Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CORT TTN 3.5/60MM

Facility

$71.25

Hospital Charge Code	270603177
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/60MM

Facility

$71.25

Hospital Charge Code	270603177
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/65MM

Facility

$71.25

Hospital Charge Code	270603178
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/65MM

Facility

$71.25

Hospital Charge Code	270603178
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/70MM

Facility

$71.25

Hospital Charge Code	270603179
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/70MM

Facility

$71.25

Hospital Charge Code	270603179
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/80MM

Facility

$71.25

Hospital Charge Code	270603181
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/80MM

Facility

$71.25

Hospital Charge Code	270603181
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/85MM

Facility

$71.25

Hospital Charge Code	270603182
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/85MM

Facility

$71.25

Hospital Charge Code	270603182
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/90MM

Facility

$71.25

Hospital Charge Code	270603183
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/90MM

Facility

$71.25

Hospital Charge Code	270603183
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/95MM

Facility

$71.25

Hospital Charge Code	270603184
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/95MM

Facility

$71.25

Hospital Charge Code	270603184
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$21.38
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN EMERG 1.7 X 4 400144

Facility

$252.85

Hospital Charge Code	270627897
Hospital Revenue Code	278
Min. Negotiated Rate	$37.93
Max. Negotiated Rate	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.93

SCREW SYN EMERG 1.7 X 4 400144

Facility

$252.85

Hospital Charge Code	270627897
Hospital Revenue Code	278
Min. Negotiated Rate	$37.93
Max. Negotiated Rate	$126.42
Rate for Payer: Aetna Commercial	$75.86
Rate for Payer: Aetna Medicare Advantage	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.48
Rate for Payer: Cigna Commercial	$126.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.93

SCREW SYN EMERG 2 X 4 400.784

Facility

$246.45

Hospital Charge Code	270617339
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$59.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW SYN EMERG 2 X 4 400.784

Facility

$246.45

Hospital Charge Code	270617339
Hospital Revenue Code	278
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$123.22
Rate for Payer: Aetna Commercial	$73.94
Rate for Payer: Aetna Medicare Advantage	$73.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.84
Rate for Payer: Cigna Commercial	$123.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.97

SCREW SYN EXPANSN HEAD 497-04

Facility

$1,018.45

Hospital Charge Code	270609417
Hospital Revenue Code	278
Min. Negotiated Rate	$152.77
Max. Negotiated Rate	$246.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.46
Rate for Payer: Qualcare PPO/HMO/WC	$152.77

SCREW SYN EXPANSN HEAD 497-04

Facility

$1,018.45

Hospital Charge Code	270609417
Hospital Revenue Code	278
Min. Negotiated Rate	$152.77
Max. Negotiated Rate	$509.23
Rate for Payer: Aetna Commercial	$305.54
Rate for Payer: Aetna Medicare Advantage	$305.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.70
Rate for Payer: Cigna Commercial	$509.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.46
Rate for Payer: Qualcare PPO/HMO/WC	$152.77

SCREW SYNFIX EVO FINE 20MM

Facility

$4,097.70

Service Code	HCPCS C1713
Hospital Charge Code	270698985
Hospital Revenue Code	278
Min. Negotiated Rate	$614.65
Max. Negotiated Rate	$2,048.85
Rate for Payer: Aetna Commercial	$1,229.31
Rate for Payer: Aetna Medicare Advantage	$1,229.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.91
Rate for Payer: Cigna Commercial	$2,048.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$991.64
Rate for Payer: Qualcare PPO/HMO/WC	$614.65

SCREW SYNFIX EVO FINE 20MM

Facility

$4,097.70

Service Code	HCPCS C1713
Hospital Charge Code	270698985
Hospital Revenue Code	278
Min. Negotiated Rate	$614.65
Max. Negotiated Rate	$991.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$991.64
Rate for Payer: Qualcare PPO/HMO/WC	$614.65

SCREW SYN LOCKING 497-78

Facility

$211.25

Service Code	HCPCS C1713
Hospital Charge Code	270609418
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$51.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

SCREW SYN LOCKING 497-78

Facility

$211.25

Service Code	HCPCS C1713
Hospital Charge Code	270609418
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$63.38
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

SCREW SYN LOCKING 6MM 450.865S

Facility

$698.45

Hospital Charge Code	270627047
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$169.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

Know your out-of-pocket cost for care.

All Charges