Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LKG T2 ALPHA 5X37.5MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700386
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$370.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X37.5MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700386
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$765.08
Rate for Payer: Aetna Commercial	$459.05
Rate for Payer: Aetna Medicare Advantage	$459.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.19
Rate for Payer: Cigna Commercial	$765.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X40MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700451
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$765.08
Rate for Payer: Aetna Commercial	$459.05
Rate for Payer: Aetna Medicare Advantage	$459.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.19
Rate for Payer: Cigna Commercial	$765.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X40MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700451
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$370.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X42.5MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699235
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG T2 ALPHA 5X42.5MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699235
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG T2 ALPHA 5X45.0MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700387
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$765.08
Rate for Payer: Aetna Commercial	$459.05
Rate for Payer: Aetna Medicare Advantage	$459.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.19
Rate for Payer: Cigna Commercial	$765.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X45.0MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700387
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$370.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LKG T2 ALPHA 5X47.5MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698910
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$2,112.50
Rate for Payer: Aetna Commercial	$1,267.50
Rate for Payer: Aetna Medicare Advantage	$1,267.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,077.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,077.38
Rate for Payer: Cigna Commercial	$2,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LKG T2 ALPHA 5X47.5MM

Facility

$4,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270698910
Hospital Revenue Code	278
Min. Negotiated Rate	$633.75
Max. Negotiated Rate	$1,022.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.45
Rate for Payer: Qualcare PPO/HMO/WC	$633.75

SCREW LKG T2 ALPHA 5X65MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699236
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG T2 ALPHA 5X65MM

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699236
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

SCREW LKG T6 2.0X10MM

Facility

$727.20

Service Code	HCPCS C1713
Hospital Charge Code	270700509
Hospital Revenue Code	278
Min. Negotiated Rate	$109.08
Max. Negotiated Rate	$175.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.98
Rate for Payer: Qualcare PPO/HMO/WC	$109.08

SCREW LKG T6 2.0X10MM

Facility

$727.20

Service Code	HCPCS C1713
Hospital Charge Code	270700509
Hospital Revenue Code	278
Min. Negotiated Rate	$109.08
Max. Negotiated Rate	$363.60
Rate for Payer: Aetna Commercial	$218.16
Rate for Payer: Aetna Medicare Advantage	$218.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.44
Rate for Payer: Cigna Commercial	$363.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.98
Rate for Payer: Qualcare PPO/HMO/WC	$109.08

SCREW LKG T6 2.0X12MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700508
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 T6 2.0X12MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700508
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 T6 2.0X6MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700507
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 T6 2.0X6MM

Facility

$1,242.30

Service Code	HCPCS C1713
Hospital Charge Code	270700507
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 T6 VARIAX 2X10MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700741
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$217.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SCREW LKG T6 VARIAX 2X10MM

Facility

$725.00

Service Code	HCPCS C1713
Hospital Charge Code	270700741
Hospital Revenue Code	278
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$175.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.45
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

SCREW LKG T6 VARIAX 2X11MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700740
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$300.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG T6 VARIAX 2X11MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700740
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$620.00
Rate for Payer: Aetna Commercial	$372.00
Rate for Payer: Aetna Medicare Advantage	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.20
Rate for Payer: Cigna Commercial	$620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG T6 VARIAX 2X9MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700738
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$300.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG T6 VARIAX 2X9MM

Facility

$1,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270700738
Hospital Revenue Code	278
Min. Negotiated Rate	$186.00
Max. Negotiated Rate	$620.00
Rate for Payer: Aetna Commercial	$372.00
Rate for Payer: Aetna Medicare Advantage	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.20
Rate for Payer: Cigna Commercial	$620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.08
Rate for Payer: Qualcare PPO/HMO/WC	$186.00

SCREW LKG TI CORT 3.5X12MM

Facility

$6,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270697116
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

Know your out-of-pocket cost for care.

All Charges