Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN 6.5x90MM 32MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678284
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

SCREW CANN 6.5x90MM 32MM THRD

Facility

$1,103.15

Service Code	HCPCS C1713
Hospital Charge Code	270678284
Hospital Revenue Code	278
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$551.58
Rate for Payer: Aetna Commercial	$330.94
Rate for Payer: Aetna Medicare Advantage	$330.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.30
Rate for Payer: Cigna Commercial	$551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.96
Rate for Payer: Qualcare PPO/HMO/WC	$165.47

SCREW CANN 6.5X95MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705719
Hospital Revenue Code	278
Min. Negotiated Rate	$338.84
Max. Negotiated Rate	$546.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.67
Rate for Payer: Qualcare PPO/HMO/WC	$338.84

SCREW CANN 6.5X95MM

Facility

$2,258.95

Service Code	HCPCS C1713
Hospital Charge Code	270705719
Hospital Revenue Code	278
Min. Negotiated Rate	$338.84
Max. Negotiated Rate	$1,129.47
Rate for Payer: Aetna Commercial	$677.68
Rate for Payer: Aetna Medicare Advantage	$677.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.03
Rate for Payer: Cigna Commercial	$1,129.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.67
Rate for Payer: Qualcare PPO/HMO/WC	$338.84

SCREW CANN 6.9-16mm THRD 70MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680282
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW CANN 6.9-16mm THRD 70MM

Facility

$2,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270680282
Hospital Revenue Code	278
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$532.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

SCREW CANN 7.0x100mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654625
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x100mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654625
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0X105 1146-105-32

Facility

$723.05

Hospital Charge Code	270631707
Hospital Revenue Code	278
Min. Negotiated Rate	$108.46
Max. Negotiated Rate	$174.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.98
Rate for Payer: Qualcare PPO/HMO/WC	$108.46

SCREW CANN 7.0X105 1146-105-32

Facility

$723.05

Hospital Charge Code	270631707
Hospital Revenue Code	278
Min. Negotiated Rate	$108.46
Max. Negotiated Rate	$361.52
Rate for Payer: Aetna Commercial	$216.91
Rate for Payer: Aetna Medicare Advantage	$216.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.38
Rate for Payer: Cigna Commercial	$361.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.98
Rate for Payer: Qualcare PPO/HMO/WC	$108.46

SCREW CANN 7.0x105mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604970
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x105mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604970
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x110mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654627
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x110mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654627
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604972
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604972
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604950
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x115mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604950
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654629
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x120mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270654629
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x125mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604952
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$160.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x125mm

Facility

$665.00

Service Code	HCPCS C1713
Hospital Charge Code	270604952
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$332.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.57
Rate for Payer: Cigna Commercial	$332.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.93
Rate for Payer: Qualcare PPO/HMO/WC	$99.75

SCREW CANN 7.0x125mm

Facility

$1,124.75

Hospital Charge Code	270604974
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x125mm

Facility

$1,124.75

Hospital Charge Code	270604974
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$272.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

SCREW CANN 7.0x30mm

Facility

$1,124.75

Service Code	HCPCS C1713
Hospital Charge Code	270604933
Hospital Revenue Code	278
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$337.43
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.19
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

Know your out-of-pocket cost for care.

All Charges