Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 50mm 3705-50

Facility

$615.00

Hospital Charge Code	270640115
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 50mm 3705-50

Facility

$615.00

Hospital Charge Code	270640115
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 5.0MMX110MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689708
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$430.05
Rate for Payer: Aetna Commercial	$258.03
Rate for Payer: Aetna Medicare Advantage	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.33
Rate for Payer: Cigna Commercial	$430.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MMX110MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689708
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$208.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MMX115MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689709
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$430.05
Rate for Payer: Aetna Commercial	$258.03
Rate for Payer: Aetna Medicare Advantage	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.33
Rate for Payer: Cigna Commercial	$430.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MMX115MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689709
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$208.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MMX120MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689710
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$208.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MMX120MM

Facility

$860.10

Service Code	HCPCS C1713
Hospital Charge Code	270689710
Hospital Revenue Code	278
Min. Negotiated Rate	$129.01
Max. Negotiated Rate	$430.05
Rate for Payer: Aetna Commercial	$258.03
Rate for Payer: Aetna Medicare Advantage	$258.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$172.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.33
Rate for Payer: Cigna Commercial	$430.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.14
Rate for Payer: Qualcare PPO/HMO/WC	$129.01

SCREW LOCKING 5.0MM X 46MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270666924
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$228.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0MM X 46MM

Facility

$945.00

Service Code	HCPCS C1713
Hospital Charge Code	270666924
Hospital Revenue Code	278
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$283.50
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.69
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

SCREW LOCKING 5.0 X 22 MM

Facility

$883.75

Service Code	HCPCS C1713
Hospital Charge Code	270690435
Hospital Revenue Code	278
Min. Negotiated Rate	$132.56
Max. Negotiated Rate	$213.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.87
Rate for Payer: Qualcare PPO/HMO/WC	$132.56

SCREW LOCKING 5.0 X 22 MM

Facility

$883.75

Service Code	HCPCS C1713
Hospital Charge Code	270690435
Hospital Revenue Code	278
Min. Negotiated Rate	$132.56
Max. Negotiated Rate	$441.88
Rate for Payer: Aetna Commercial	$265.12
Rate for Payer: Aetna Medicare Advantage	$265.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.36
Rate for Payer: Cigna Commercial	$441.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.87
Rate for Payer: Qualcare PPO/HMO/WC	$132.56

SCREW LOCKING 5.0x24mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270663312
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0x24mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270663312
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$366.00
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0x26mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270663313
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0x26mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270663313
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$366.00
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0x28mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270673796
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$366.00
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0x28mm

Facility

$1,220.00

Service Code	HCPCS C1713
Hospital Charge Code	270673796
Hospital Revenue Code	278
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$295.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.24
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

SCREW LOCKING 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693314
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 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693314
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 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693256
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 5.0X28MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270693256
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 5.0 X 30MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663302
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 5.0 X 30MM

Facility

$1,130.00

Service Code	HCPCS C1713
Hospital Charge Code	270663302
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 5.0X30MM XL25

Facility

$888.30

Service Code	HCPCS C1713
Hospital Charge Code	270692596
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

Know your out-of-pocket cost for care.

All Charges