Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 3.5MM X 10MM

Facility

$1,180.00

Hospital Charge Code	270665826
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$354.00
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW LOCKING 3.5MM X 10MM

Facility

$1,180.00

Hospital Charge Code	270665826
Hospital Revenue Code	278
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$285.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.56
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$415.50
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 10mm

Facility

$1,385.00

Hospital Charge Code	270669413
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$295.39
Max. Negotiated Rate	$476.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: Qualcare PPO/HMO/WC	$295.39

SCREW LOCKING 3.5 X 10 MM

Facility

$1,969.30

Service Code	HCPCS C1713
Hospital Charge Code	270690118
Hospital Revenue Code	278
Min. Negotiated Rate	$295.39
Max. Negotiated Rate	$984.65
Rate for Payer: Aetna Commercial	$590.79
Rate for Payer: Aetna Medicare Advantage	$590.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$502.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$502.17
Rate for Payer: Cigna Commercial	$984.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.57
Rate for Payer: Qualcare PPO/HMO/WC	$295.39

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$239.85
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5 X 10MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270664090
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$147.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

SCREW LOCKING 3.5x10mm

Facility

$610.00

Service Code	HCPCS C1713
Hospital Charge Code	270671598
Hospital Revenue Code	278
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.62
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$415.50
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 12mm

Facility

$1,385.00

Hospital Charge Code	270669414
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$176.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: Qualcare PPO/HMO/WC	$109.65

SCREW LOCKING 3.5 X 12MM

Facility

$731.00

Service Code	HCPCS C1713
Hospital Charge Code	270667388
Hospital Revenue Code	278
Min. Negotiated Rate	$109.65
Max. Negotiated Rate	$365.50
Rate for Payer: Aetna Commercial	$219.30
Rate for Payer: Aetna Medicare Advantage	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.41
Rate for Payer: Cigna Commercial	$365.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.90
Rate for Payer: Qualcare PPO/HMO/WC	$109.65

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$193.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5x12MM

Facility

$799.50

Service Code	HCPCS C1713
Hospital Charge Code	270660368
Hospital Revenue Code	278
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$399.75
Rate for Payer: Aetna Commercial	$239.85
Rate for Payer: Aetna Medicare Advantage	$239.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.87
Rate for Payer: Cigna Commercial	$399.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.92

SCREW LOCKING 3.5X12MM

Facility

$710.00

Hospital Charge Code	270668126
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$171.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW LOCKING 3.5X12MM

Facility

$710.00

Hospital Charge Code	270668126
Hospital Revenue Code	278
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$355.00
Rate for Payer: Aetna Commercial	$213.00
Rate for Payer: Aetna Medicare Advantage	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.05
Rate for Payer: Cigna Commercial	$355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.82
Rate for Payer: Qualcare PPO/HMO/WC	$106.50

SCREW LOCKING 3.5 X 14

Facility

$350.00

Hospital Charge Code	270638098
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW LOCKING 3.5 X 14

Facility

$350.00

Hospital Charge Code	270638098
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

SCREW LOCKING 3.5 X 14MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270662026
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW LOCKING 3.5 X 14MM

Facility

$1,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270662026
Hospital Revenue Code	278
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$272.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

SCREW LOCKING 3.5x14MM

Facility

$740.00

Hospital Charge Code	270676765
Hospital Revenue Code	278
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$179.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.08
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

SCREW LOCKING 3.5x14MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270679882
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

SCREW LOCKING 3.5x14MM

Facility

$1,120.00

Service Code	HCPCS C1713
Hospital Charge Code	270679882
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

Know your out-of-pocket cost for care.

All Charges