Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LKG AXSOS 4.0X18MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696917
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$341.06
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X18MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696917
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X22MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696918
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$341.06
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X22MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696918
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X24MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696919
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$341.06
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X24MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696919
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X26MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696920
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X26MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696920
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$341.06
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X28MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696921
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$568.42
Rate for Payer: Aetna Commercial	$341.06
Rate for Payer: Aetna Medicare Advantage	$341.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.90
Rate for Payer: Cigna Commercial	$568.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG AXSOS 4.0X28MM

Facility

$1,136.85

Service Code	HCPCS C1713
Hospital Charge Code	270696921
Hospital Revenue Code	278
Min. Negotiated Rate	$170.53
Max. Negotiated Rate	$275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.12
Rate for Payer: Qualcare PPO/HMO/WC	$170.53

SCREW LKG CORT TAP 2.7X10MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699269
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW LKG CORT TAP 2.7X10MM

Facility

$400.00

Service Code	HCPCS C1713
Hospital Charge Code	270699269
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

SCREW LKG FASTP 2.7MMX12/14MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695414
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 LKG FASTP 2.7MMX12/14MM

Facility

$2,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270695414
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 LKG FOR IM NAIL 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699937
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG FOR IM NAIL 5.0X54MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699937
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$819.00
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG FOR IM NAIL 5.0X86MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699940
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$819.00
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG FOR IM NAIL 5.0X86MM

Facility

$2,730.00

Service Code	HCPCS C1713
Hospital Charge Code	270699940
Hospital Revenue Code	278
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$660.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$546.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.66
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

SCREW LKG FT T8 2.4X20MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700528
Hospital Revenue Code	278
Min. Negotiated Rate	$186.34
Max. Negotiated Rate	$300.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: Qualcare PPO/HMO/WC	$186.34

SCREW LKG FT T8 2.4X20MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700528
Hospital Revenue Code	278
Min. Negotiated Rate	$186.34
Max. Negotiated Rate	$621.15
Rate for Payer: Aetna Commercial	$372.69
Rate for Payer: Aetna Medicare Advantage	$372.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.79
Rate for Payer: Cigna Commercial	$621.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: Qualcare PPO/HMO/WC	$186.34

SCREW LKG FT T8 2.7X12MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700506
Hospital Revenue Code	278
Min. Negotiated Rate	$186.34
Max. Negotiated Rate	$621.15
Rate for Payer: Aetna Commercial	$372.69
Rate for Payer: Aetna Medicare Advantage	$372.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.79
Rate for Payer: Cigna Commercial	$621.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: Qualcare PPO/HMO/WC	$186.34

SCREW LKG FT T8 2.7X12MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700506
Hospital Revenue Code	278
Min. Negotiated Rate	$186.34
Max. Negotiated Rate	$300.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.64
Rate for Payer: Qualcare PPO/HMO/WC	$186.34

SCREW LKG HEXALOBE 3.5X16MM

Facility

$705.00

Service Code	HCPCS C1713
Hospital Charge Code	270659703
Hospital Revenue Code	278
Min. Negotiated Rate	$105.75
Max. Negotiated Rate	$352.50
Rate for Payer: Aetna Commercial	$211.50
Rate for Payer: Aetna Medicare Advantage	$211.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.78
Rate for Payer: Cigna Commercial	$352.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.61
Rate for Payer: Qualcare PPO/HMO/WC	$105.75

SCREW LKG HEXALOBE 3.5X16MM

Facility

$705.00

Service Code	HCPCS C1713
Hospital Charge Code	270659703
Hospital Revenue Code	278
Min. Negotiated Rate	$105.75
Max. Negotiated Rate	$170.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.61
Rate for Payer: Qualcare PPO/HMO/WC	$105.75

SCREW LKG HEXALOBE 3.5X40MM

Facility

$1,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270697232
Hospital Revenue Code	278
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.36
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

Know your out-of-pocket cost for care.

All Charges