Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW GRUVE ST FIX ANG 4X16MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270699027
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW GRUVE ST FIX ANG 4X16MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270699027
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW GRUVE VARIABLE 4X18MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270699339
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW GRUVE VARIABLE 4X18MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270699339
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW HARRIER-SA 5.5X35MM

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696343
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

SCREW HARRIER-SA 5.5X35MM

Facility

$4,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696343
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

SCREWHDLESSCANN4.0LT40-STICOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693252
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREWHDLESSCANN4.0LT40-STICOMP

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693252
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$639.60
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREWHDLESSCANN4.0TICOMPLT44-S

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693253
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREWHDLESSCANN4.0TICOMPLT44-S

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693253
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$639.60
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREWHDLESSCANN4.0TICOMPLT52-S

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693254
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$515.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREWHDLESSCANN4.0TICOMPLT52-S

Facility

$2,132.00

Service Code	HCPCS C1713
Hospital Charge Code	270693254
Hospital Revenue Code	278
Min. Negotiated Rate	$319.80
Max. Negotiated Rate	$1,066.00
Rate for Payer: Aetna Commercial	$639.60
Rate for Payer: Aetna Medicare Advantage	$639.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$426.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.66
Rate for Payer: Cigna Commercial	$1,066.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$515.94
Rate for Payer: Qualcare PPO/HMO/WC	$319.80

SCREW HDLS 3.0X26MM

Facility

$2,210.00

Service Code	HCPCS C1713
Hospital Charge Code	270698689
Hospital Revenue Code	278
Min. Negotiated Rate	$331.50
Max. Negotiated Rate	$1,105.00
Rate for Payer: Aetna Commercial	$663.00
Rate for Payer: Aetna Medicare Advantage	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$442.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.55
Rate for Payer: Cigna Commercial	$1,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.82
Rate for Payer: Qualcare PPO/HMO/WC	$331.50

SCREW HDLS 3.0X26MM

Facility

$2,210.00

Service Code	HCPCS C1713
Hospital Charge Code	270698689
Hospital Revenue Code	278
Min. Negotiated Rate	$331.50
Max. Negotiated Rate	$534.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$442.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.82
Rate for Payer: Qualcare PPO/HMO/WC	$331.50

SCREW HDLS CMPN 2.5X16MM

Facility

$1,560.00

Service Code	HCPCS C1713
Hospital Charge Code	270692688
Hospital Revenue Code	278
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$780.00
Rate for Payer: Aetna Commercial	$468.00
Rate for Payer: Aetna Medicare Advantage	$468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$397.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$397.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$397.80
Rate for Payer: Cigna Commercial	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.52
Rate for Payer: Qualcare PPO/HMO/WC	$234.00

SCREW HDLS CMPN 2.5X16MM

Facility

$1,560.00

Service Code	HCPCS C1713
Hospital Charge Code	270692688
Hospital Revenue Code	278
Min. Negotiated Rate	$234.00
Max. Negotiated Rate	$377.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.52
Rate for Payer: Qualcare PPO/HMO/WC	$234.00

SCREW HDLS COMP 3.5X40MM

Facility

$4,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270699519
Hospital Revenue Code	278
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$1,101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

SCREW HDLS COMP 3.5X40MM

Facility

$4,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270699519
Hospital Revenue Code	278
Min. Negotiated Rate	$682.50
Max. Negotiated Rate	$2,275.00
Rate for Payer: Aetna Commercial	$1,365.00
Rate for Payer: Aetna Medicare Advantage	$1,365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.25
Rate for Payer: Cigna Commercial	$2,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.10
Rate for Payer: Qualcare PPO/HMO/WC	$682.50

SCREW HDLS COMP FT 2.5X22MM

Facility

$1,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270699271
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

SCREW HDLS COMP FT 2.5X22MM

Facility

$1,675.00

Service Code	HCPCS C1713
Hospital Charge Code	270699271
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

SCREW HDLS DARTFIRE 3.0X22MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270698955
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW HDLS DARTFIRE 3.0X22MM

Facility

$1,360.00

Service Code	HCPCS C1713
Hospital Charge Code	270698955
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$408.00
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW HDLS SH THR 2.0X14MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700251
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$276.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW HDLS SH THR 2.0X14MM

Facility

$1,141.25

Service Code	HCPCS C1713
Hospital Charge Code	270700251
Hospital Revenue Code	278
Min. Negotiated Rate	$171.19
Max. Negotiated Rate	$570.62
Rate for Payer: Aetna Commercial	$342.38
Rate for Payer: Aetna Medicare Advantage	$342.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.02
Rate for Payer: Cigna Commercial	$570.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.18
Rate for Payer: Qualcare PPO/HMO/WC	$171.19

SCREW HEADED 2.0x12MM

Facility

$800.00

Hospital Charge Code	270662463
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$240.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

Know your out-of-pocket cost for care.

All Charges