Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SMN LOCK 4.5 35 122293

Facility

$828.85

Hospital Charge Code	270621497
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 4.5 35 122293

Facility

$828.85

Hospital Charge Code	270621497
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$248.66
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 4.5 40 122294

Facility

$828.85

Hospital Charge Code	270621507
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$200.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 4.5 40 122294

Facility

$828.85

Hospital Charge Code	270621507
Hospital Revenue Code	278
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$414.43
Rate for Payer: Aetna Commercial	$248.66
Rate for Payer: Aetna Medicare Advantage	$248.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.36
Rate for Payer: Cigna Commercial	$414.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.58
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

SCREW SMN LOCK 5.0 25 122280

Facility

$704.00

Hospital Charge Code	270613591
Hospital Revenue Code	278
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$170.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

SCREW SMN LOCK 5.0 25 122280

Facility

$704.00

Hospital Charge Code	270613591
Hospital Revenue Code	278
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$211.20
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

SCREW SNAPOFF 2.0 x 11mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270684789
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$263.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

SCREW SNAPOFF 2.0 x 11mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270684789
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$545.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.50
Rate for Payer: Aetna Commercial	$327.00
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78

SCREW SNAP-OFF 2.0x12mm

Facility

$1,375.00

Hospital Charge Code	270669710
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 SNAP-OFF 2.0x12mm

Facility

$1,375.00

Hospital Charge Code	270669710
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 SNAPOFF 2.0x12mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270678888
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$263.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

SCREW SNAPOFF 2.0x12mm

Facility

$1,090.00

Service Code	HCPCS C1713
Hospital Charge Code	270678888
Hospital Revenue Code	278
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$545.00
Rate for Payer: Aetna Commercial	$327.00
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.78
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

SCREW SNAP OFF 2.0X12MM

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693326
Hospital Revenue Code	278
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$188.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

SCREW SNAP OFF 2.0X12MM

Facility

$780.00

Service Code	HCPCS C1713
Hospital Charge Code	270693326
Hospital Revenue Code	278
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$234.00
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.76
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

SCREW SNAP OFF 2.2MMX12MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692057
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SCREW SNAP OFF 2.2MMX12MM

Facility

$2,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692057
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

SCREW SNAPOFF 2x11MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270673662
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF 2x11MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270673662
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF BLUE 2x14MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270662538
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF BLUE 2x14MM

Facility

$1,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270662538
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$472.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

SCREW SNAPOFF BLUE 3x13MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677152
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW SNAPOFF BLUE 3x13MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677152
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW SNR ST 5.0/6.4 70 122382

Facility

$683.25

Hospital Charge Code	270613592
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$165.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

SCREW SNR ST 5.0/6.4 70 122382

Facility

$683.25

Hospital Charge Code	270613592
Hospital Revenue Code	278
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$204.97
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.35
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

SCREW SOLD LOCKG 4.0X38 222587

Facility

$540.70

Hospital Charge Code	270633662
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

Know your out-of-pocket cost for care.

All Charges