Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.7mm CANN LOCKING 36mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645728
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 36mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645728
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7MM CANN LOCKING 46MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696108
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 46MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696108
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$302.83
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7mm CANN LOCKING 54mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645823
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 54mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645823
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 56mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645822
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 56mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645822
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 58mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645821
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 60mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645729
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 65mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645726
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$196.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7mm CANN LOCKING 70mm

Facility

$812.65

Service Code	HCPCS C1713
Hospital Charge Code	270645727
Hospital Revenue Code	278
Min. Negotiated Rate	$121.90
Max. Negotiated Rate	$406.32
Rate for Payer: Aetna Commercial	$243.79
Rate for Payer: Aetna Medicare Advantage	$243.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.23
Rate for Payer: Cigna Commercial	$406.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.66
Rate for Payer: Qualcare PPO/HMO/WC	$121.90

SCREW 3.7MM CANN LOCKING 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$504.73
Rate for Payer: Aetna Commercial	$302.83
Rate for Payer: Aetna Medicare Advantage	$302.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.41
Rate for Payer: Cigna Commercial	$504.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7MM CANN LOCKING 75MM

Facility

$1,009.45

Service Code	HCPCS C1713
Hospital Charge Code	270696102
Hospital Revenue Code	278
Min. Negotiated Rate	$151.42
Max. Negotiated Rate	$244.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.29
Rate for Payer: Qualcare PPO/HMO/WC	$151.42

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$1,321.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686298
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$1,638.00
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.7 X 28 MM

Facility

$5,460.00

Service Code	HCPCS C1713
Hospital Charge Code	270686305
Hospital Revenue Code	278
Min. Negotiated Rate	$819.00
Max. Negotiated Rate	$2,730.00
Rate for Payer: Aetna Commercial	$1,638.00
Rate for Payer: Aetna Medicare Advantage	$1,638.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,392.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,092.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,392.30
Rate for Payer: Cigna Commercial	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,321.32
Rate for Payer: Qualcare PPO/HMO/WC	$819.00

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$1,034.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X10MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704792
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

SCREW 3.8X12MM

Facility

$4,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270704791
Hospital Revenue Code	278
Min. Negotiated Rate	$641.25
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,090.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,090.12
Rate for Payer: Cigna Commercial	$2,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,034.55
Rate for Payer: Qualcare PPO/HMO/WC	$641.25

Know your out-of-pocket cost for care.

All Charges