Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANC P/THRD 3.5x10MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270648934
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x12MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655857
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x12MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655857
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x14MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655858
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x14MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655858
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x16MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655859
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x16MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655859
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x20MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655860
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x20MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655860
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x22MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655861
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x22MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655861
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x24MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652238
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x24MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652238
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x26MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655862
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x26MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655862
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x28MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655863
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x28MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655863
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x36MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270632482
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x36MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270632482
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x38MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655864
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x38MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655864
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x40MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655865
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x40MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270655865
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x42MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652244
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$401.70
Rate for Payer: Aetna Commercial	$241.02
Rate for Payer: Aetna Medicare Advantage	$241.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.87
Rate for Payer: Cigna Commercial	$401.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

SCREW CANC P/THRD 3.5x42MM

Facility

$803.40

Service Code	HCPCS C1713
Hospital Charge Code	270652244
Hospital Revenue Code	278
Min. Negotiated Rate	$120.51
Max. Negotiated Rate	$194.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.42
Rate for Payer: Qualcare PPO/HMO/WC	$120.51

Know your out-of-pocket cost for care.

All Charges