Heights University Hospital

All Charges

Charge

Type

Setting

Price

LOCKING SCREW 2.7 X 14

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684672
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

LOCKING SCREW 2.7 X 14

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270684672
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

LOCKING SCREW 2.7X24MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679462
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$628.12
Rate for Payer: Aetna Commercial	$376.88
Rate for Payer: Aetna Medicare Advantage	$376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.34
Rate for Payer: Cigna Commercial	$628.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 2.7X24MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679462
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$304.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 3.7X12MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679463
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$304.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 3.7X12MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270679463
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$628.12
Rate for Payer: Aetna Commercial	$376.88
Rate for Payer: Aetna Medicare Advantage	$376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.34
Rate for Payer: Cigna Commercial	$628.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

LOCKING SCREW 5.0 X 26 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687881
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$289.75
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 5.0 X 26 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687881
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 5 X 50MM

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704117
Hospital Revenue Code	278
Min. Negotiated Rate	$367.50
Max. Negotiated Rate	$592.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$367.50

LOCKING SCREW 5 X 50MM

Facility

$2,450.00

Service Code	HCPCS C1713
Hospital Charge Code	270704117
Hospital Revenue Code	278
Min. Negotiated Rate	$367.50
Max. Negotiated Rate	$1,225.00
Rate for Payer: Aetna Commercial	$735.00
Rate for Payer: Aetna Medicare Advantage	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.75
Rate for Payer: Cigna Commercial	$1,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.90
Rate for Payer: Qualcare PPO/HMO/WC	$367.50

LOCKING SCREW 5X60MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705859
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$810.98
Rate for Payer: Aetna Commercial	$486.58
Rate for Payer: Aetna Medicare Advantage	$486.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.60
Rate for Payer: Cigna Commercial	$810.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 5X60MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705859
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$392.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 5X75MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705860
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$392.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 5X75MM

Facility

$1,621.95

Service Code	HCPCS C1713
Hospital Charge Code	270705860
Hospital Revenue Code	278
Min. Negotiated Rate	$243.29
Max. Negotiated Rate	$810.98
Rate for Payer: Aetna Commercial	$486.58
Rate for Payer: Aetna Medicare Advantage	$486.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$413.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$324.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$413.60
Rate for Payer: Cigna Commercial	$810.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.51
Rate for Payer: Qualcare PPO/HMO/WC	$243.29

LOCKING SCREW 6.0 X 64 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687879
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$289.75
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 64 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687879
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 68 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687880
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 68 MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687880
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$289.75
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 76MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687878
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW 6.0 X 76MM

Facility

$965.85

Service Code	HCPCS C1713
Hospital Charge Code	270687878
Hospital Revenue Code	278
Min. Negotiated Rate	$144.88
Max. Negotiated Rate	$482.93
Rate for Payer: Aetna Commercial	$289.75
Rate for Payer: Aetna Medicare Advantage	$289.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.29
Rate for Payer: Cigna Commercial	$482.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.74
Rate for Payer: Qualcare PPO/HMO/WC	$144.88

LOCKING SCREW T10 3.5MMXL2.0

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270700423
Hospital Revenue Code	278
Min. Negotiated Rate	$105.49
Max. Negotiated Rate	$351.62
Rate for Payer: Aetna Commercial	$210.97
Rate for Payer: Aetna Medicare Advantage	$210.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.33
Rate for Payer: Cigna Commercial	$351.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49

LOCKING SCREW T10 3.5MMXL2.0

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270700423
Hospital Revenue Code	278
Min. Negotiated Rate	$105.49
Max. Negotiated Rate	$170.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49

LOCKING SCREW T 10 3.5X 38 MM

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701155
Hospital Revenue Code	278
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$1,007.50
Rate for Payer: Aetna Commercial	$604.50
Rate for Payer: Aetna Medicare Advantage	$604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$513.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$513.83
Rate for Payer: Cigna Commercial	$1,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: Qualcare PPO/HMO/WC	$302.25

LOCKING SCREW T 10 3.5X 38 MM

Facility

$2,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270701155
Hospital Revenue Code	278
Min. Negotiated Rate	$302.25
Max. Negotiated Rate	$487.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: Qualcare PPO/HMO/WC	$302.25

LOCKING SCREW T2 F/T 5MMX40MM

Facility

$1,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270638645
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$420.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

Know your out-of-pocket cost for care.

All Charges