Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 DMD 4.3x16MM

Facility

$2,045.00

Hospital Charge Code	270658063
Hospital Revenue Code	278
Min. Negotiated Rate	$306.75
Max. Negotiated Rate	$1,022.50
Rate for Payer: Aetna Commercial	$613.50
Rate for Payer: Aetna Medicare Advantage	$613.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$521.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$521.48
Rate for Payer: Cigna Commercial	$1,022.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: Qualcare PPO/HMO/WC	$306.75

SCREW SLF DRILL DMD 4.3x16MM

Facility

$2,045.00

Hospital Charge Code	270658063
Hospital Revenue Code	278
Min. Negotiated Rate	$306.75
Max. Negotiated Rate	$494.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$409.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.89
Rate for Payer: Qualcare PPO/HMO/WC	$306.75

SCREW SLF DRILL UNIPLATE2 14MM

Facility

$2,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270665074
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$862.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SCREW SLF DRILL UNIPLATE2 14MM

Facility

$2,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270665074
Hospital Revenue Code	278
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$695.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.75
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SCREW SLF DRILL VARIA 3.6X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270695412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SLF DRILL VARIA 3.6X14MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270695412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW SLF-DRLG/VARIA ANG 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270670529
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 SLF-DRLG/VARIA ANG 16MM

Facility

$1,209.05

Service Code	HCPCS C1713
Hospital Charge Code	270670529
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 SLF TAP DIAMOND 4x12MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270657670
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW SLF TAP DIAMOND 4x12MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270657670
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SCREW SLF TAP DIAMOND 4x14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270658059
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW SLF TAP DIAMOND 4x14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270658059
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW SLF TAP FIX ANG 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694263
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SLF TAP FIX ANG 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694263
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SLFTP CT 4.5 38 48453801

Facility

$66.80

Hospital Charge Code	270606034
Hospital Revenue Code	278
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$33.40
Rate for Payer: Aetna Commercial	$20.04
Rate for Payer: Aetna Medicare Advantage	$20.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.03
Rate for Payer: Cigna Commercial	$33.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.02

SCREW SLFTP CT 4.5 38 48453801

Facility

$66.80

Hospital Charge Code	270606034
Hospital Revenue Code	278
Min. Negotiated Rate	$10.02
Max. Negotiated Rate	$16.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.02

SCREW SLFTP CT 4.5 40 48454001

Facility

$64.25

Hospital Charge Code	270601792
Hospital Revenue Code	278
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$32.12
Rate for Payer: Aetna Commercial	$19.27
Rate for Payer: Aetna Medicare Advantage	$19.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.38
Rate for Payer: Cigna Commercial	$32.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

SCREW SLFTP CT 4.5 40 48454001

Facility

$64.25

Hospital Charge Code	270601792
Hospital Revenue Code	278
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

SCREW SLFTP CT 4.5 42 48454201

Facility

$63.75

Hospital Charge Code	270601793
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

SCREW SLFTP CT 4.5 42 48454201

Facility

$63.75

Hospital Charge Code	270601793
Hospital Revenue Code	278
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$31.88
Rate for Payer: Aetna Commercial	$19.12
Rate for Payer: Aetna Medicare Advantage	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.26
Rate for Payer: Cigna Commercial	$31.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

SCREW SMN AFX 9 25 7207186

Facility

$660.85

Hospital Charge Code	270617674
Hospital Revenue Code	278
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$159.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.13

SCREW SMN AFX 9 25 7207186

Facility

$660.85

Hospital Charge Code	270617674
Hospital Revenue Code	278
Min. Negotiated Rate	$99.13
Max. Negotiated Rate	$330.43
Rate for Payer: Aetna Commercial	$198.25
Rate for Payer: Aetna Medicare Advantage	$198.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.52
Rate for Payer: Cigna Commercial	$330.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.13

SCREW SMN CHS LAG 100MM 121109

Facility

$1,449.65

Hospital Charge Code	270621498
Hospital Revenue Code	278
Min. Negotiated Rate	$217.45
Max. Negotiated Rate	$724.83
Rate for Payer: Aetna Commercial	$434.89
Rate for Payer: Aetna Medicare Advantage	$434.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.66
Rate for Payer: Cigna Commercial	$724.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.82
Rate for Payer: Qualcare PPO/HMO/WC	$217.45

SCREW SMN CHS LAG 100MM 121109

Facility

$1,449.65

Hospital Charge Code	270621498
Hospital Revenue Code	278
Min. Negotiated Rate	$217.45
Max. Negotiated Rate	$350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.82
Rate for Payer: Qualcare PPO/HMO/WC	$217.45

Know your out-of-pocket cost for care.

All Charges