Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANN TI FT 4X60MM

Facility

$272.70

Service Code	HCPCS C1713
Hospital Charge Code	270699117
Hospital Revenue Code	278
Min. Negotiated Rate	$40.91
Max. Negotiated Rate	$136.35
Rate for Payer: Aetna Commercial	$81.81
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.54
Rate for Payer: Cigna Commercial	$136.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.99
Rate for Payer: Qualcare PPO/HMO/WC	$40.91

SCREW CANN TI HEDLESS 2.5X24MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700728
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$1,300.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CANN TI HEDLESS 2.5X24MM

Facility

$5,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270700728
Hospital Revenue Code	278
Min. Negotiated Rate	$806.25
Max. Negotiated Rate	$2,687.50
Rate for Payer: Aetna Commercial	$1,612.50
Rate for Payer: Aetna Medicare Advantage	$1,612.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,370.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,370.62
Rate for Payer: Cigna Commercial	$2,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,300.75
Rate for Payer: Qualcare PPO/HMO/WC	$806.25

SCREW CANN TI MODULAR 7.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695890
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,022.00
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW CANN TI MODULAR 7.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695890
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW CANN TI PT 4X40MM

Facility

$595.00

Service Code	HCPCS C1713
Hospital Charge Code	270700149
Hospital Revenue Code	278
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$297.50
Rate for Payer: Aetna Commercial	$178.50
Rate for Payer: Aetna Medicare Advantage	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.72
Rate for Payer: Cigna Commercial	$297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.99
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

SCREW CANN TI PT 4X40MM

Facility

$595.00

Service Code	HCPCS C1713
Hospital Charge Code	270700149
Hospital Revenue Code	278
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$143.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.99
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

SCREW CANN TI SHORT 6.5X55MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697387
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$437.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW CANN TI SHORT 6.5X55MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697387
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$904.75
Rate for Payer: Aetna Commercial	$542.85
Rate for Payer: Aetna Medicare Advantage	$542.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.42
Rate for Payer: Cigna Commercial	$904.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW CANN TI ST 4.0X30MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697383
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$313.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 4.0X30MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697383
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$648.25
Rate for Payer: Aetna Commercial	$388.95
Rate for Payer: Aetna Medicare Advantage	$388.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.61
Rate for Payer: Cigna Commercial	$648.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 4.0X32MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697384
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$313.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 4.0X32MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697384
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$648.25
Rate for Payer: Aetna Commercial	$388.95
Rate for Payer: Aetna Medicare Advantage	$388.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.61
Rate for Payer: Cigna Commercial	$648.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 4.0X42MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697385
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$313.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 4.0X42MM

Facility

$1,296.50

Service Code	HCPCS C1713
Hospital Charge Code	270697385
Hospital Revenue Code	278
Min. Negotiated Rate	$194.47
Max. Negotiated Rate	$648.25
Rate for Payer: Aetna Commercial	$388.95
Rate for Payer: Aetna Medicare Advantage	$388.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.61
Rate for Payer: Cigna Commercial	$648.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.75
Rate for Payer: Qualcare PPO/HMO/WC	$194.47

SCREW CANN TI ST 5.5X75MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697381
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$904.75
Rate for Payer: Aetna Commercial	$542.85
Rate for Payer: Aetna Medicare Advantage	$542.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.42
Rate for Payer: Cigna Commercial	$904.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW CANN TI ST 5.5X75MM

Facility

$1,809.50

Service Code	HCPCS C1713
Hospital Charge Code	270697381
Hospital Revenue Code	278
Min. Negotiated Rate	$271.43
Max. Negotiated Rate	$437.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$361.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.90
Rate for Payer: Qualcare PPO/HMO/WC	$271.43

SCREW CANN TI ST 7.5X65MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700705
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$1,015.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TI ST 7.5X65MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700705
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$2,097.50
Rate for Payer: Aetna Commercial	$1,258.50
Rate for Payer: Aetna Medicare Advantage	$1,258.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.72
Rate for Payer: Cigna Commercial	$2,097.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TI ST 7.5X70MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700706
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$1,015.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TI ST 7.5X70MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700706
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$2,097.50
Rate for Payer: Aetna Commercial	$1,258.50
Rate for Payer: Aetna Medicare Advantage	$1,258.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.72
Rate for Payer: Cigna Commercial	$2,097.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TI ST 7.5X75MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700707
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$2,097.50
Rate for Payer: Aetna Commercial	$1,258.50
Rate for Payer: Aetna Medicare Advantage	$1,258.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,069.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,069.72
Rate for Payer: Cigna Commercial	$2,097.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TI ST 7.5X75MM

Facility

$4,195.00

Service Code	HCPCS C1713
Hospital Charge Code	270700707
Hospital Revenue Code	278
Min. Negotiated Rate	$629.25
Max. Negotiated Rate	$1,015.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$839.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,015.19
Rate for Payer: Qualcare PPO/HMO/WC	$629.25

SCREW CANN TYB 2.0 HD 12 MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270691399
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$387.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

SCREW CANN TYB 2.0 HD 12 MM

Facility

$1,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270691399
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$480.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.20
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

Know your out-of-pocket cost for care.

All Charges