Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG STANDARD 85MM

Facility

$623.15

Hospital Charge Code	270654991
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$311.57
Rate for Payer: Aetna Commercial	$186.94
Rate for Payer: Aetna Medicare Advantage	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.90
Rate for Payer: Cigna Commercial	$311.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW LAG STANDARD 85MM

Facility

$623.15

Hospital Charge Code	270654991
Hospital Revenue Code	278
Min. Negotiated Rate	$93.47
Max. Negotiated Rate	$150.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.80
Rate for Payer: Qualcare PPO/HMO/WC	$93.47

SCREW LAG TI 10.5 X 85MM

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270645794
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$1,538.55
Rate for Payer: Aetna Commercial	$923.13
Rate for Payer: Aetna Medicare Advantage	$923.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.66
Rate for Payer: Cigna Commercial	$1,538.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG TI 10.5 X 85MM

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270645794
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$744.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG TI 10.5 X 95 MM

Facility

$4,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270662051
Hospital Revenue Code	278
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$2,110.00
Rate for Payer: Aetna Commercial	$1,266.00
Rate for Payer: Aetna Medicare Advantage	$1,266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.10
Rate for Payer: Cigna Commercial	$2,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,021.24
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

SCREW LAG TI 10.5 X 95 MM

Facility

$4,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270662051
Hospital Revenue Code	278
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$1,021.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,021.24
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

SCREW LAG TI 10.5x95mm

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270672768
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$744.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG TI 10.5x95mm

Facility

$3,077.10

Service Code	HCPCS C1713
Hospital Charge Code	270672768
Hospital Revenue Code	278
Min. Negotiated Rate	$461.56
Max. Negotiated Rate	$1,538.55
Rate for Payer: Aetna Commercial	$923.13
Rate for Payer: Aetna Medicare Advantage	$923.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.66
Rate for Payer: Cigna Commercial	$1,538.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.66
Rate for Payer: Qualcare PPO/HMO/WC	$461.56

SCREW LAG Z NAIL 10.5 X 90

Facility

$2,810.00

Hospital Charge Code	270666935
Hospital Revenue Code	278
Min. Negotiated Rate	$421.50
Max. Negotiated Rate	$680.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.02
Rate for Payer: Qualcare PPO/HMO/WC	$421.50

SCREW LAG Z NAIL 10.5 X 90

Facility

$2,810.00

Hospital Charge Code	270666935
Hospital Revenue Code	278
Min. Negotiated Rate	$421.50
Max. Negotiated Rate	$1,405.00
Rate for Payer: Aetna Commercial	$843.00
Rate for Payer: Aetna Medicare Advantage	$843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$716.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$716.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$716.55
Rate for Payer: Cigna Commercial	$1,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.02
Rate for Payer: Qualcare PPO/HMO/WC	$421.50

SCREW LAPIP 2.0 MM SNAP OFF

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695086
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 LAPIP 2.0 MM SNAP OFF

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695086
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

SCREW LAPIPLASTY 4.0 FT32/36MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270699776
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

SCREW LAPIPLASTY 4.0 FT32/36MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270699776
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

SCREW LAPIPLASTY FT4.0 38/42MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270699902
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

SCREW LAPIPLASTY FT4.0 38/42MM

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270699902
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

SCREW LAPIPLASTY HDLSS 2.5MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700186
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 LAPIPLASTY HDLSS 2.5MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700186
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

SCREW LATERNAL 5X30MM

Facility

$2,800.00

Hospital Charge Code	270703552
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$677.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LATERNAL 5X30MM

Facility

$2,800.00

Hospital Charge Code	270703552
Hospital Revenue Code	278
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$560.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.60
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

SCREW LCK 4.2 X 18

Facility

$687.50

Service Code	HCPCS C1713
Hospital Charge Code	270701483
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$166.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.38
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

SCREW LCK 4.2 X 18

Facility

$687.50

Service Code	HCPCS C1713
Hospital Charge Code	270701483
Hospital Revenue Code	278
Min. Negotiated Rate	$103.12
Max. Negotiated Rate	$343.75
Rate for Payer: Aetna Commercial	$206.25
Rate for Payer: Aetna Medicare Advantage	$206.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.31
Rate for Payer: Cigna Commercial	$343.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.38
Rate for Payer: Qualcare PPO/HMO/WC	$103.12

SCREW LCK CAP KIT 4.5X18MM WHT

Facility

$675.00

Service Code	HCPCS C1713
Hospital Charge Code	270668556
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

SCREW LCK CAP KIT 4.5X18MM WHT

Facility

$675.00

Service Code	HCPCS C1713
Hospital Charge Code	270668556
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$202.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

SCREW LCK CAP KIT 4.5X26MM ORG

Facility

$601.60

Service Code	HCPCS C1713
Hospital Charge Code	270668551
Hospital Revenue Code	278
Min. Negotiated Rate	$90.24
Max. Negotiated Rate	$145.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.59
Rate for Payer: Qualcare PPO/HMO/WC	$90.24

Know your out-of-pocket cost for care.

All Charges