Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW S-FIX 2.5 X14 MM

Facility

$2,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270689578
Hospital Revenue Code	278
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$598.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.95
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SCREW SHAFT 3.5/16-20MM

Facility

$49.00

Hospital Charge Code	1603661
Hospital Revenue Code	274
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SCREW SHAFT 3.5/16-20MM

Facility

$49.00

Hospital Charge Code	1603661
Hospital Revenue Code	274
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

SCREW SHAFT 3.5/22-32MM

Facility

$52.00

Hospital Charge Code	1603679
Hospital Revenue Code	274
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW SHAFT 3.5/22-32MM

Facility

$52.00

Hospital Charge Code	1603679
Hospital Revenue Code	274
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW SHAFT 3.5/34-38MM

Facility

$56.00

Hospital Charge Code	1603687
Hospital Revenue Code	274
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$13.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

SCREW SHAFT 3.5/34-38MM

Facility

$56.00

Hospital Charge Code	1603687
Hospital Revenue Code	274
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$28.00
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x16mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603063
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x18MM

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603065
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x20mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603067
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x24mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603071
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x26mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603073
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x28mm

Facility

$54.50

Service Code	HCPCS C1713
Hospital Charge Code	270603074
Hospital Revenue Code	278
Min. Negotiated Rate	$8.18
Max. Negotiated Rate	$27.25
Rate for Payer: Aetna Commercial	$16.35
Rate for Payer: Aetna Medicare Advantage	$16.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.90
Rate for Payer: Cigna Commercial	$27.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.18

SCREW SHAFT 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x2mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603069
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x30mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603188
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$38.25
Rate for Payer: Aetna Commercial	$22.95
Rate for Payer: Aetna Medicare Advantage	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.51
Rate for Payer: Cigna Commercial	$38.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

SCREW SHAFT 3.5x32mm

Facility

$76.50

Service Code	HCPCS C1713
Hospital Charge Code	270603189
Hospital Revenue Code	278
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.51
Rate for Payer: Qualcare PPO/HMO/WC	$11.47

Know your out-of-pocket cost for care.

All Charges