Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5 TI CANN COMP 30

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695649
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 30

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695649
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 38

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695648
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 38

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695648
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 42

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695647
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 42

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695647
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI MULTILOK 32MM

Facility

$1,633.50

Service Code	HCPCS C1713
Hospital Charge Code	270694986
Hospital Revenue Code	278
Min. Negotiated Rate	$245.03
Max. Negotiated Rate	$816.75
Rate for Payer: Aetna Commercial	$490.05
Rate for Payer: Aetna Medicare Advantage	$490.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$416.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$416.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$416.54
Rate for Payer: Cigna Commercial	$816.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.31
Rate for Payer: Qualcare PPO/HMO/WC	$245.03

SCREW 4.5 TI MULTILOK 32MM

Facility

$1,633.50

Service Code	HCPCS C1713
Hospital Charge Code	270694986
Hospital Revenue Code	278
Min. Negotiated Rate	$245.03
Max. Negotiated Rate	$395.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$326.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.31
Rate for Payer: Qualcare PPO/HMO/WC	$245.03

SCREW 4.5 X 14MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270701786
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW 4.5 X 14MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270701786
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW 4.5X14MM CERES-C SLF TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692579
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 4.5X14MM CERES-C SLF TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692579
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 4.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705158
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 4.5X16MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705158
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Cigna Commercial	$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: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

SCREW 4.5X16MM CERES-C SLF TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692580
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 4.5X16MM CERES-C SLF TAP

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270692580
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 4.5X18MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705132
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 4.5X18MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270705132
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 4.5X 25MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704982
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW 4.5X 25MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704982
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$160.00
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW 4.5X26MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704442
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$1,837.50
Rate for Payer: Aetna Commercial	$1,102.50
Rate for Payer: Aetna Medicare Advantage	$1,102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$937.12
Rate for Payer: Cigna Commercial	$1,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 4.5X26MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704442
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$889.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 4.5X30MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704441
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$889.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 4.5X30MM

Facility

$3,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270704441
Hospital Revenue Code	278
Min. Negotiated Rate	$551.25
Max. Negotiated Rate	$1,837.50
Rate for Payer: Aetna Commercial	$1,102.50
Rate for Payer: Aetna Medicare Advantage	$1,102.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$937.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$937.12
Rate for Payer: Cigna Commercial	$1,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$551.25

SCREW 4.5x32mm 1402232

Facility

$84.40

Hospital Charge Code	270633170
Hospital Revenue Code	278
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$42.20
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.52
Rate for Payer: Cigna Commercial	$42.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

Know your out-of-pocket cost for care.

All Charges