Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 2.7x16mm

Facility

$335.00

Service Code	HCPCS C1713
Hospital Charge Code	270672342
Hospital Revenue Code	278
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$81.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.07
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

SCREW LOCKING 2.7x16MM

Facility

$670.00

Hospital Charge Code	270673695
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$201.00
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING 2.7x16MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676416
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$642.50
Rate for Payer: Aetna Commercial	$385.50
Rate for Payer: Aetna Medicare Advantage	$385.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.68
Rate for Payer: Cigna Commercial	$642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

SCREW LOCKING 2.7x16MM

Facility

$1,285.00

Service Code	HCPCS C1713
Hospital Charge Code	270676416
Hospital Revenue Code	278
Min. Negotiated Rate	$192.75
Max. Negotiated Rate	$310.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.97
Rate for Payer: Qualcare PPO/HMO/WC	$192.75

SCREW LOCKING 2.7x16MM

Facility

$670.00

Hospital Charge Code	270673695
Hospital Revenue Code	278
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$162.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

SCREW LOCKING 2.7X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270646203
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 LOCKING 2.7X16MM

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270646203
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 LOCKING 2.7 X 18 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701533
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW LOCKING 2.7 X 18 MM

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270701533
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

SCREW LOCKING 2.7 X 18 MM

Facility

$907.50

Hospital Charge Code	270701526
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 LOCKING 2.7 X 18 MM

Facility

$907.50

Hospital Charge Code	270701526
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 LOCKING 2.7 X 18MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270664326
Hospital Revenue Code	278
Min. Negotiated Rate	$126.14
Max. Negotiated Rate	$420.48
Rate for Payer: Qualcare PPO/HMO/WC	$126.14
Rate for Payer: Aetna Commercial	$252.28
Rate for Payer: Aetna Medicare Advantage	$252.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.44
Rate for Payer: Cigna Commercial	$420.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51

SCREW LOCKING 2.7 X 18MM

Facility

$840.95

Service Code	HCPCS C1713
Hospital Charge Code	270664326
Hospital Revenue Code	278
Min. Negotiated Rate	$126.14
Max. Negotiated Rate	$203.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.51
Rate for Payer: Qualcare PPO/HMO/WC	$126.14

SCREW LOCKING 2.7x18mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642555
Hospital Revenue Code	278
Min. Negotiated Rate	$77.81
Max. Negotiated Rate	$259.38
Rate for Payer: Aetna Commercial	$155.62
Rate for Payer: Aetna Medicare Advantage	$155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.28
Rate for Payer: Cigna Commercial	$259.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: Qualcare PPO/HMO/WC	$77.81

SCREW LOCKING 2.7x18mm

Facility

$518.75

Service Code	HCPCS C1713
Hospital Charge Code	270642555
Hospital Revenue Code	278
Min. Negotiated Rate	$77.81
Max. Negotiated Rate	$125.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.54
Rate for Payer: Qualcare PPO/HMO/WC	$77.81

SCREW LOCKING 2.7x18MM

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270673616
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$160.50
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW LOCKING 2.7x18MM

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270673616
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW LOCKING 2.7X18MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270669673
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$304.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

SCREW LOCKING 2.7X18MM

Facility

$1,256.25

Service Code	HCPCS C1713
Hospital Charge Code	270669673
Hospital Revenue Code	278
Min. Negotiated Rate	$188.44
Max. Negotiated Rate	$628.12
Rate for Payer: Aetna Commercial	$376.88
Rate for Payer: Aetna Medicare Advantage	$376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.34
Rate for Payer: Cigna Commercial	$628.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.01
Rate for Payer: Qualcare PPO/HMO/WC	$188.44

SCREW LOCKING 2.7x18mm 30-0329

Facility

$625.00

Hospital Charge Code	270646202
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 LOCKING 2.7x18mm 30-0329

Facility

$625.00

Hospital Charge Code	270646202
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 LOCKING 2.7 X 19 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701528
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 LOCKING 2.7 X 19 MM

Facility

$907.50

Service Code	HCPCS C1713
Hospital Charge Code	270701528
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 LOCKING 2.7x20mm

Facility

$503.65

Service Code	HCPCS C1713
Hospital Charge Code	270644880
Hospital Revenue Code	278
Min. Negotiated Rate	$75.55
Max. Negotiated Rate	$251.82
Rate for Payer: Aetna Commercial	$151.09
Rate for Payer: Aetna Medicare Advantage	$151.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.43
Rate for Payer: Cigna Commercial	$251.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.55

SCREW LOCKING 2.7x20mm

Facility

$503.65

Service Code	HCPCS C1713
Hospital Charge Code	270644880
Hospital Revenue Code	278
Min. Negotiated Rate	$75.55
Max. Negotiated Rate	$121.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.88
Rate for Payer: Qualcare PPO/HMO/WC	$75.55

Know your out-of-pocket cost for care.

All Charges