Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$349.23
Rate for Payer: Aetna Commercial	$209.53
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW SYN LOCKING 6MM 450.869S

Facility

$698.45

Hospital Charge Code	270627048
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

SCREW SYN LOCKING 6MM 450.869S

Facility

$698.45

Hospital Charge Code	270627048
Hospital Revenue Code	278
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$209.53
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

SCREW SYN SCHZ 6/190MM 294.68

Facility

$424.00

Service Code	HCPCS C1713
Hospital Charge Code	270615261
Hospital Revenue Code	278
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$212.00
Rate for Payer: Aetna Commercial	$127.20
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.12
Rate for Payer: Cigna Commercial	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.61
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

SCREW SYN SCHZ 6/190MM 294.68

Facility

$424.00

Service Code	HCPCS C1713
Hospital Charge Code	270615261
Hospital Revenue Code	278
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$102.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.61
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

SCREW SYN SD 4 1.3 400334

Facility

$238.45

Hospital Charge Code	270626835
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$119.22
Rate for Payer: Aetna Commercial	$71.53
Rate for Payer: Aetna Medicare Advantage	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.80
Rate for Payer: Cigna Commercial	$119.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN SD 4 1.3 400334

Facility

$238.45

Hospital Charge Code	270626835
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN SD 5 1.3 400335

Facility

$238.45

Hospital Charge Code	270626839
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN SD 5 1.3 400335

Facility

$238.45

Hospital Charge Code	270626839
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$119.22
Rate for Payer: Aetna Commercial	$71.53
Rate for Payer: Aetna Medicare Advantage	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.80
Rate for Payer: Cigna Commercial	$119.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW SYN ST 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270617337
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$55.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYN ST 1.5 6 400.736

Facility

$231.25

Hospital Charge Code	270617337
Hospital Revenue Code	278
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$69.38
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

SCREW SYNTHES 5.0 COVE 25 MM

Facility

$1,099.05

Service Code	HCPCS C1713
Hospital Charge Code	270691606
Hospital Revenue Code	278
Min. Negotiated Rate	$164.86
Max. Negotiated Rate	$549.52
Rate for Payer: Aetna Commercial	$329.71
Rate for Payer: Aetna Medicare Advantage	$329.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.26
Rate for Payer: Cigna Commercial	$549.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.97
Rate for Payer: Qualcare PPO/HMO/WC	$164.86

SCREW SYNTHES 5.0 COVE 25 MM

Facility

$1,099.05

Service Code	HCPCS C1713
Hospital Charge Code	270691606
Hospital Revenue Code	278
Min. Negotiated Rate	$164.86
Max. Negotiated Rate	$265.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.97
Rate for Payer: Qualcare PPO/HMO/WC	$164.86

SCREW SYNTHES 5.0 COVE 30 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691594
Hospital Revenue Code	278
Min. Negotiated Rate	$164.84
Max. Negotiated Rate	$549.45
Rate for Payer: Aetna Commercial	$329.67
Rate for Payer: Aetna Medicare Advantage	$329.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.22
Rate for Payer: Cigna Commercial	$549.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: Qualcare PPO/HMO/WC	$164.84

SCREW SYNTHES 5.0 COVE 30 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691594
Hospital Revenue Code	278
Min. Negotiated Rate	$164.84
Max. Negotiated Rate	$265.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: Qualcare PPO/HMO/WC	$164.84

SCREW SYNTHES 5.0 COVE 55 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691595
Hospital Revenue Code	278
Min. Negotiated Rate	$164.84
Max. Negotiated Rate	$265.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: Qualcare PPO/HMO/WC	$164.84

SCREW SYNTHES 5.0 COVE 55 MM

Facility

$1,098.90

Service Code	HCPCS C1713
Hospital Charge Code	270691595
Hospital Revenue Code	278
Min. Negotiated Rate	$164.84
Max. Negotiated Rate	$549.45
Rate for Payer: Aetna Commercial	$329.67
Rate for Payer: Aetna Medicare Advantage	$329.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.22
Rate for Payer: Cigna Commercial	$549.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.93
Rate for Payer: Qualcare PPO/HMO/WC	$164.84

SCREW SYN TT 2.4 10 401310

Facility

$208.85

Hospital Charge Code	270625821
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$50.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.54
Rate for Payer: Qualcare PPO/HMO/WC	$31.33

SCREW SYN TT 2.4 10 401310

Facility

$208.85

Hospital Charge Code	270625821
Hospital Revenue Code	278
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$104.42
Rate for Payer: Aetna Commercial	$62.66
Rate for Payer: Aetna Medicare Advantage	$62.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.26
Rate for Payer: Cigna Commercial	$104.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.54
Rate for Payer: Qualcare PPO/HMO/WC	$31.33

SCREW SYN TTN 3.5/26MM*****

Facility

$36.00

Hospital Charge Code	270601850
Hospital Revenue Code	274
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SCREW SYN TTN 3.5/26MM*****

Facility

$36.00

Hospital Charge Code	270601850
Hospital Revenue Code	274
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SCREW SYN TTN 3.5/32MM*****

Facility

$36.00

Hospital Charge Code	270601853
Hospital Revenue Code	274
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SCREW SYN TTN 3.5/32MM*****

Facility

$36.00

Hospital Charge Code	270601853
Hospital Revenue Code	274
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SCREW SYN TTN 3.5/38MM

Facility

$93.65

Hospital Charge Code	270601856
Hospital Revenue Code	274
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$28.09
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW SYN TTN 3.5/38MM

Facility

$93.65

Hospital Charge Code	270601856
Hospital Revenue Code	274
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

Know your out-of-pocket cost for care.

All Charges