Heights University Hospital

All Charges

Charge

Type

Setting

Price

LAG SCREW 10.5MMX115MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705155
Hospital Revenue Code	278
Min. Negotiated Rate	$671.77
Max. Negotiated Rate	$2,239.25
Rate for Payer: Aetna Commercial	$1,343.55
Rate for Payer: Aetna Medicare Advantage	$1,343.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,142.02
Rate for Payer: Cigna Commercial	$2,239.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77

LAG SCREW 10.5X110MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705861
Hospital Revenue Code	278
Min. Negotiated Rate	$671.77
Max. Negotiated Rate	$2,239.25
Rate for Payer: Aetna Commercial	$1,343.55
Rate for Payer: Aetna Medicare Advantage	$1,343.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,142.02
Rate for Payer: Cigna Commercial	$2,239.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77

LAG SCREW 10.5X110MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705861
Hospital Revenue Code	278
Min. Negotiated Rate	$671.77
Max. Negotiated Rate	$1,083.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77

LAG SCREW 10.5X90MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705681
Hospital Revenue Code	278
Min. Negotiated Rate	$671.77
Max. Negotiated Rate	$1,083.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77

LAG SCREW 10.5X90MM

Facility

$4,478.50

Service Code	HCPCS C1713
Hospital Charge Code	270705681
Hospital Revenue Code	278
Min. Negotiated Rate	$671.77
Max. Negotiated Rate	$2,239.25
Rate for Payer: Aetna Commercial	$1,343.55
Rate for Payer: Aetna Medicare Advantage	$1,343.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,142.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,142.02
Rate for Payer: Cigna Commercial	$2,239.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,083.80
Rate for Payer: Qualcare PPO/HMO/WC	$671.77

LAG SCREW 10.5X95MM

Facility

$3,685.00

Hospital Charge Code	270664026
Hospital Revenue Code	278
Min. Negotiated Rate	$552.75
Max. Negotiated Rate	$1,842.50
Rate for Payer: Aetna Commercial	$1,105.50
Rate for Payer: Aetna Medicare Advantage	$1,105.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.67
Rate for Payer: Cigna Commercial	$1,842.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: Qualcare PPO/HMO/WC	$552.75

LAG SCREW 10.5X95MM

Facility

$3,685.00

Hospital Charge Code	270664026
Hospital Revenue Code	278
Min. Negotiated Rate	$552.75
Max. Negotiated Rate	$891.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$737.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$891.77
Rate for Payer: Qualcare PPO/HMO/WC	$552.75

LAG SCREW CANN 2x12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270675635
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

LAG SCREW CANN 2x12MM

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270675635
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

LAG SCREW CANN CANC 4x24MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673714
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x24MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673714
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x32MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673655
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x32MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673655
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x34MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673656
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x34MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673656
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x36MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673657
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x36MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673657
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x38MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x38MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x42MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270663214
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x42MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270663214
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x42MM

Facility

$797.50

Service Code	HCPCS C1713
Hospital Charge Code	270673659
Hospital Revenue Code	278
Min. Negotiated Rate	$119.62
Max. Negotiated Rate	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.62

LAG SCREW CANN CANC 4x42MM

Facility

$797.50

Service Code	HCPCS C1713
Hospital Charge Code	270673659
Hospital Revenue Code	278
Min. Negotiated Rate	$119.62
Max. Negotiated Rate	$398.75
Rate for Payer: Aetna Commercial	$239.25
Rate for Payer: Aetna Medicare Advantage	$239.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.36
Rate for Payer: Cigna Commercial	$398.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.62

LAG SCREW CANN CANC 4x46MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673660
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

LAG SCREW CANN CANC 4x46MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270673660
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

Know your out-of-pocket cost for care.

All Charges