Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMP FT MINI 3.5X22MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270699867
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X16MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676312
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMP FT STD 4.0X16MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270676312
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

SCREW COMP FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270690977
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X40MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270690977
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$459.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP FT STD 4.0X46MM

Facility

$1,898.00

Service Code	HCPCS C1713
Hospital Charge Code	270698525
Hospital Revenue Code	278
Min. Negotiated Rate	$284.70
Max. Negotiated Rate	$949.00
Rate for Payer: Aetna Commercial	$569.40
Rate for Payer: Aetna Medicare Advantage	$569.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$483.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$379.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$483.99
Rate for Payer: Cigna Commercial	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.32
Rate for Payer: Qualcare PPO/HMO/WC	$284.70

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 2.7X30MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699397
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$479.70
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$799.50
Rate for Payer: Aetna Commercial	$479.70
Rate for Payer: Aetna Medicare Advantage	$479.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.75
Rate for Payer: Cigna Commercial	$799.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP KREULK SS 3.5X22MM

Facility

$1,599.00

Service Code	HCPCS C1713
Hospital Charge Code	270699400
Hospital Revenue Code	278
Min. Negotiated Rate	$239.85
Max. Negotiated Rate	$386.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.96
Rate for Payer: Qualcare PPO/HMO/WC	$239.85

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW COMP NL 4.75X15MM 3.5HEX

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	270700197
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$284.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SCREW COMPOSITE 7X23 MM

Facility

$1,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270659658
Hospital Revenue Code	278
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$352.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.35
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW COMPR 2.5X22MM

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692041
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
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 COMPR 3.0x16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270684788
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 COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x70MM

Facility

$3,700.00

Hospital Charge Code	270671022
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,110.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,110.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x80MM

Facility

$3,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270665917
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$895.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

SCREW COMPR 7x16x85MM

Facility

$3,700.00

Hospital Charge Code	270665918
Hospital Revenue Code	278
Min. Negotiated Rate	$555.00
Max. Negotiated Rate	$1,850.00
Rate for Payer: Aetna Commercial	$1,110.00
Rate for Payer: Aetna Medicare Advantage	$1,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$943.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$943.50
Rate for Payer: Cigna Commercial	$1,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$895.40
Rate for Payer: Qualcare PPO/HMO/WC	$555.00

Know your out-of-pocket cost for care.

All Charges