Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SDK SXT 5.5 40 8677540

Facility

$8,055.25

Hospital Charge Code	270629197
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$2,416.57
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 5.5 40 8677540

Facility

$8,055.25

Hospital Charge Code	270629197
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37

SCREW SDK SXT 6.5 50 8676550

Facility

$8,055.25

Hospital Charge Code	270629202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 6.5 50 8676550

Facility

$8,055.25

Hospital Charge Code	270629202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$2,416.57
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 6.5 55 8676555

Facility

$8,055.25

Hospital Charge Code	270629199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$4,027.62
Rate for Payer: Aetna Commercial	$2,416.57
Rate for Payer: Aetna Medicare Advantage	$2,416.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,054.09
Rate for Payer: Cigna Commercial	$4,027.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK SXT 6.5 55 8676555

Facility

$8,055.25

Hospital Charge Code	270629199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,208.29
Max. Negotiated Rate	$1,949.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,611.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,949.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.29

SCREW SDK X-DRV 1.5 3MM 150301

Facility

$261.65

Hospital Charge Code	270610689
Hospital Revenue Code	278
Min. Negotiated Rate	$39.25
Max. Negotiated Rate	$130.82
Rate for Payer: Aetna Commercial	$78.50
Rate for Payer: Aetna Medicare Advantage	$78.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.72
Rate for Payer: Cigna Commercial	$130.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.32
Rate for Payer: Qualcare PPO/HMO/WC	$39.25

SCREW SDK X-DRV 1.5 3MM 150301

Facility

$261.65

Hospital Charge Code	270610689
Hospital Revenue Code	278
Min. Negotiated Rate	$39.25
Max. Negotiated Rate	$63.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.32
Rate for Payer: Qualcare PPO/HMO/WC	$39.25

SCREW SDK X-DRV 2.2 4MM 8041

Facility

$246.45

Hospital Charge Code	270610690
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW SDK X-DRV 2.2 4MM 8041

Facility

$246.45

Hospital Charge Code	270610690
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$73.94
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW S/DRILL DIAMOND 4x12MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270657667
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 S/DRILL DIAMOND 4x12MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270657667
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 S/DRLL DIAMOND 4.25x12MM

Facility

$1,250.00

Hospital Charge Code	270676924
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 S/DRLL DIAMOND 4.25x12MM

Facility

$1,250.00

Hospital Charge Code	270676924
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 SDS 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692348
Hospital Revenue Code	278
Min. Negotiated Rate	$181.36
Max. Negotiated Rate	$604.52
Rate for Payer: Aetna Commercial	$362.71
Rate for Payer: Aetna Medicare Advantage	$362.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.31
Rate for Payer: Cigna Commercial	$604.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: Qualcare PPO/HMO/WC	$181.36

SCREW SDS 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270692348
Hospital Revenue Code	278
Min. Negotiated Rate	$181.36
Max. Negotiated Rate	$292.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$241.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.59
Rate for Payer: Qualcare PPO/HMO/WC	$181.36

SCREW SD SCARLET AC-T 3.5X12MM

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697643
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

SCREW SD SCARLET AC-T 3.5X12MM

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697643
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

SCREW SD SCHANZ 5.0MM/125MM

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270678523
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

SCREW SD SCHANZ 5.0MM/125MM

Facility

$806.50

Service Code	HCPCS C1713
Hospital Charge Code	270678523
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 SDV 4.0X12MM 65DV4012

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270694346
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$508.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

SCREW SDV 4.0X12MM 65DV4012

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270694346
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Aetna Commercial	$630.00
Rate for Payer: Aetna Medicare Advantage	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.50
Rate for Payer: Cigna Commercial	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

SCREW SDV 4.0X14MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695984
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW SDV 4.0X14MM

Facility

$2,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270695984
Hospital Revenue Code	278
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$600.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

SCREW SDV 4.5 X 12MM

Facility

$2,100.00

Service Code	HCPCS C1713
Hospital Charge Code	270697530
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Aetna Commercial	$630.00
Rate for Payer: Aetna Medicare Advantage	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.50
Rate for Payer: Cigna Commercial	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$315.00

Know your out-of-pocket cost for care.

All Charges