Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCRW COMP HEADLES 2.4x22MM LNG

Facility

$1,709.15

Service Code	HCPCS C1713
Hospital Charge Code	270681288
Hospital Revenue Code	278
Min. Negotiated Rate	$256.37
Max. Negotiated Rate	$413.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$341.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.61
Rate for Payer: Qualcare PPO/HMO/WC	$256.37

SCRW COMP HEDLES SHRT 3.0X36MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270680184
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$726.15
Rate for Payer: Aetna Commercial	$435.69
Rate for Payer: Aetna Medicare Advantage	$435.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.34
Rate for Payer: Cigna Commercial	$726.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCRW COMP HEDLES SHRT 3.0X36MM

Facility

$1,452.30

Service Code	HCPCS C1713
Hospital Charge Code	270680184
Hospital Revenue Code	278
Min. Negotiated Rate	$217.84
Max. Negotiated Rate	$351.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.46
Rate for Payer: Qualcare PPO/HMO/WC	$217.84

SCRW COMP KREULOK 2.7X22MM

Facility

$1,500.00

Hospital Charge Code	270703178
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCRW COMP KREULOK 2.7X22MM

Facility

$1,500.00

Hospital Charge Code	270703178
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCRW COMPRSSN 3.0x30mm NCS3030

Facility

$1,325.00

Hospital Charge Code	270647214
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$397.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCRW COMPRSSN 3.0x30mm NCS3030

Facility

$1,325.00

Hospital Charge Code	270647214
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SCRW COMP VAL KRELCK TI 3.5X10

Facility

$1,625.00

Hospital Charge Code	270703730
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW COMP VAL KRELCK TI 3.5X10

Facility

$1,625.00

Hospital Charge Code	270703730
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW COMP VAL KRELCK TI 3.5X12

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703732
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW COMP VAL KRELCK TI 3.5X12

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703732
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW COMP VAL KRELCK TI 3.5X14

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703731
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW COMP VAL KRELCK TI 3.5X14

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270703731
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$487.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SCRW CORTCAL 150X50mm A6015050

Facility

$718.75

Hospital Charge Code	270637344
Hospital Revenue Code	278
Min. Negotiated Rate	$107.81
Max. Negotiated Rate	$359.38
Rate for Payer: Aetna Commercial	$215.62
Rate for Payer: Aetna Medicare Advantage	$215.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.28
Rate for Payer: Cigna Commercial	$359.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.94
Rate for Payer: Qualcare PPO/HMO/WC	$107.81

SCRW CORTCAL 150X50mm A6015050

Facility

$718.75

Hospital Charge Code	270637344
Hospital Revenue Code	278
Min. Negotiated Rate	$107.81
Max. Negotiated Rate	$173.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.94
Rate for Payer: Qualcare PPO/HMO/WC	$107.81

SCRW CORTCL 4.5mX65m 23472365

Facility

$111.65

Hospital Charge Code	270635860
Hospital Revenue Code	278
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$27.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.02
Rate for Payer: Qualcare PPO/HMO/WC	$16.75

SCRW CORTCL 4.5mX65m 23472365

Facility

$111.65

Hospital Charge Code	270635860
Hospital Revenue Code	278
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$55.83
Rate for Payer: Aetna Commercial	$33.49
Rate for Payer: Aetna Medicare Advantage	$33.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.47
Rate for Payer: Cigna Commercial	$55.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.02
Rate for Payer: Qualcare PPO/HMO/WC	$16.75

SCRW CORTEX 4.5mmx60mm 217.860

Facility

$85.65

Hospital Charge Code	270635647
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$20.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

SCRW CORTEX 4.5mmx60mm 217.860

Facility

$85.65

Hospital Charge Code	270635647
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$25.70
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

SCRW CORTICAL BONE 5.0MM X32MM

Facility

$722.30

Service Code	HCPCS C1713
Hospital Charge Code	270678401
Hospital Revenue Code	278
Min. Negotiated Rate	$108.34
Max. Negotiated Rate	$361.15
Rate for Payer: Aetna Commercial	$216.69
Rate for Payer: Aetna Medicare Advantage	$216.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.19
Rate for Payer: Cigna Commercial	$361.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.80
Rate for Payer: Qualcare PPO/HMO/WC	$108.34

SCRW CORTICAL BONE 5.0MM X32MM

Facility

$722.30

Service Code	HCPCS C1713
Hospital Charge Code	270678401
Hospital Revenue Code	278
Min. Negotiated Rate	$108.34
Max. Negotiated Rate	$174.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.80
Rate for Payer: Qualcare PPO/HMO/WC	$108.34

SCRW CORT LOPRF SLFTPN3.5x26MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270668001
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCRW CORT LOPRF SLFTPN3.5x26MM

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270668001
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

SCRW CRT 2.4x12 SELFTAP401.512

Facility

$297.65

Hospital Charge Code	270635603
Hospital Revenue Code	278
Min. Negotiated Rate	$44.65
Max. Negotiated Rate	$148.82
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$89.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.90
Rate for Payer: Cigna Commercial	$148.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.03
Rate for Payer: Qualcare PPO/HMO/WC	$44.65

SCRW CRT 2.4x12 SELFTAP401.512

Facility

$297.65

Hospital Charge Code	270635603
Hospital Revenue Code	278
Min. Negotiated Rate	$44.65
Max. Negotiated Rate	$72.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.03
Rate for Payer: Qualcare PPO/HMO/WC	$44.65

Know your out-of-pocket cost for care.

All Charges