Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SCHANZ 4.0MM X 2.5MM 80M

Facility

$774.00

Hospital Charge Code	270660432
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$232.20
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0X120 29446

Facility

$310.00

Hospital Charge Code	270634840
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 SCHANZ 4.0X120 29446

Facility

$310.00

Hospital Charge Code	270634840
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 SCHANZ 4.0x20x80mm

Facility

$797.20

Service Code	HCPCS C1713
Hospital Charge Code	270619747
Hospital Revenue Code	278
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$398.60
Rate for Payer: Aetna Commercial	$239.16
Rate for Payer: Aetna Medicare Advantage	$239.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.29
Rate for Payer: Cigna Commercial	$398.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.92
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

SCREW SCHANZ 4.0x20x80mm

Facility

$797.20

Service Code	HCPCS C1713
Hospital Charge Code	270619747
Hospital Revenue Code	278
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$192.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.92
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

SCREW SCHANZ 4.0 X 3.0MM 100MM

Facility

$774.00

Hospital Charge Code	270660433
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$232.20
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0 X 3.0MM 100MM

Facility

$774.00

Hospital Charge Code	270660433
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$187.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.0x40x125mm

Facility

$774.00

Service Code	HCPCS C1713
Hospital Charge Code	270666873
Hospital Revenue Code	278
Min. Negotiated Rate	$116.10
Max. Negotiated Rate	$387.00
Rate for Payer: Aetna Commercial	$232.20
Rate for Payer: Aetna Medicare Advantage	$232.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.37
Rate for Payer: Cigna Commercial	$387.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.31
Rate for Payer: Qualcare PPO/HMO/WC	$116.10

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5mm ROUND TIP

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270633039
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$210.12
Rate for Payer: Aetna Commercial	$126.08
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$107.53
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW SCHANZ 4.5x150mm BLUNTED

Facility

$358.45

Service Code	HCPCS C1713
Hospital Charge Code	270639896
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$101.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4.5x200mm BLUNTED

Facility

$420.25

Service Code	HCPCS C1713
Hospital Charge Code	270639897
Hospital Revenue Code	278
Min. Negotiated Rate	$63.04
Max. Negotiated Rate	$210.12
Rate for Payer: Cigna Commercial	$210.12
Rate for Payer: Aetna Commercial	$126.08
Rate for Payer: Aetna Medicare Advantage	$126.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.70
Rate for Payer: Qualcare PPO/HMO/WC	$63.04

SCREW SCHANZ 4X120MM

Facility

$357.00

Hospital Charge Code	270669661
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$86.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW SCHANZ 4X120MM

Facility

$357.00

Hospital Charge Code	270669661
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$178.50
Rate for Payer: Aetna Commercial	$107.10
Rate for Payer: Aetna Medicare Advantage	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.03
Rate for Payer: Cigna Commercial	$178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.39
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

SCREW SCHANZ 4X80MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698619
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW SCHANZ 4X80MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698619
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW SCHANZ 5.0MMx170MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681240
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$161.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0MMx170MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681240
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$334.18
Rate for Payer: Aetna Commercial	$200.50
Rate for Payer: Aetna Medicare Advantage	$200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.43
Rate for Payer: Cigna Commercial	$334.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0MMx200MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681239
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$161.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0MMx200MM BLU

Facility

$668.35

Service Code	HCPCS C1713
Hospital Charge Code	270681239
Hospital Revenue Code	278
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$334.18
Rate for Payer: Aetna Commercial	$200.50
Rate for Payer: Aetna Medicare Advantage	$200.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.43
Rate for Payer: Cigna Commercial	$334.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.74
Rate for Payer: Qualcare PPO/HMO/WC	$100.25

SCREW SCHANZ 5.0 x 150mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270642897
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$403.25
Rate for Payer: Aetna Commercial	$241.95
Rate for Payer: Aetna Medicare Advantage	$241.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.66
Rate for Payer: Cigna Commercial	$403.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

SCREW SCHANZ 5.0 x 150mm

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270642897
Hospital Revenue Code	278
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$195.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.17
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

Know your out-of-pocket cost for care.

All Charges