Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SELFTAP CORT 4.5mm 56mm

Facility

$40.85

Hospital Charge Code	270613663
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$12.26
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

SCREW SELF TAP CORTICAL

Facility

$1,165.50

Hospital Charge Code	270656378
Hospital Revenue Code	278
Min. Negotiated Rate	$174.82
Max. Negotiated Rate	$582.75
Rate for Payer: Aetna Commercial	$349.65
Rate for Payer: Aetna Medicare Advantage	$349.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.20
Rate for Payer: Cigna Commercial	$582.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.05
Rate for Payer: Qualcare PPO/HMO/WC	$174.82

SCREW SELF TAP CORTICAL

Facility

$1,165.50

Hospital Charge Code	270656378
Hospital Revenue Code	278
Min. Negotiated Rate	$174.82
Max. Negotiated Rate	$282.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.05
Rate for Payer: Qualcare PPO/HMO/WC	$174.82

SCREW SELF TAP CORTICAL

Facility

$262.00

Hospital Charge Code	270656376
Hospital Revenue Code	278
Min. Negotiated Rate	$39.30
Max. Negotiated Rate	$63.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.40
Rate for Payer: Qualcare PPO/HMO/WC	$39.30

SCREW SELF TAP CORTICAL

Facility

$262.00

Hospital Charge Code	270656376
Hospital Revenue Code	278
Min. Negotiated Rate	$39.30
Max. Negotiated Rate	$131.00
Rate for Payer: Aetna Commercial	$78.60
Rate for Payer: Aetna Medicare Advantage	$78.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.81
Rate for Payer: Cigna Commercial	$131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.40
Rate for Payer: Qualcare PPO/HMO/WC	$39.30

SCREW SELF TAP CORTICAL 4.5MDX

Facility

$44.45

Hospital Charge Code	270656366
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELF TAP CORTICAL 4.5MDX

Facility

$44.45

Hospital Charge Code	270656366
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$22.23
Rate for Payer: Aetna Commercial	$13.34
Rate for Payer: Aetna Medicare Advantage	$13.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.33
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELFTAP CORTICAL 4.5MM

Facility

$44.45

Hospital Charge Code	270656375
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$22.23
Rate for Payer: Aetna Commercial	$13.34
Rate for Payer: Aetna Medicare Advantage	$13.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.33
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELFTAP CORTICAL 4.5MM

Facility

$44.45

Hospital Charge Code	270656375
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$155.70
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x58mm

Facility

$519.00

Hospital Charge Code	270676431
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x65mm

Facility

$519.00

Hospital Charge Code	270661933
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$155.70
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 3.5x80mm

Facility

$519.00

Hospital Charge Code	270656575
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$155.70
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW SELFTAP LOCKING 5x14mm

Facility

$603.00

Hospital Charge Code	270656607
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x14mm

Facility

$603.00

Hospital Charge Code	270656607
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x16mm

Facility

$603.00

Hospital Charge Code	270656610
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x16mm

Facility

$603.00

Hospital Charge Code	270656610
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x18MM

Facility

$603.00

Hospital Charge Code	270676917
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x18MM

Facility

$603.00

Hospital Charge Code	270676917
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X32mm

Facility

$321.10

Service Code	HCPCS C1713
Hospital Charge Code	270637796
Hospital Revenue Code	278
Min. Negotiated Rate	$48.16
Max. Negotiated Rate	$160.55
Rate for Payer: Aetna Commercial	$96.33
Rate for Payer: Aetna Medicare Advantage	$96.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.88
Rate for Payer: Cigna Commercial	$160.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.71
Rate for Payer: Qualcare PPO/HMO/WC	$48.16

SCREW SELFTAP LOCKING 5X32mm

Facility

$321.10

Service Code	HCPCS C1713
Hospital Charge Code	270637796
Hospital Revenue Code	278
Min. Negotiated Rate	$48.16
Max. Negotiated Rate	$77.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.71
Rate for Payer: Qualcare PPO/HMO/WC	$48.16

SCREW SELFTAP LOCKING 5x48mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270656656
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x48mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270656656
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

Know your out-of-pocket cost for care.

All Charges