Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.0 CAN PT THREAD 45mm

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601893
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0MM CANC FULL

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	270626693
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SCREW 4.0MM CANC FULL

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	270626693
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656953
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656947
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656947
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656936
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656936
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656927
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656927
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$21.60
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC FULL THREAD

Facility

$72.00

Hospital Charge Code	270656953
Hospital Revenue Code	278
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

SCREW 4.0MM CANC PART THREAD

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	270658328
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$34.12
Rate for Payer: Aetna Commercial	$20.48
Rate for Payer: Aetna Medicare Advantage	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.40
Rate for Payer: Cigna Commercial	$34.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$10.24

SCREW 4.0MM CANC PART THREAD

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601892
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.62
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0MM CANC PART THREAD

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	270658328
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$10.24

SCREW 4.0MM CANC PART THREAD

Facility

$49.50

Service Code	HCPCS C1713
Hospital Charge Code	270601892
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

SCREW 4.0mm CANN 50mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603325
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0mm CANN 50mm

Facility

$70.30

Service Code	HCPCS C1713
Hospital Charge Code	270603325
Hospital Revenue Code	278
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$35.15
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.93
Rate for Payer: Cigna Commercial	$35.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.01
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

SCREW 4.0MM CANN PART THD 90MM

Facility

$175.00

Hospital Charge Code	270651353
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW 4.0MM CANN PART THD 90MM

Facility

$175.00

Hospital Charge Code	270651353
Hospital Revenue Code	278
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$42.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.35
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

SCREW 4.0MM LOCKING 40MM

Facility

$965.00

Service Code	HCPCS C1713
Hospital Charge Code	270651355
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$289.50
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

SCREW 4.0MM LOCKING 40MM

Facility

$965.00

Service Code	HCPCS C1713
Hospital Charge Code	270651355
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

SCREW 4.0MM LOCKING 60MM

Facility

$965.00

Hospital Charge Code	270651349
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$289.50
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

SCREW 4.0MM LOCKING 60MM

Facility

$965.00

Hospital Charge Code	270651349
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

SCREW 4.0MM LOCKING 80MM

Facility

$965.00

Hospital Charge Code	270651352
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$233.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

SCREW 4.0MM LOCKING 80MM

Facility

$965.00

Hospital Charge Code	270651352
Hospital Revenue Code	278
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$289.50
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

Know your out-of-pocket cost for care.

All Charges