Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BONE LOCKING 1.7X8MM

Facility

$705.00

Service Code	HCPCS C1713
Hospital Charge Code	270656396
Hospital Revenue Code	278
Min. Negotiated Rate	$105.75
Max. Negotiated Rate	$352.50
Rate for Payer: Aetna Commercial	$211.50
Rate for Payer: Aetna Medicare Advantage	$211.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.78
Rate for Payer: Cigna Commercial	$352.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.61
Rate for Payer: Qualcare PPO/HMO/WC	$105.75

SCREW BONE LOCKING 2.0x18mm

Facility

$875.00

Hospital Charge Code	270666944
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 BONE LOCKING 2.0x18mm

Facility

$875.00

Hospital Charge Code	270666944
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 BONE LOCKING 2.3x10MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270657991
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW BONE LOCKING 2.3x10MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270657991
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$237.00
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW BONE LOCKING 2.3x12MM

Facility

$750.00

Hospital Charge Code	270665822
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW BONE LOCKING 2.3x12MM

Facility

$750.00

Hospital Charge Code	270665822
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW BONE LOCKING 2.3X14MM

Facility

$750.00

Hospital Charge Code	270667936
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW BONE LOCKING 2.3X14MM

Facility

$750.00

Hospital Charge Code	270667936
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW BONE MULCH 907325

Facility

$2,812.85

Hospital Charge Code	270620400
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$680.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW BONE MULCH 907325

Facility

$2,812.85

Hospital Charge Code	270620400
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$1,406.42
Rate for Payer: Aetna Commercial	$843.86
Rate for Payer: Aetna Medicare Advantage	$843.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.28
Rate for Payer: Cigna Commercial	$1,406.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW BONE MULCH 907340

Facility

$2,812.85

Hospital Charge Code	270620401
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$680.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW BONE MULCH 907340

Facility

$2,812.85

Hospital Charge Code	270620401
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$1,406.42
Rate for Payer: Aetna Commercial	$843.86
Rate for Payer: Aetna Medicare Advantage	$843.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.28
Rate for Payer: Cigna Commercial	$1,406.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW BONE N/LOCKING 2.3x16mm

Facility

$507.00

Hospital Charge Code	270672689
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$122.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.3x16mm

Facility

$507.00

Hospital Charge Code	270672689
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$253.50
Rate for Payer: Aetna Commercial	$152.10
Rate for Payer: Aetna Medicare Advantage	$152.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.28
Rate for Payer: Cigna Commercial	$253.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.3x18mm

Facility

$507.00

Service Code	HCPCS C1713
Hospital Charge Code	270672694
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$253.50
Rate for Payer: Cigna Commercial	$253.50
Rate for Payer: Aetna Commercial	$152.10
Rate for Payer: Aetna Medicare Advantage	$152.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.3x18mm

Facility

$507.00

Service Code	HCPCS C1713
Hospital Charge Code	270672694
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$122.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.7x16mm

Facility

$507.00

Hospital Charge Code	270643446
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$122.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.7x16mm

Facility

$507.00

Hospital Charge Code	270643446
Hospital Revenue Code	278
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$253.50
Rate for Payer: Aetna Commercial	$152.10
Rate for Payer: Aetna Medicare Advantage	$152.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.28
Rate for Payer: Cigna Commercial	$253.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.69
Rate for Payer: Qualcare PPO/HMO/WC	$76.05

SCREW BONE N/LOCKING 2.7x20

Facility

$675.00

Hospital Charge Code	270660618
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$202.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

SCREW BONE N/LOCKING 2.7x20

Facility

$675.00

Hospital Charge Code	270660618
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

SCREW BONE NON LOCKIN 3.5X50MM

Facility

$655.00

Service Code	HCPCS C1713
Hospital Charge Code	270669919
Hospital Revenue Code	278
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$327.50
Rate for Payer: Aetna Commercial	$196.50
Rate for Payer: Aetna Medicare Advantage	$196.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.03
Rate for Payer: Cigna Commercial	$327.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51
Rate for Payer: Qualcare PPO/HMO/WC	$98.25

SCREW BONE NON LOCKIN 3.5X50MM

Facility

$655.00

Service Code	HCPCS C1713
Hospital Charge Code	270669919
Hospital Revenue Code	278
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$158.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51
Rate for Payer: Qualcare PPO/HMO/WC	$98.25

SCREW BONE SELF TAP 2.7x12MM

Facility

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	270672586
Hospital Revenue Code	278
Min. Negotiated Rate	$102.75
Max. Negotiated Rate	$342.50
Rate for Payer: Aetna Commercial	$205.50
Rate for Payer: Aetna Medicare Advantage	$205.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.68
Rate for Payer: Cigna Commercial	$342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.77
Rate for Payer: Qualcare PPO/HMO/WC	$102.75

SCREW BONE SELF TAP 2.7x12MM

Facility

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	270672586
Hospital Revenue Code	278
Min. Negotiated Rate	$102.75
Max. Negotiated Rate	$165.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.77
Rate for Payer: Qualcare PPO/HMO/WC	$102.75

Know your out-of-pocket cost for care.

All Charges