Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 14 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688563
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 14 MM 2.4 MM LOCKING

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270688563
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW 14MM 2.4 MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680992
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW 14MM 2.4 MM NON LOCK

Facility

$455.00

Service Code	HCPCS C1713
Hospital Charge Code	270680992
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

SCREW 14MM FIX SI

Facility

$600.00

Hospital Charge Code	270703569
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW 14MM FIX SI

Facility

$600.00

Hospital Charge Code	270703569
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW 14 MM HEADLESS 3.0 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270685955
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 14 MM HEADLESS 3.0 MM

Facility

$1,495.85

Service Code	HCPCS C1713
Hospital Charge Code	270685955
Hospital Revenue Code	278
Min. Negotiated Rate	$224.38
Max. Negotiated Rate	$747.92
Rate for Payer: Aetna Commercial	$448.75
Rate for Payer: Aetna Medicare Advantage	$448.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$299.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.44
Rate for Payer: Cigna Commercial	$747.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.38

SCREW 14MM S.D 14MM

Facility

$948.30

Service Code	HCPCS C1713
Hospital Charge Code	270665502
Hospital Revenue Code	278
Min. Negotiated Rate	$142.25
Max. Negotiated Rate	$474.15
Rate for Payer: Aetna Commercial	$284.49
Rate for Payer: Aetna Medicare Advantage	$284.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.82
Rate for Payer: Cigna Commercial	$474.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.49
Rate for Payer: Qualcare PPO/HMO/WC	$142.25

SCREW 14MM S.D 14MM

Facility

$948.30

Service Code	HCPCS C1713
Hospital Charge Code	270665502
Hospital Revenue Code	278
Min. Negotiated Rate	$142.25
Max. Negotiated Rate	$229.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.49
Rate for Payer: Qualcare PPO/HMO/WC	$142.25

SCREW 14MM S.D 18MM

Facility

$948.30

Service Code	HCPCS C1713
Hospital Charge Code	270691141
Hospital Revenue Code	278
Min. Negotiated Rate	$142.25
Max. Negotiated Rate	$474.15
Rate for Payer: Aetna Commercial	$284.49
Rate for Payer: Aetna Medicare Advantage	$284.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.82
Rate for Payer: Cigna Commercial	$474.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.49
Rate for Payer: Qualcare PPO/HMO/WC	$142.25

SCREW 14MM S.D 18MM

Facility

$948.30

Service Code	HCPCS C1713
Hospital Charge Code	270691141
Hospital Revenue Code	278
Min. Negotiated Rate	$142.25
Max. Negotiated Rate	$229.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.49
Rate for Payer: Qualcare PPO/HMO/WC	$142.25

SCREW 14MM SELF DRILLING

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704145
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

SCREW 14MM SELF DRILLING

Facility

$382.50

Service Code	HCPCS C1713
Hospital Charge Code	270704145
Hospital Revenue Code	278
Min. Negotiated Rate	$57.38
Max. Negotiated Rate	$191.25
Rate for Payer: Aetna Commercial	$114.75
Rate for Payer: Aetna Medicare Advantage	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.54
Rate for Payer: Cigna Commercial	$191.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.38

SCREW 14MM SELFDRILL VAR

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693819
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 14MM SELFDRILL VAR

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693819
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW 14MM ST FIXED CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698843
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$548.10
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 14MM ST FIXED CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698843
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 14MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698842
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$442.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 14MM ST VARIABLE CURE

Facility

$1,827.00

Service Code	HCPCS C1713
Hospital Charge Code	270698842
Hospital Revenue Code	278
Min. Negotiated Rate	$274.05
Max. Negotiated Rate	$913.50
Rate for Payer: Aetna Commercial	$548.10
Rate for Payer: Aetna Medicare Advantage	$548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.88
Rate for Payer: Cigna Commercial	$913.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.13
Rate for Payer: Qualcare PPO/HMO/WC	$274.05

SCREW 14 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691459
Hospital Revenue Code	278
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$458.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

SCREW 14 MM X 4 MM

Facility

$1,895.00

Service Code	HCPCS C1713
Hospital Charge Code	270691459
Hospital Revenue Code	278
Min. Negotiated Rate	$284.25
Max. Negotiated Rate	$947.50
Rate for Payer: Aetna Commercial	$568.50
Rate for Payer: Aetna Medicare Advantage	$568.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.23
Rate for Payer: Cigna Commercial	$947.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.59
Rate for Payer: Qualcare PPO/HMO/WC	$284.25

SCREW 1.5mm 16MM ST CORTEX

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270680930
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91

SCREW 1.5mm 16MM ST CORTEX

Facility

$152.75

Service Code	HCPCS C1713
Hospital Charge Code	270680930
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$76.38
Rate for Payer: Aetna Commercial	$45.83
Rate for Payer: Aetna Medicare Advantage	$45.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.95
Rate for Payer: Cigna Commercial	$76.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$22.91

SCREW 1.5mm CORTICAL 235004015

Facility

$37.75

Hospital Charge Code	270610102
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$11.32
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

Know your out-of-pocket cost for care.

All Charges