Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

SCREW LKG TI HD DT ST 2.5X12MM

Facility

$1,050.55

Service Code	HCPCS C1713
Hospital Charge Code	270699548
Hospital Revenue Code	278
Min. Negotiated Rate	$157.58
Max. Negotiated Rate	$525.27
Rate for Payer: Aetna Commercial	$315.17
Rate for Payer: Aetna Medicare Advantage	$315.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.89
Rate for Payer: Cigna Commercial	$525.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.23
Rate for Payer: Qualcare PPO/HMO/WC	$157.58

SCREW LKG TI HD DT ST 2.5X12MM

Facility

$1,050.55

Service Code	HCPCS C1713
Hospital Charge Code	270699548
Hospital Revenue Code	278
Min. Negotiated Rate	$157.58
Max. Negotiated Rate	$254.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.23
Rate for Payer: Qualcare PPO/HMO/WC	$157.58

SCREW LKG TI R3CON 3.5X10MM

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270700404
Hospital Revenue Code	278
Min. Negotiated Rate	$126.22
Max. Negotiated Rate	$203.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: Qualcare PPO/HMO/WC	$126.22

SCREW LKG TI R3CON 3.5X10MM

Facility

$841.50

Service Code	HCPCS C1713
Hospital Charge Code	270700404
Hospital Revenue Code	278
Min. Negotiated Rate	$126.22
Max. Negotiated Rate	$420.75
Rate for Payer: Aetna Commercial	$252.45
Rate for Payer: Aetna Medicare Advantage	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.58
Rate for Payer: Cigna Commercial	$420.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.64
Rate for Payer: Qualcare PPO/HMO/WC	$126.22

SCREW LKG TI R3CON 3.5X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700403
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 3.5X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700403
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$272.25
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X10MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700405
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$272.25
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X10MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700405
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X14MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700409
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X14MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700409
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$272.25
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700408
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X16MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700408
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$272.25
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X18MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700407
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$219.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG TI R3CON 4.2X18MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270700407
Hospital Revenue Code	278
Min. Negotiated Rate	$136.12
Max. Negotiated Rate	$453.75
Rate for Payer: Aetna Commercial	$272.25
Rate for Payer: Aetna Medicare Advantage	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.41
Rate for Payer: Cigna Commercial	$453.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.62
Rate for Payer: Qualcare PPO/HMO/WC	$136.12

SCREW LKG VARIAX FT 3.5X12MM

Facility

$1,257.80

Service Code	HCPCS C1713
Hospital Charge Code	270696915
Hospital Revenue Code	278
Min. Negotiated Rate	$188.67
Max. Negotiated Rate	$304.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.39
Rate for Payer: Qualcare PPO/HMO/WC	$188.67

SCREW LKG VARIAX FT 3.5X12MM

Facility

$1,257.80

Service Code	HCPCS C1713
Hospital Charge Code	270696915
Hospital Revenue Code	278
Min. Negotiated Rate	$188.67
Max. Negotiated Rate	$628.90
Rate for Payer: Aetna Commercial	$377.34
Rate for Payer: Aetna Medicare Advantage	$377.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.74
Rate for Payer: Cigna Commercial	$628.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.39
Rate for Payer: Qualcare PPO/HMO/WC	$188.67

SCREW LKG VARIAX FT 3.5X16MM

Facility

$1,307.80

Service Code	HCPCS C1713
Hospital Charge Code	270696916
Hospital Revenue Code	278
Min. Negotiated Rate	$196.17
Max. Negotiated Rate	$653.90
Rate for Payer: Aetna Commercial	$392.34
Rate for Payer: Aetna Medicare Advantage	$392.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.49
Rate for Payer: Cigna Commercial	$653.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.49
Rate for Payer: Qualcare PPO/HMO/WC	$196.17

SCREW LKG VARIAX FT 3.5X16MM

Facility

$1,307.80

Service Code	HCPCS C1713
Hospital Charge Code	270696916
Hospital Revenue Code	278
Min. Negotiated Rate	$196.17
Max. Negotiated Rate	$316.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.49
Rate for Payer: Qualcare PPO/HMO/WC	$196.17

SCREW LKG XL25 5.0X40MM

Facility

$1,259.50

Service Code	HCPCS C1713
Hospital Charge Code	270697680
Hospital Revenue Code	278
Min. Negotiated Rate	$188.93
Max. Negotiated Rate	$304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.80
Rate for Payer: Qualcare PPO/HMO/WC	$188.93

SCREW LKG XL25 5.0X40MM

Facility

$1,259.50

Service Code	HCPCS C1713
Hospital Charge Code	270697680
Hospital Revenue Code	278
Min. Negotiated Rate	$188.93
Max. Negotiated Rate	$629.75
Rate for Payer: Aetna Commercial	$377.85
Rate for Payer: Aetna Medicare Advantage	$377.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.17
Rate for Payer: Cigna Commercial	$629.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.80
Rate for Payer: Qualcare PPO/HMO/WC	$188.93

SCREW LOC 2.4 X 20 MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690142
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW LOC 2.4 X 20 MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690142
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW LOC 2.4 X 28 MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690143
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

SCREW LOC 2.4 X 28 MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690143
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

Know your out-of-pocket cost for care.

All Charges