Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VHS 4.5 SS CORT S/T 46MM

Facility

$90.00

Hospital Charge Code	270654423
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

SCREW VHS 4.5 SS CORT S/T 46MM

Facility

$90.00

Hospital Charge Code	270654423
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

SCREW VHS LAG 12.7x105 200205

Facility

$1,390.00

Hospital Charge Code	270643802
Hospital Revenue Code	278
Min. Negotiated Rate	$208.50
Max. Negotiated Rate	$336.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$208.50

SCREW VHS LAG 12.7x105 200205

Facility

$1,390.00

Hospital Charge Code	270643802
Hospital Revenue Code	278
Min. Negotiated Rate	$208.50
Max. Negotiated Rate	$695.00
Rate for Payer: Aetna Commercial	$417.00
Rate for Payer: Aetna Medicare Advantage	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$278.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.45
Rate for Payer: Cigna Commercial	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$208.50

SCREW VIPER CORT PED TI 7X45MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693868
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$1,996.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

SCREW VIPER CORT PED TI 7X45MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693868
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$4,125.00
Rate for Payer: Aetna Commercial	$2,475.00
Rate for Payer: Aetna Medicare Advantage	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.75
Rate for Payer: Cigna Commercial	$4,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

SCREW VIPER CORT PED TI 7X50MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$1,996.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

SCREW VIPER CORT PED TI 7X50MM

Facility

$8,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693869
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.50
Max. Negotiated Rate	$4,125.00
Rate for Payer: Aetna Commercial	$2,475.00
Rate for Payer: Aetna Medicare Advantage	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.75
Rate for Payer: Cigna Commercial	$4,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.50

SCREW V-LOCK 90DEGREE 30mNL-30

Facility

$421.65

Hospital Charge Code	270636607
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW V-LOCK 90DEGREE 30mNL-30

Facility

$421.65

Hospital Charge Code	270636607
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW VLOCK 90DEGREE 34m NL-34

Facility

$421.65

Hospital Charge Code	270636608
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$210.82
Rate for Payer: Aetna Commercial	$126.50
Rate for Payer: Aetna Medicare Advantage	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.52
Rate for Payer: Cigna Commercial	$210.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW VLOCK 90DEGREE 34m NL-34

Facility

$421.65

Hospital Charge Code	270636608
Hospital Revenue Code	278
Min. Negotiated Rate	$63.25
Max. Negotiated Rate	$102.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Qualcare PPO/HMO/WC	$63.25

SCREW VLX CANN 3.0 30 P227-30

Facility

$460.85

Hospital Charge Code	270614806
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

SCREW VLX CANN 3.0 30 P227-30

Facility

$460.85

Hospital Charge Code	270614806
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

SCREW VLX CANN 3.0 32 P227-32

Facility

$484.00

Hospital Charge Code	270614807
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VLX CANN 3.0 32 P227-32

Facility

$484.00

Hospital Charge Code	270614807
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VLX CANN 3.0 34 P227-34

Facility

$484.00

Hospital Charge Code	270614808
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VLX CANN 3.0 34 P227-34

Facility

$484.00

Hospital Charge Code	270614808
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VLX CANN 3.0 36 P227-36

Facility

$484.00

Hospital Charge Code	270614809
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$117.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VLX CANN 3.0 36 P227-36

Facility

$484.00

Hospital Charge Code	270614809
Hospital Revenue Code	278
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$145.20
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.13
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

SCREW VOYAGER 5.5 MAS 5.5X50MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699435
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$3,335.00
Rate for Payer: Aetna Commercial	$2,001.00
Rate for Payer: Aetna Medicare Advantage	$2,001.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,700.85
Rate for Payer: Cigna Commercial	$3,335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW VOYAGER 5.5 MAS 5.5X50MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699435
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$1,614.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW VOYAGER 5.5 MAS 6.5X50MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699432
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$3,335.00
Rate for Payer: Aetna Commercial	$2,001.00
Rate for Payer: Aetna Medicare Advantage	$2,001.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,700.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,700.85
Rate for Payer: Cigna Commercial	$3,335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW VOYAGER 5.5 MAS 6.5X50MM

Facility

$6,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270699432
Hospital Revenue Code	278
Min. Negotiated Rate	$1,000.50
Max. Negotiated Rate	$1,614.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,614.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,000.50

SCREW VOYAGER 5.5X40MM

Facility

$14,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697029
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

Know your out-of-pocket cost for care.

All Charges