Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 1.7x14MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673828
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING 1.7x15MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673829
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING 1.7x15MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270673829
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$237.00
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

SCREW LOCKING 18MM

Facility

$850.00

Hospital Charge Code	270663471
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW LOCKING 18MM

Facility

$850.00

Hospital Charge Code	270663471
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$255.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

SCREW LOCKING 1.8MM 26MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681464
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW LOCKING 1.8MM 26MM

Facility

$595.20

Service Code	HCPCS C1713
Hospital Charge Code	270681464
Hospital Revenue Code	278
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$297.60
Rate for Payer: Aetna Commercial	$178.56
Rate for Payer: Aetna Medicare Advantage	$178.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.78
Rate for Payer: Cigna Commercial	$297.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.04
Rate for Payer: Qualcare PPO/HMO/WC	$89.28

SCREW LOCKING 2.0MM X 19MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270661793
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$148.50
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW LOCKING 2.0MM X 19MM

Facility

$495.00

Service Code	HCPCS C1713
Hospital Charge Code	270661793
Hospital Revenue Code	278
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$119.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.79
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

SCREW LOCKING 2.0 T6

Facility

$579.80

Service Code	HCPCS C1713
Hospital Charge Code	270693316
Hospital Revenue Code	278
Min. Negotiated Rate	$86.97
Max. Negotiated Rate	$140.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.31
Rate for Payer: Qualcare PPO/HMO/WC	$86.97

SCREW LOCKING 2.0 T6

Facility

$579.80

Service Code	HCPCS C1713
Hospital Charge Code	270693316
Hospital Revenue Code	278
Min. Negotiated Rate	$86.97
Max. Negotiated Rate	$289.90
Rate for Payer: Aetna Commercial	$173.94
Rate for Payer: Aetna Medicare Advantage	$173.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.85
Rate for Payer: Cigna Commercial	$289.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.31
Rate for Payer: Qualcare PPO/HMO/WC	$86.97

SCREW LOCKING 2.0 x 12MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680982
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$325.50
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 2.0 x 12MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680982
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 2.0 X 16 MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680984
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 2.0 X 16 MM

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270680984
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$325.50
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

SCREW LOCKING 20X 16 MM

Facility

$925.50

Hospital Charge Code	270701816
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$277.65
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW LOCKING 20X 16 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW LOCKING 20X 16 MM

Facility

$925.50

Service Code	HCPCS C1713
Hospital Charge Code	N
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$462.75
Rate for Payer: Aetna Commercial	$277.65
Rate for Payer: Aetna Medicare Advantage	$277.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.00
Rate for Payer: Cigna Commercial	$462.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW LOCKING 20X 16 MM

Facility

$925.50

Hospital Charge Code	270701816
Hospital Revenue Code	278
Min. Negotiated Rate	$138.82
Max. Negotiated Rate	$223.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.97
Rate for Payer: Qualcare PPO/HMO/WC	$138.82

SCREW LOCKING 2.3x14mm

Facility

$520.00

Hospital Charge Code	270665500
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$125.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW LOCKING 2.3x14mm

Facility

$520.00

Hospital Charge Code	270665500
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$156.00
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x18MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270672695
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$191.88
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$154.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

SCREW LOCKING 2.3x20MM

Facility

$639.60

Service Code	HCPCS C1713
Hospital Charge Code	270666942
Hospital Revenue Code	278
Min. Negotiated Rate	$95.94
Max. Negotiated Rate	$319.80
Rate for Payer: Aetna Commercial	$191.88
Rate for Payer: Aetna Medicare Advantage	$191.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.10
Rate for Payer: Cigna Commercial	$319.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.78
Rate for Payer: Qualcare PPO/HMO/WC	$95.94

Know your out-of-pocket cost for care.

All Charges