Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$266.68
Rate for Payer: Aetna Commercial	$160.00
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
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 4.5x32mm

Facility

$950.00

Service Code	HCPCS C1713
Hospital Charge Code	270685128
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 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5x35MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683642
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$388.50
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
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

SCREW LOCKING 4.5X35MM

Facility

$533.35

Service Code	HCPCS C1713
Hospital Charge Code	270704580
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$266.68
Rate for Payer: Aetna Commercial	$160.00
Rate for Payer: Aetna Medicare Advantage	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.00
Rate for Payer: Cigna Commercial	$266.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.07
Rate for Payer: Qualcare PPO/HMO/WC	$80.00

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$313.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 4.5x40MM

Facility

$1,295.00

Service Code	HCPCS C1713
Hospital Charge Code	270683641
Hospital Revenue Code	278
Min. Negotiated Rate	$194.25
Max. Negotiated Rate	$647.50
Rate for Payer: Aetna Commercial	$388.50
Rate for Payer: Aetna Medicare Advantage	$388.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.23
Rate for Payer: Cigna Commercial	$647.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.39
Rate for Payer: Qualcare PPO/HMO/WC	$194.25

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270668018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270557018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270557018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$452.50
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: Aetna Commercial	$271.50
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 46MM

Facility

$905.00

Hospital Charge Code	270668018
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$271.50
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW LOCKING 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x36MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675650
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x38MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675649
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x38MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675649
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x44MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675648
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$224.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 4x44MM

Facility

$927.20

Service Code	HCPCS C1713
Hospital Charge Code	270675648
Hospital Revenue Code	278
Min. Negotiated Rate	$139.08
Max. Negotiated Rate	$463.60
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$278.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.44
Rate for Payer: Cigna Commercial	$463.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.38
Rate for Payer: Qualcare PPO/HMO/WC	$139.08

SCREW LOCKING 5.0 40MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663303
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$273.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 5.0 40MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663303
Hospital Revenue Code	278
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$339.00
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$226.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.46
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

SCREW LOCKING 50MM

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270692694
Hospital Revenue Code	278
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$214.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

SCREW LOCKING 50MM

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270692694
Hospital Revenue Code	278
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$266.49
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

SCREW LOCKING 5.0MM

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270696025
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$745.25
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LOCKING 5.0MM

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270696025
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$360.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

Know your out-of-pocket cost for care.

All Charges