Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 5X25MM

Facility

$2,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270701767
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW 5X25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704863
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 5X28MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705625
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW 5X28MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705625
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW 5x30mm 14-405030

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270640416
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW 5x30mm 14-405030

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	270640416
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

SCREW 5X30MM SELF TAPPING

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691218
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5X30MM SELF TAPPING

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691215
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$546.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW 5X30MM SELF TAPPING

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691218
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW 5X30MM SELF TAPPING

Facility

$2,260.00

Service Code	HCPCS C1713
Hospital Charge Code	270691215
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$678.00
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.92
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

SCREW 5X40

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270677499
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW 5X40

Facility

$8,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270677499
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

SCREW 60MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648242
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 60MM LOW PROFILE

Facility

$350.00

Hospital Charge Code	270648242
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW 6.5 120 CCHS LONG THD 12

Facility

$3,198.00

Service Code	HCPCS C1713
Hospital Charge Code	270690800
Hospital Revenue Code	278
Min. Negotiated Rate	$479.70
Max. Negotiated Rate	$1,599.00
Rate for Payer: Aetna Commercial	$959.40
Rate for Payer: Aetna Medicare Advantage	$959.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$815.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$815.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$815.49
Rate for Payer: Cigna Commercial	$1,599.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.92
Rate for Payer: Qualcare PPO/HMO/WC	$479.70

SCREW 6.5 120 CCHS LONG THD 12

Facility

$3,198.00

Service Code	HCPCS C1713
Hospital Charge Code	270690800
Hospital Revenue Code	278
Min. Negotiated Rate	$479.70
Max. Negotiated Rate	$773.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$639.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$773.92
Rate for Payer: Qualcare PPO/HMO/WC	$479.70

SCREW 6.5 CAN 16 TH 35 2332036

Facility

$79.45

Hospital Charge Code	270610368
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$39.73
Rate for Payer: Aetna Commercial	$23.84
Rate for Payer: Aetna Medicare Advantage	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.26
Rate for Payer: Cigna Commercial	$39.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.92

SCREW 6.5 CAN 16 TH 35 2332036

Facility

$79.45

Hospital Charge Code	270610368
Hospital Revenue Code	278
Min. Negotiated Rate	$11.92
Max. Negotiated Rate	$19.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.92

SCREW 6.5 CAN 16 TH 55 2332056

Facility

$95.00

Service Code	HCPCS C1713
Hospital Charge Code	270610372
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

SCREW 6.5 CAN 16 TH 55 2332056

Facility

$95.00

Service Code	HCPCS C1713
Hospital Charge Code	270610372
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

SCREW 6.5 CANC 26 X 65 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687892
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$41.72
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANC 26 X 65 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687892
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANC 32 X 60 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687891
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$69.53
Rate for Payer: Aetna Commercial	$41.72
Rate for Payer: Aetna Medicare Advantage	$41.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.46
Rate for Payer: Cigna Commercial	$69.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANC 32 X 60 THD

Facility

$139.05

Service Code	HCPCS C1713
Hospital Charge Code	270687891
Hospital Revenue Code	278
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.65
Rate for Payer: Qualcare PPO/HMO/WC	$20.86

SCREW 6.5 CANN 16MM THR 95M

Facility

$1,139.10

Service Code	HCPCS C1713
Hospital Charge Code	270693463
Hospital Revenue Code	278
Min. Negotiated Rate	$170.87
Max. Negotiated Rate	$275.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.66
Rate for Payer: Qualcare PPO/HMO/WC	$170.87

Know your out-of-pocket cost for care.

All Charges