Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SIDE RAIL 1 1/2 IN

Facility

$41.30

Hospital Charge Code	270679662
Hospital Revenue Code	272
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.20

SCREW SIDE RAIL 1 1/2 IN

Facility

$41.30

Hospital Charge Code	270679662
Hospital Revenue Code	272
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$20.65
Rate for Payer: Aetna Commercial	$12.39
Rate for Payer: Aetna Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.53
Rate for Payer: Cigna Commercial	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.37
Rate for Payer: Oxford Commercial	$20.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.20
Rate for Payer: UnitedHealthcare Commercial	$20.65

SCREW SIMPACT 14.5X35MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696487
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$6,500.00
Rate for Payer: Aetna Commercial	$3,900.00
Rate for Payer: Aetna Medicare Advantage	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,315.00
Rate for Payer: Cigna Commercial	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SIMPACT 14.5X35MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270696487
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$3,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SIMPACT 14.5X45MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697137
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$6,500.00
Rate for Payer: Aetna Commercial	$3,900.00
Rate for Payer: Aetna Medicare Advantage	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,315.00
Rate for Payer: Cigna Commercial	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SIMPACT 14.5X45MM

Facility

$13,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697137
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$3,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

SCREW SI POLY AXL 6x45mm

Facility

$9,825.00

Hospital Charge Code	270665205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$4,912.50
Rate for Payer: Aetna Commercial	$2,947.50
Rate for Payer: Aetna Medicare Advantage	$2,947.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,505.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,505.38
Rate for Payer: Cigna Commercial	$4,912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW SI POLY AXL 6x45mm

Facility

$9,825.00

Hospital Charge Code	270665205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,473.75
Max. Negotiated Rate	$2,377.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,377.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.75

SCREW SIROS-O SI DT 9.5X40MM

Facility

$17,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699523
Hospital Revenue Code	278
Min. Negotiated Rate	$2,662.50
Max. Negotiated Rate	$4,295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,295.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,662.50

SCREW SIROS-O SI DT 9.5X40MM

Facility

$17,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270699523
Hospital Revenue Code	278
Min. Negotiated Rate	$2,662.50
Max. Negotiated Rate	$8,875.00
Rate for Payer: Aetna Commercial	$5,325.00
Rate for Payer: Aetna Medicare Advantage	$5,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,526.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,526.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,526.25
Rate for Payer: Cigna Commercial	$8,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,295.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,662.50

SCREW SKYLINE 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270667193
Hospital Revenue Code	278
Min. Negotiated Rate	$188.81
Max. Negotiated Rate	$304.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: Qualcare PPO/HMO/WC	$188.81

SCREW SKYLINE 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270667193
Hospital Revenue Code	278
Min. Negotiated Rate	$188.81
Max. Negotiated Rate	$629.38
Rate for Payer: Aetna Commercial	$377.62
Rate for Payer: Aetna Medicare Advantage	$377.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.98
Rate for Payer: Cigna Commercial	$629.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: Qualcare PPO/HMO/WC	$188.81

SCREW SKY VARIABLE SD 14 MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668467
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE SD 14 MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270668467
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE SD 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270663489
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE SD 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270663489
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE SD 18MM

Facility

$1,375.00

Hospital Charge Code	270663493
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE SD 18MM

Facility

$1,375.00

Hospital Charge Code	270663493
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE ST 14MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270677699
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE ST 14MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270677699
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE ST 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270670920
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SKY VARIABLE ST 16MM

Facility

$1,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270670920
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SCREW SLF DRILL DIAMOND 4x14MM

Facility

$1,630.00

Hospital Charge Code	270659696
Hospital Revenue Code	278
Min. Negotiated Rate	$244.50
Max. Negotiated Rate	$815.00
Rate for Payer: Aetna Commercial	$489.00
Rate for Payer: Aetna Medicare Advantage	$489.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$415.65
Rate for Payer: Cigna Commercial	$815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.46
Rate for Payer: Qualcare PPO/HMO/WC	$244.50

SCREW SLF DRILL DIAMOND 4x14MM

Facility

$1,630.00

Hospital Charge Code	270659696
Hospital Revenue Code	278
Min. Negotiated Rate	$244.50
Max. Negotiated Rate	$394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.46
Rate for Payer: Qualcare PPO/HMO/WC	$244.50

SCREW SLF DRILL DIAMOND 4x16MM

Facility

$1,630.00

Hospital Charge Code	270659674
Hospital Revenue Code	278
Min. Negotiated Rate	$244.50
Max. Negotiated Rate	$394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$394.46
Rate for Payer: Qualcare PPO/HMO/WC	$244.50

Know your out-of-pocket cost for care.

All Charges