Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.25X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706109
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 4.25X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706124
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 4.25X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270706124
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 42 MM LGTH

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691767
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW 42 MM LGTH

Facility

$2,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270691767
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

SCREW 4.3

Facility

$589.00

Hospital Charge Code	270335967
Hospital Revenue Code	278
Min. Negotiated Rate	$88.35
Max. Negotiated Rate	$294.50
Rate for Payer: Aetna Commercial	$176.70
Rate for Payer: Aetna Medicare Advantage	$176.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.19
Rate for Payer: Cigna Commercial	$294.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.54
Rate for Payer: Qualcare PPO/HMO/WC	$88.35

SCREW 4.3

Facility

$589.00

Hospital Charge Code	270335967
Hospital Revenue Code	278
Min. Negotiated Rate	$88.35
Max. Negotiated Rate	$142.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.54
Rate for Payer: Qualcare PPO/HMO/WC	$88.35

SCREW 4.35MM X 45 MM

Facility

$7,678.35

Service Code	HCPCS C1713
Hospital Charge Code	270691005
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.75
Max. Negotiated Rate	$3,839.18
Rate for Payer: Aetna Commercial	$2,303.51
Rate for Payer: Aetna Medicare Advantage	$2,303.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,957.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,957.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,957.98
Rate for Payer: Cigna Commercial	$3,839.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.75

SCREW 4.35MM X 45 MM

Facility

$7,678.35

Service Code	HCPCS C1713
Hospital Charge Code	270691005
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.75
Max. Negotiated Rate	$1,858.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,858.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.75

SCREW 4.35 X 40 MM

Facility

$7,693.35

Service Code	HCPCS C1713
Hospital Charge Code	270691004
Hospital Revenue Code	278
Min. Negotiated Rate	$1,154.00
Max. Negotiated Rate	$3,846.68
Rate for Payer: Aetna Commercial	$2,308.01
Rate for Payer: Aetna Medicare Advantage	$2,308.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,961.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,961.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,538.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,961.80
Rate for Payer: Cigna Commercial	$3,846.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,861.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,154.00

SCREW 4.35 X 40 MM

Facility

$7,693.35

Service Code	HCPCS C1713
Hospital Charge Code	270691004
Hospital Revenue Code	278
Min. Negotiated Rate	$1,154.00
Max. Negotiated Rate	$1,861.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,538.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,861.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,154.00

SCREW 4.5MM CORTEX SEFLTAP24MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655724
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$27.34
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW 4.5MM CORTEX SEFLTAP24MM

Facility

$91.15

Service Code	HCPCS C1713
Hospital Charge Code	270655724
Hospital Revenue Code	278
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$22.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.06
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW 4.5MMCORTEX SELFTAP100MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655801
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP100MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655801
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP105MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655805
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP105MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655805
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP110MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655807
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP115MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655810
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$166.25

Hospital Charge Code	270665813
Hospital Revenue Code	278
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$40.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.23
Rate for Payer: Qualcare PPO/HMO/WC	$24.94

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$166.25

Hospital Charge Code	270665813
Hospital Revenue Code	278
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$83.12
Rate for Payer: Aetna Commercial	$49.88
Rate for Payer: Aetna Medicare Advantage	$49.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.39
Rate for Payer: Cigna Commercial	$83.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.23
Rate for Payer: Qualcare PPO/HMO/WC	$24.94

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MMCORTEX SELFTAP120MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655813
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

Know your out-of-pocket cost for care.

All Charges