Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,821.60
Max. Negotiated Rate	$2,938.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60

SCREW ACP 3.5X13MM SELF TAP

Facility

$12,144.00

Service Code	HCPCS C1713
Hospital Charge Code	270693941
Hospital Revenue Code	278
Min. Negotiated Rate	$1,821.60
Max. Negotiated Rate	$6,072.00
Rate for Payer: Aetna Commercial	$3,643.20
Rate for Payer: Aetna Medicare Advantage	$3,643.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,096.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,428.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,096.72
Rate for Payer: Cigna Commercial	$6,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,938.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,821.60

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$454.50
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SD FIXED 3.5X15MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270698446
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$454.50
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X11MM

Facility

$1,515.00

Service Code	HCPCS C1713
Hospital Charge Code	270695818
Hospital Revenue Code	278
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$366.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$366.63
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$4,639.80
Max. Negotiated Rate	$15,466.00
Rate for Payer: Aetna Commercial	$9,279.60
Rate for Payer: Aetna Medicare Advantage	$9,279.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,887.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,887.66
Rate for Payer: Cigna Commercial	$15,466.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80

SCREW ACP SDV 3.5X15MM

Facility

$30,932.00

Service Code	HCPCS C1713
Hospital Charge Code	270695129
Hospital Revenue Code	278
Min. Negotiated Rate	$4,639.80
Max. Negotiated Rate	$7,485.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,186.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,485.54
Rate for Payer: Qualcare PPO/HMO/WC	$4,639.80

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,159.95
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SELF TAP VA 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695382
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$174.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SCREW ACP SELF TAP VAR 4X15MM

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	270696624
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$216.00
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.24
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$1,933.25
Rate for Payer: Aetna Commercial	$1,159.95
Rate for Payer: Aetna Medicare Advantage	$1,159.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.96
Rate for Payer: Cigna Commercial	$1,933.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACP SLF TAP VAR 3.5X11MM

Facility

$3,866.50

Service Code	HCPCS C1713
Hospital Charge Code	270695409
Hospital Revenue Code	278
Min. Negotiated Rate	$579.98
Max. Negotiated Rate	$935.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$935.69
Rate for Payer: Qualcare PPO/HMO/WC	$579.98

SCREW ACR 6.25 40MM 2223-2840

Facility

$2,483.25

Hospital Charge Code	270608048
Hospital Revenue Code	278
Min. Negotiated Rate	$372.49
Max. Negotiated Rate	$1,241.62
Rate for Payer: Aetna Commercial	$744.98
Rate for Payer: Aetna Medicare Advantage	$744.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$633.23
Rate for Payer: Cigna Commercial	$1,241.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: Qualcare PPO/HMO/WC	$372.49

SCREW ACR 6.25 40MM 2223-2840

Facility

$2,483.25

Hospital Charge Code	270608048
Hospital Revenue Code	278
Min. Negotiated Rate	$372.49
Max. Negotiated Rate	$600.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: Qualcare PPO/HMO/WC	$372.49

SCREW ACR 7.0 35MM 2223-3235

Facility

$2,483.25

Hospital Charge Code	270608049
Hospital Revenue Code	278
Min. Negotiated Rate	$372.49
Max. Negotiated Rate	$600.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: Qualcare PPO/HMO/WC	$372.49

SCREW ACR 7.0 35MM 2223-3235

Facility

$2,483.25

Hospital Charge Code	270608049
Hospital Revenue Code	278
Min. Negotiated Rate	$372.49
Max. Negotiated Rate	$1,241.62
Rate for Payer: Aetna Commercial	$744.98
Rate for Payer: Aetna Medicare Advantage	$744.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$633.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$633.23
Rate for Payer: Cigna Commercial	$1,241.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.95
Rate for Payer: Qualcare PPO/HMO/WC	$372.49

SCREW ACUTRAK 2 MICRO 18.0MM

Facility

$2,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270682452
Hospital Revenue Code	278
Min. Negotiated Rate	$404.25
Max. Negotiated Rate	$1,347.50
Rate for Payer: Aetna Commercial	$808.50
Rate for Payer: Aetna Medicare Advantage	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$687.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$687.23
Rate for Payer: Cigna Commercial	$1,347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: Qualcare PPO/HMO/WC	$404.25

SCREW ACUTRAK 2 MICRO 18.0MM

Facility

$2,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270682452
Hospital Revenue Code	278
Min. Negotiated Rate	$404.25
Max. Negotiated Rate	$652.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$539.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.19
Rate for Payer: Qualcare PPO/HMO/WC	$404.25

SCREW AFFIXUS CORT 5.0X30MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270697114
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW AFFIXUS CORT 5.0X30MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270697114
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW AFFIXUS CORT 5.0X46MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270695971
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW AFFIXUS CORT 5.0X46MM

Facility

$800.00

Service Code	HCPCS C1713
Hospital Charge Code	270695971
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

SCREW ANCHORAGE 3X24MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270669551
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

Know your out-of-pocket cost for care.

All Charges