Heights University Hospital

All Charges

Charge

Type

Setting

Price

NCB CORT SCREW 5.0X40MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704131
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X40MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704131
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X42MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704133
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X42MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704133
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X46MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704134
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X46MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704134
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X48MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704135
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X48MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704135
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X50MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704132
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X50MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704132
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X65MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704136
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5.0X65MM SELF T

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704136
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5 X34MM SELFTAP

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270679961
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5 X34MM SELFTAP

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270679961
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5X36MM SELFTAP

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270679962
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB CORT SCREW 5X36MM SELFTAP

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270679962
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB DRILL BIT 4.3MM X 195MM

Facility

$901.45

Hospital Charge Code	270679965
Hospital Revenue Code	272
Min. Negotiated Rate	$117.19
Max. Negotiated Rate	$450.73
Rate for Payer: Aetna Commercial	$270.44
Rate for Payer: Aetna Medicare Advantage	$270.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.87
Rate for Payer: Cigna Commercial	$450.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.19
Rate for Payer: Oxford Commercial	$450.73
Rate for Payer: Qualcare PPO/HMO/WC	$135.22
Rate for Payer: UnitedHealthcare Commercial	$450.73

NCB DRILL BIT 4.3MM X 195MM

Facility

$901.45

Hospital Charge Code	270679965
Hospital Revenue Code	272
Min. Negotiated Rate	$135.22
Max. Negotiated Rate	$135.22
Rate for Payer: Qualcare PPO/HMO/WC	$135.22

NCB LOCKING SCREW CAP

Facility

$637.50

Service Code	HCPCS C1713
Hospital Charge Code	270679963
Hospital Revenue Code	278
Min. Negotiated Rate	$95.62
Max. Negotiated Rate	$318.75
Rate for Payer: Aetna Commercial	$191.25
Rate for Payer: Aetna Medicare Advantage	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.56
Rate for Payer: Cigna Commercial	$318.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.28
Rate for Payer: Qualcare PPO/HMO/WC	$95.62

NCB LOCKING SCREW CAP

Facility

$637.50

Service Code	HCPCS C1713
Hospital Charge Code	270679963
Hospital Revenue Code	278
Min. Negotiated Rate	$95.62
Max. Negotiated Rate	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.28
Rate for Payer: Qualcare PPO/HMO/WC	$95.62

NCB PP PROX FEM PLT R,L 245MM

Facility

$5,482.50

Service Code	HCPCS C1713
Hospital Charge Code	270679955
Hospital Revenue Code	278
Min. Negotiated Rate	$822.38
Max. Negotiated Rate	$1,326.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.77
Rate for Payer: Qualcare PPO/HMO/WC	$822.38

NCB PP PROX FEM PLT R,L 245MM

Facility

$5,482.50

Service Code	HCPCS C1713
Hospital Charge Code	270679955
Hospital Revenue Code	278
Min. Negotiated Rate	$822.38
Max. Negotiated Rate	$2,741.25
Rate for Payer: Aetna Commercial	$1,644.75
Rate for Payer: Aetna Medicare Advantage	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,398.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,398.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,096.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,398.04
Rate for Payer: Cigna Commercial	$2,741.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.77
Rate for Payer: Qualcare PPO/HMO/WC	$822.38

NCB SCR 5.0 L = 90MM

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704137
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$296.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB SCR 5.0 L = 90MM

Facility

$1,223.40

Service Code	HCPCS C1713
Hospital Charge Code	270704137
Hospital Revenue Code	278
Min. Negotiated Rate	$183.51
Max. Negotiated Rate	$611.70
Rate for Payer: Aetna Commercial	$367.02
Rate for Payer: Aetna Medicare Advantage	$367.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.97
Rate for Payer: Cigna Commercial	$611.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.06
Rate for Payer: Qualcare PPO/HMO/WC	$183.51

NCB TROC PLATE RIGHT NARROW

Facility

$4,054.50

Service Code	HCPCS C1713
Hospital Charge Code	270679954
Hospital Revenue Code	278
Min. Negotiated Rate	$608.17
Max. Negotiated Rate	$981.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$810.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$981.19
Rate for Payer: Qualcare PPO/HMO/WC	$608.17

Know your out-of-pocket cost for care.

All Charges