Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 4.0x34mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270633663
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$148.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING 4.0x34mm

Facility

$611.80

Service Code	HCPCS C1713
Hospital Charge Code	270633663
Hospital Revenue Code	278
Min. Negotiated Rate	$91.77
Max. Negotiated Rate	$305.90
Rate for Payer: Aetna Commercial	$183.54
Rate for Payer: Aetna Medicare Advantage	$183.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.01
Rate for Payer: Cigna Commercial	$305.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$91.77

SCREW LOCKING 4.0x38mm

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270659943
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$490.12
Rate for Payer: Aetna Commercial	$294.07
Rate for Payer: Aetna Medicare Advantage	$294.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.96
Rate for Payer: Cigna Commercial	$490.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING 4.0x38mm

Facility

$980.25

Service Code	HCPCS C1713
Hospital Charge Code	270659943
Hospital Revenue Code	278
Min. Negotiated Rate	$147.04
Max. Negotiated Rate	$237.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.22
Rate for Payer: Qualcare PPO/HMO/WC	$147.04

SCREW LOCKING 4.0X38MM

Facility

$1,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270664513
Hospital Revenue Code	278
Min. Negotiated Rate	$167.25
Max. Negotiated Rate	$269.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.83
Rate for Payer: Qualcare PPO/HMO/WC	$167.25

SCREW LOCKING 4.0X38MM

Facility

$1,115.00

Service Code	HCPCS C1713
Hospital Charge Code	270664513
Hospital Revenue Code	278
Min. Negotiated Rate	$167.25
Max. Negotiated Rate	$557.50
Rate for Payer: Aetna Commercial	$334.50
Rate for Payer: Aetna Medicare Advantage	$334.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.32
Rate for Payer: Cigna Commercial	$557.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.83
Rate for Payer: Qualcare PPO/HMO/WC	$167.25

SCREW LOCKING 4.0X46 222589

Facility

$540.70

Hospital Charge Code	270634794
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$162.21
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW LOCKING 4.0X46 222589

Facility

$540.70

Hospital Charge Code	270634794
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$130.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW LOCKING 4.0X50MM

Facility

$1,136.55

Service Code	HCPCS C1713
Hospital Charge Code	270692177
Hospital Revenue Code	278
Min. Negotiated Rate	$170.48
Max. Negotiated Rate	$275.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.05
Rate for Payer: Qualcare PPO/HMO/WC	$170.48

SCREW LOCKING 4.0X50MM

Facility

$924.00

Hospital Charge Code	270669918
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW LOCKING 4.0X50MM

Facility

$924.00

Hospital Charge Code	270669918
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.61
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SCREW LOCKING 4.0X50MM

Facility

$1,136.55

Service Code	HCPCS C1713
Hospital Charge Code	270692177
Hospital Revenue Code	278
Min. Negotiated Rate	$170.48
Max. Negotiated Rate	$568.27
Rate for Payer: Aetna Commercial	$340.96
Rate for Payer: Aetna Medicare Advantage	$340.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.82
Rate for Payer: Cigna Commercial	$568.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.05
Rate for Payer: Qualcare PPO/HMO/WC	$170.48

SCREW LOCKING 4.0x55 371555

Facility

$875.00

Hospital Charge Code	278648070
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0x55 371555

Facility

$875.00

Hospital Charge Code	278648070
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0x55 371555

Facility

$875.00

Hospital Charge Code	270648070
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0x55 371555

Facility

$875.00

Hospital Charge Code	270648070
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW LOCKING 4.0x65mm

Facility

$1,060.00

Hospital Charge Code	270663681
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$530.00
Rate for Payer: Aetna Commercial	$318.00
Rate for Payer: Aetna Medicare Advantage	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.30
Rate for Payer: Cigna Commercial	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

SCREW LOCKING 4.0x65mm

Facility

$1,060.00

Hospital Charge Code	270663681
Hospital Revenue Code	278
Min. Negotiated Rate	$159.00
Max. Negotiated Rate	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.52
Rate for Payer: Qualcare PPO/HMO/WC	$159.00

SCREW LOCKING 44mm 3705-44

Facility

$615.00

Hospital Charge Code	270640114
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 44mm 3705-44

Facility

$615.00

Hospital Charge Code	270640114
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x26mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685130
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5x28mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685131
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

SCREW LOCKING 4.5X30MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704579
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$129.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

Know your out-of-pocket cost for care.

All Charges