial	$465.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.42
Rate for Payer: Qualcare PPO/HMO/WC	$139.72

SCREW PT 4X40MM

Facility

$931.50

Service Code	HCPCS C1713
Hospital Charge Code	270701133
Hospital Revenue Code	278
Min. Negotiated Rate	$139.72
Max. Negotiated Rate	$225.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.42
Rate for Payer: Qualcare PPO/HMO/WC	$139.72

SCREW PT 5.0x60 325460S

Facility

$1,315.00

Hospital Charge Code	270648762
Hospital Revenue Code	278
Min. Negotiated Rate	$197.25
Max. Negotiated Rate	$657.50
Rate for Payer: Aetna Commercial	$394.50
Rate for Payer: Aetna Medicare Advantage	$394.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.32
Rate for Payer: Cigna Commercial	$657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.25

SCREW PT 5.0x60 325460S

Facility

$1,315.00

Hospital Charge Code	270648762
Hospital Revenue Code	278
Min. Negotiated Rate	$197.25
Max. Negotiated Rate	$318.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$263.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.23
Rate for Payer: Qualcare PPO/HMO/WC	$197.25

SCREW PT CANCELLOUS 4X30MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270705010
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$351.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCREW PT CANCELLOUS 4X30MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270705010
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$726.15
Rate for Payer: Aetna Commercial	$435.69
Rate for Payer: Aetna Medicare Advantage	$435.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.34
Rate for Payer: Cigna Commercial	$726.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCREW PTLY THRD TI 4.5X45MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693761
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREW PTLY THRD TI 4.5X45MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270693761
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

SCREW PT THR C PANTA2 5.0X65MM

Facility

$4,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270699960
Hospital Revenue Code	278
Min. Negotiated Rate	$734.25
Max. Negotiated Rate	$2,447.50
Rate for Payer: Aetna Commercial	$1,468.50
Rate for Payer: Aetna Medicare Advantage	$1,468.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,248.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,248.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$979.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,248.22
Rate for Payer: Cigna Commercial	$2,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,184.59
Rate for Payer: Qualcare PPO/HMO/WC	$734.25

SCREW PT THR C PANTA2 5.0X65MM

Facility

$4,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270699960
Hospital Revenue Code	278
Min. Negotiated Rate	$734.25
Max. Negotiated Rate	$1,184.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$979.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,184.59
Rate for Payer: Qualcare PPO/HMO/WC	$734.25

Know your out-of-pocket cost for care.

All Charges