Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW TITANIUM 18mm 3.5****

Facility

$48.00

Hospital Charge Code	27060146
Hospital Revenue Code	279
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

SCREW TITANIUM 18mm 3.5****

Facility

$48.00

Hospital Charge Code	27060146
Hospital Revenue Code	279
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.24
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$24.00

SCREW TITANIUM 2.0X 13MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270684052
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW TITANIUM 2.0X 13MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270684052
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW TIT LOK 3.5MM X 34M

Facility

$750.02

Service Code	HCPCS C1713
Hospital Charge Code	270687869
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.01
Rate for Payer: Aetna Commercial	$225.01
Rate for Payer: Aetna Medicare Advantage	$225.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.26
Rate for Payer: Cigna Commercial	$375.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW TIT LOK 3.5MM X 34M

Facility

$750.02

Service Code	HCPCS C1713
Hospital Charge Code	270687869
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW TI VAL 3.0X22MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692861
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 TI VAL 3.0X22MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692861
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 Ti W/PIL 4 0x46m 345846

Facility

$530.75

Hospital Charge Code	270630434
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$265.38
Rate for Payer: Aetna Commercial	$159.22
Rate for Payer: Aetna Medicare Advantage	$159.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.34
Rate for Payer: Cigna Commercial	$265.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW Ti W/PIL 4 0x46m 345846

Facility

$530.75

Hospital Charge Code	270630434
Hospital Revenue Code	278
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$128.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.44
Rate for Payer: Qualcare PPO/HMO/WC	$79.61

SCREW TI W/PILOT THRD 4mmX38mm

Facility

$496.00

Hospital Charge Code	270627444
Hospital Revenue Code	278
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$148.80
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

SCREW TI W/PILOT THRD 4mmX38mm

Facility

$496.00

Hospital Charge Code	270627444
Hospital Revenue Code	278
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$120.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.03
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

SCREW Ti WPIL TH 4.0x68 345868

Facility

$575.45

Hospital Charge Code	270634724
Hospital Revenue Code	278
Min. Negotiated Rate	$86.32
Max. Negotiated Rate	$139.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.26
Rate for Payer: Qualcare PPO/HMO/WC	$86.32

SCREW Ti WPIL TH 4.0x68 345868

Facility

$575.45

Hospital Charge Code	270634724
Hospital Revenue Code	278
Min. Negotiated Rate	$86.32
Max. Negotiated Rate	$287.73
Rate for Payer: Aetna Commercial	$172.63
Rate for Payer: Aetna Medicare Advantage	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.74
Rate for Payer: Cigna Commercial	$287.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.26
Rate for Payer: Qualcare PPO/HMO/WC	$86.32

SCREW Ti W/PL TD 4.0x72 345872

Facility

$565.50

Hospital Charge Code	270633333
Hospital Revenue Code	278
Min. Negotiated Rate	$84.83
Max. Negotiated Rate	$282.75
Rate for Payer: Aetna Commercial	$169.65
Rate for Payer: Aetna Medicare Advantage	$169.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.20
Rate for Payer: Cigna Commercial	$282.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.85
Rate for Payer: Qualcare PPO/HMO/WC	$84.83

SCREW Ti W/PL TD 4.0x72 345872

Facility

$565.50

Hospital Charge Code	270633333
Hospital Revenue Code	278
Min. Negotiated Rate	$84.83
Max. Negotiated Rate	$136.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.85
Rate for Payer: Qualcare PPO/HMO/WC	$84.83

SCREW TM CORT ST 6.5X50MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697049
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW TM CORT ST 6.5X50MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270697049
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SCREW TNFA-ADVANCE 85 MM

Facility

$3,559.30

Service Code	HCPCS C1713
Hospital Charge Code	270698687
Hospital Revenue Code	278
Min. Negotiated Rate	$533.89
Max. Negotiated Rate	$861.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$711.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$861.35
Rate for Payer: Qualcare PPO/HMO/WC	$533.89

SCREW TNFA-ADVANCE 85 MM

Facility

$3,559.30

Service Code	HCPCS C1713
Hospital Charge Code	270698687
Hospital Revenue Code	278
Min. Negotiated Rate	$533.89
Max. Negotiated Rate	$1,779.65
Rate for Payer: Aetna Commercial	$1,067.79
Rate for Payer: Aetna Medicare Advantage	$1,067.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$907.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$907.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$711.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$907.62
Rate for Payer: Cigna Commercial	$1,779.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$861.35
Rate for Payer: Qualcare PPO/HMO/WC	$533.89

SCREW TOWER T25 6.5

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692799
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$5,375.00
Rate for Payer: Aetna Commercial	$3,225.00
Rate for Payer: Aetna Medicare Advantage	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,741.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,741.25
Rate for Payer: Cigna Commercial	$5,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW TOWER T25 6.5

Facility

$10,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692799
Hospital Revenue Code	278
Min. Negotiated Rate	$1,612.50
Max. Negotiated Rate	$2,601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,601.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,612.50

SCREW TRANSFIXING 6mm 14285

Facility

$830.00

Service Code	HCPCS C1713
Hospital Charge Code	270637343
Hospital Revenue Code	278
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$200.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.86
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

SCREW TRANSFIXING 6mm 14285

Facility

$830.00

Service Code	HCPCS C1713
Hospital Charge Code	270637343
Hospital Revenue Code	278
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$249.00
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$166.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.86
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

SCREW TREP ATT 9.5MM

Facility

$1,483.75

Service Code	HCPCS C1713
Hospital Charge Code	270691898
Hospital Revenue Code	278
Min. Negotiated Rate	$222.56
Max. Negotiated Rate	$359.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$296.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.07
Rate for Payer: Qualcare PPO/HMO/WC	$222.56

Know your out-of-pocket cost for care.

All Charges