Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW ANCHORAGE 3X28MM

Facility

$980.00

Hospital Charge Code	270669552
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

SCREW ANCHORAGE 3X28MM

Facility

$980.00

Hospital Charge Code	270669552
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

SCREW ANGLE SLF TPNG 3.5x10MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270663160
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANGLE SLF TPNG 3.5x10MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270663160
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANGLE SLF TPNG 3.5x12MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270663161
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$187.20
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW ANGLE SLF TPNG 3.5x12MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270663161
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW ANGLE SLF TPNG 3.5x14MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659116
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANGLE SLF TPNG 3.5x14MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659116
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANG LOCKING STR 3.5x30MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270674859
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANG LOCKING STR 3.5x30MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270674859
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW ANODYNE CER SDV 4.0X12MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270696270
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$1,160.00
Rate for Payer: Aetna Commercial	$696.00
Rate for Payer: Aetna Medicare Advantage	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.60
Rate for Payer: Cigna Commercial	$1,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: Qualcare PPO/HMO/WC	$348.00

SCREW ANODYNE CER SDV 4.0X12MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270696270
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$561.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: Qualcare PPO/HMO/WC	$348.00

SCREW ANTI -ROT 86MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692055
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW ANTI -ROT 86MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692055
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW ANTIROTAT 80MM

Facility

$1,298.30

Service Code	HCPCS C1713
Hospital Charge Code	270696899
Hospital Revenue Code	278
Min. Negotiated Rate	$194.75
Max. Negotiated Rate	$314.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.19
Rate for Payer: Qualcare PPO/HMO/WC	$194.75

SCREW ANTIROTAT 80MM

Facility

$1,298.30

Service Code	HCPCS C1713
Hospital Charge Code	270696899
Hospital Revenue Code	278
Min. Negotiated Rate	$194.75
Max. Negotiated Rate	$649.15
Rate for Payer: Aetna Commercial	$389.49
Rate for Payer: Aetna Medicare Advantage	$389.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.07
Rate for Payer: Cigna Commercial	$649.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.19
Rate for Payer: Qualcare PPO/HMO/WC	$194.75

SCREW ANTIROTATION FEM 110MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270699632
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW ANTIROTATION FEM 110MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270699632
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW ANTIROT FEM NK SYS 95MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270697921
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$323.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW ANTIROT FEM NK SYS 95MM

Facility

$1,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270697921
Hospital Revenue Code	278
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$400.50
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$323.07
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

SCREW APERFIX 2 TIBIA 10X30MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270699555
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$1,160.00
Rate for Payer: Aetna Commercial	$696.00
Rate for Payer: Aetna Medicare Advantage	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$591.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$591.60
Rate for Payer: Cigna Commercial	$1,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: Qualcare PPO/HMO/WC	$348.00

SCREW APERFIX 2 TIBIA 10X30MM

Facility

$2,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270699555
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$561.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.44
Rate for Payer: Qualcare PPO/HMO/WC	$348.00

SCREW APTITUDE SD VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270695375
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW APTITUDE SD VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270695375
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

Know your out-of-pocket cost for care.

All Charges