Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SUPER LAG 55MM-140MM

Facility

$773.00

Hospital Charge Code	1605690
Hospital Revenue Code	274
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$187.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.07
Rate for Payer: Qualcare PPO/HMO/WC	$115.95

SCREW SUPER LAG 55MM-140MM

Facility

$773.00

Hospital Charge Code	1605690
Hospital Revenue Code	274
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$386.50
Rate for Payer: Aetna Commercial	$231.90
Rate for Payer: Aetna Medicare Advantage	$231.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.12
Rate for Payer: Cigna Commercial	$386.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.07
Rate for Payer: Qualcare PPO/HMO/WC	$115.95

SCREW SYMPHONY 3.5X18MM

Facility

$8,911.70

Service Code	HCPCS C1713
Hospital Charge Code	270694480
Hospital Revenue Code	278
Min. Negotiated Rate	$1,336.76
Max. Negotiated Rate	$4,455.85
Rate for Payer: Aetna Commercial	$2,673.51
Rate for Payer: Aetna Medicare Advantage	$2,673.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,272.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,272.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,782.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,272.48
Rate for Payer: Cigna Commercial	$4,455.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,156.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,336.76

SCREW SYMPHONY 3.5X18MM

Facility

$8,911.70

Service Code	HCPCS C1713
Hospital Charge Code	270694480
Hospital Revenue Code	278
Min. Negotiated Rate	$1,336.76
Max. Negotiated Rate	$2,156.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,782.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,156.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,336.76

SCREW SYMPHONY OCT SET TALL

Facility

$1,045.50

Service Code	HCPCS C1713
Hospital Charge Code	270693351
Hospital Revenue Code	278
Min. Negotiated Rate	$156.82
Max. Negotiated Rate	$253.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.82

SCREW SYMPHONY OCT SET TALL

Facility

$1,045.50

Service Code	HCPCS C1713
Hospital Charge Code	270693351
Hospital Revenue Code	278
Min. Negotiated Rate	$156.82
Max. Negotiated Rate	$522.75
Rate for Payer: Aetna Commercial	$313.65
Rate for Payer: Aetna Medicare Advantage	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.60
Rate for Payer: Cigna Commercial	$522.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Qualcare PPO/HMO/WC	$156.82

SCREW SYN 1.0 4MM 400.504

Facility

$332.00

Hospital Charge Code	270607187
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$99.60
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW SYN 1.0 4MM 400.504

Facility

$332.00

Hospital Charge Code	270607187
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW SYN CANC 4.0 100 206.100

Facility

$77.65

Hospital Charge Code	270604258
Hospital Revenue Code	278
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC 4.0 100 206.100

Facility

$77.65

Hospital Charge Code	270604258
Hospital Revenue Code	278
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$23.30
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC 4.0 100 207.100

Facility

$76.85

Hospital Charge Code	270604287
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 100 207.100

Facility

$76.85

Hospital Charge Code	270604287
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 10 404.010

Facility

$72.85

Hospital Charge Code	270601857
Hospital Revenue Code	274
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

SCREW SYN CANC 4.0 10 404.010

Facility

$72.85

Hospital Charge Code	270601857
Hospital Revenue Code	274
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$21.86
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

SCREW SYN CANC 4.0 11 400.624

Facility

$341.65

Hospital Charge Code	270617336
Hospital Revenue Code	278
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$170.82
Rate for Payer: Aetna Commercial	$102.50
Rate for Payer: Aetna Medicare Advantage	$102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.12
Rate for Payer: Cigna Commercial	$170.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.68
Rate for Payer: Qualcare PPO/HMO/WC	$51.25

SCREW SYN CANC 4.0 11 400.624

Facility

$341.65

Hospital Charge Code	270617336
Hospital Revenue Code	278
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$82.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.68
Rate for Payer: Qualcare PPO/HMO/WC	$51.25

SCREW SYN CANC 4.0 16 406.016

Facility

$80.00

Hospital Charge Code	270601860
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$24.00
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW SYN CANC 4.0 16 406.016

Facility

$80.00

Hospital Charge Code	270601860
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW SYN CANC 4.0 36 406.036

Facility

$72.85

Hospital Charge Code	270601871
Hospital Revenue Code	278
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

SCREW SYN CANC 4.0 36 406.036

Facility

$72.85

Hospital Charge Code	270601871
Hospital Revenue Code	278
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$21.86
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

SCREW SYN CANC 4.0 85 406.085

Facility

$76.85

Hospital Charge Code	270603225
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 85 406.085

Facility

$76.85

Hospital Charge Code	270603225
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 95 407.095

Facility

$76.85

Hospital Charge Code	270603335
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 95 407.095

Facility

$76.85

Hospital Charge Code	270603335
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$23.05
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 6.5 7 32 21770

Facility

$109.65

Hospital Charge Code	270627316
Hospital Revenue Code	278
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.54
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

Know your out-of-pocket cost for care.

All Charges