Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW KREULOCK COMP SS2.7X12MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699068
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$799.75
Rate for Payer: Aetna Commercial	$479.85
Rate for Payer: Aetna Medicare Advantage	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.87
Rate for Payer: Cigna Commercial	$799.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

SCREW KREULOCK COMP SS2.7X16MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699069
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$799.75
Rate for Payer: Aetna Commercial	$479.85
Rate for Payer: Aetna Medicare Advantage	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.87
Rate for Payer: Cigna Commercial	$799.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

SCREW KREULOCK COMP SS2.7X16MM

Facility

$1,599.50

Service Code	HCPCS C1713
Hospital Charge Code	270699069
Hospital Revenue Code	278
Min. Negotiated Rate	$239.93
Max. Negotiated Rate	$387.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.08
Rate for Payer: Qualcare PPO/HMO/WC	$239.93

SCREW KREULOCK SCRW TL 3.0X18

Facility

$1,519.00

Hospital Charge Code	270702475
Hospital Revenue Code	278
Min. Negotiated Rate	$227.85
Max. Negotiated Rate	$367.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.60
Rate for Payer: Qualcare PPO/HMO/WC	$227.85

SCREW KREULOCK SCRW TL 3.0X18

Facility

$1,519.00

Hospital Charge Code	270702475
Hospital Revenue Code	278
Min. Negotiated Rate	$227.85
Max. Negotiated Rate	$759.50
Rate for Payer: Aetna Commercial	$455.70
Rate for Payer: Aetna Medicare Advantage	$455.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.35
Rate for Payer: Cigna Commercial	$759.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.60
Rate for Payer: Qualcare PPO/HMO/WC	$227.85

SCREW KREULOCK TI 3.5C16MM

Facility

$1,519.25

Hospital Charge Code	270702110
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KREULOCK TI 3.5C16MM

Facility

$1,519.25

Hospital Charge Code	270702110
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KREULOCK TI 3.5X14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696768
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 KREULOCK TI 3.5X14MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696768
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 KREULOCK TI 3.5X18

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697418
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 KREULOCK TI 3.5X18

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697418
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 KRULOCK 3.5X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702066
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KRULOCK 3.5X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702066
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KRULOCK 3.5X24MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702067
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$455.77
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KRULOCK 3.5X24MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270702067
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: Qualcare PPO/HMO/WC	$227.89

SCREW KRULOCK TI 3.5X12MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696769
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 KRULOCK TI 3.5X12MM

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270696769
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 LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG

Facility

$2,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270661753
Hospital Revenue Code	278
Min. Negotiated Rate	$348.75
Max. Negotiated Rate	$1,162.50
Rate for Payer: Aetna Commercial	$697.50
Rate for Payer: Aetna Medicare Advantage	$697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$592.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$592.88
Rate for Payer: Cigna Commercial	$1,162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Qualcare PPO/HMO/WC	$348.75

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$1,615.22
Rate for Payer: Aetna Commercial	$969.13
Rate for Payer: Aetna Medicare Advantage	$969.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.76
Rate for Payer: Cigna Commercial	$1,615.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

SCREW LAG 100MM

Facility

$3,230.45

Service Code	HCPCS C1713
Hospital Charge Code	270686352
Hospital Revenue Code	278
Min. Negotiated Rate	$484.57
Max. Negotiated Rate	$781.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$781.77
Rate for Payer: Qualcare PPO/HMO/WC	$484.57

SCREW LAG 100mm 29219

Facility

$2,500.00

Hospital Charge Code	270637577
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LAG 100mm 29219

Facility

$2,500.00

Hospital Charge Code	270637577
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

SCREW LAG 105

Facility

$2,725.00

Hospital Charge Code	270664796
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$817.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

SCREW LAG 105

Facility

$2,725.00

Hospital Charge Code	270664796
Hospital Revenue Code	278
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$659.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

Know your out-of-pocket cost for care.

All Charges