Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW TAP. 4.5MM

Facility

$16,980.00

Service Code	HCPCS C1713
Hospital Charge Code	270683896
Hospital Revenue Code	278
Min. Negotiated Rate	$2,547.00
Max. Negotiated Rate	$4,109.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,396.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,109.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,547.00

SCREW TAP 4 X 16 MM

Facility

$1,000.00

Hospital Charge Code	270695121
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW TAP 4 X 16 MM

Facility

$1,000.00

Hospital Charge Code	270695121
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW TAPER 6-8mmx30mm 254602

Facility

$900.00

Hospital Charge Code	270638807
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW TAPER 6-8mmx30mm 254602

Facility

$900.00

Hospital Charge Code	270638807
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW TAPERED 8-10X30mm 254603

Facility

$900.00

Hospital Charge Code	270636751
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW TAPERED 8-10X30mm 254603

Facility

$900.00

Hospital Charge Code	270636751
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW TAPERED CANNULATED DELTA

Facility

$1,680.00

Hospital Charge Code	270666963
Hospital Revenue Code	278
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$406.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

SCREW TAPERED CANNULATED DELTA

Facility

$1,680.00

Hospital Charge Code	270666963
Hospital Revenue Code	278
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$504.00
Rate for Payer: Aetna Medicare Advantage	$504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.40
Rate for Payer: Cigna Commercial	$840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

SCREW TAPERED IN 7X9X30 254609

Facility

$820.00

Hospital Charge Code	270637734
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$198.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

SCREW TAPERED IN 7X9X30 254609

Facility

$820.00

Hospital Charge Code	270637734
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$246.00
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

SCREW TAP SELF 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270689204
Hospital Revenue Code	278
Min. Negotiated Rate	$188.81
Max. Negotiated Rate	$629.38
Rate for Payer: Aetna Commercial	$377.62
Rate for Payer: Aetna Medicare Advantage	$377.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.98
Rate for Payer: Cigna Commercial	$629.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: Qualcare PPO/HMO/WC	$188.81

SCREW TAP SELF 16MM

Facility

$1,258.75

Service Code	HCPCS C1713
Hospital Charge Code	270689204
Hospital Revenue Code	278
Min. Negotiated Rate	$188.81
Max. Negotiated Rate	$304.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.62
Rate for Payer: Qualcare PPO/HMO/WC	$188.81

SCREW TAP VARIABLE 4.5X12MM

Facility

$875.00

Hospital Charge Code	270703044
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW TAP VARIABLE 4.5X12MM

Facility

$875.00

Hospital Charge Code	270703044
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW TBOLT POLY 5.5X40MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696794
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW TBOLT POLY 5.5X40MM

Facility

$4,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696794
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

SCREW TENO 5.5x8MM

Facility

$2,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270676705
Hospital Revenue Code	278
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Aetna Commercial	$612.00
Rate for Payer: Aetna Medicare Advantage	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$520.20
Rate for Payer: Cigna Commercial	$1,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: Qualcare PPO/HMO/WC	$306.00

SCREW TENO 5.5x8MM

Facility

$2,040.00

Service Code	HCPCS C1713
Hospital Charge Code	270676705
Hospital Revenue Code	278
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$493.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: Qualcare PPO/HMO/WC	$306.00

SCREW TENODE BIO 9X23mAR-1590B

Facility

$1,463.25

Hospital Charge Code	270636061
Hospital Revenue Code	278
Min. Negotiated Rate	$219.49
Max. Negotiated Rate	$731.62
Rate for Payer: Aetna Commercial	$438.98
Rate for Payer: Aetna Medicare Advantage	$438.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.13
Rate for Payer: Cigna Commercial	$731.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.11
Rate for Payer: Qualcare PPO/HMO/WC	$219.49

SCREW TENODE BIO 9X23mAR-1590B

Facility

$1,463.25

Hospital Charge Code	270636061
Hospital Revenue Code	278
Min. Negotiated Rate	$219.49
Max. Negotiated Rate	$354.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.11
Rate for Payer: Qualcare PPO/HMO/WC	$219.49

SCREW TENODESIS 4 X10

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270685594
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW TENODESIS 4 X10

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270685594
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$417.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW TENODESIS 4X10 MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270687615
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$517.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

SCREW TENODESIS 4X10 MM

Facility

$1,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270687615
Hospital Revenue Code	278
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$417.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.45
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

Know your out-of-pocket cost for care.

All Charges