Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING 6.0X80MM T25 SD

Facility

$994.85

Service Code	HCPCS C1713
Hospital Charge Code	270693258
Hospital Revenue Code	278
Min. Negotiated Rate	$149.23
Max. Negotiated Rate	$497.43
Rate for Payer: Aetna Commercial	$298.45
Rate for Payer: Aetna Medicare Advantage	$298.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.69
Rate for Payer: Cigna Commercial	$497.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.75
Rate for Payer: Qualcare PPO/HMO/WC	$149.23

SCREW LOCKING 7.3mX80 222571

Facility

$962.25

Hospital Charge Code	270630781
Hospital Revenue Code	278
Min. Negotiated Rate	$144.34
Max. Negotiated Rate	$481.12
Rate for Payer: Aetna Commercial	$288.68
Rate for Payer: Aetna Medicare Advantage	$288.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.37
Rate for Payer: Cigna Commercial	$481.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$144.34

SCREW LOCKING 7.3mX80 222571

Facility

$962.25

Hospital Charge Code	270630781
Hospital Revenue Code	278
Min. Negotiated Rate	$144.34
Max. Negotiated Rate	$232.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$192.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$144.34

SCREW LOCKING 7.3x75 222572

Facility

$1,031.75

Hospital Charge Code	270633660
Hospital Revenue Code	278
Min. Negotiated Rate	$154.76
Max. Negotiated Rate	$515.88
Rate for Payer: Aetna Commercial	$309.52
Rate for Payer: Aetna Medicare Advantage	$309.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.10
Rate for Payer: Cigna Commercial	$515.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.68
Rate for Payer: Qualcare PPO/HMO/WC	$154.76

SCREW LOCKING 7.3x75 222572

Facility

$1,031.75

Hospital Charge Code	270633660
Hospital Revenue Code	278
Min. Negotiated Rate	$154.76
Max. Negotiated Rate	$249.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$206.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.68
Rate for Payer: Qualcare PPO/HMO/WC	$154.76

SCREW LOCKING ANGLE 3.5x32MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270671108
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$187.20
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW LOCKING ANGLE 3.5x32MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270671108
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW LOCKING ANGLE 3.5x36MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659787
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x36MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659787
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x46MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270676136
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW LOCKING ANGLE 3.5x46MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270676136
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$192.81
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW LOCKING ANGLE 3.5x54MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665811
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x54MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665811
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x60MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270671107
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x60MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270671107
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x65MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270664456
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x65MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270664456
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x70MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659784
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x70MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659784
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x75MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659783
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x75MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659783
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x80MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659782
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW LOCKING ANGLE 3.5x80MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659782
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW, LOCKING CANC 4X44MM

Facility

$632.50

Service Code	HCPCS C1713
Hospital Charge Code	270701995
Hospital Revenue Code	278
Min. Negotiated Rate	$94.88
Max. Negotiated Rate	$153.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.06
Rate for Payer: Qualcare PPO/HMO/WC	$94.88

SCREW, LOCKING CANC 4X44MM

Facility

$632.50

Service Code	HCPCS C1713
Hospital Charge Code	270701995
Hospital Revenue Code	278
Min. Negotiated Rate	$94.88
Max. Negotiated Rate	$316.25
Rate for Payer: Aetna Commercial	$189.75
Rate for Payer: Aetna Medicare Advantage	$189.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.29
Rate for Payer: Cigna Commercial	$316.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.06
Rate for Payer: Qualcare PPO/HMO/WC	$94.88

Know your out-of-pocket cost for care.

All Charges