Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING S/TAP 3.5x 16mm

Facility

$877.50

Service Code	HCPCS C1713
Hospital Charge Code	270648604
Hospital Revenue Code	278
Min. Negotiated Rate	$131.62
Max. Negotiated Rate	$212.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.35
Rate for Payer: Qualcare PPO/HMO/WC	$131.62

SCREW LOCKING S/TAP 3.5x 16mm

Facility

$877.50

Service Code	HCPCS C1713
Hospital Charge Code	270648604
Hospital Revenue Code	278
Min. Negotiated Rate	$131.62
Max. Negotiated Rate	$438.75
Rate for Payer: Aetna Commercial	$263.25
Rate for Payer: Aetna Medicare Advantage	$263.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.76
Rate for Payer: Cigna Commercial	$438.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.35
Rate for Payer: Qualcare PPO/HMO/WC	$131.62

SCREW LOCKING STAR 3.5x52MM

Facility

$519.00

Hospital Charge Code	270657131
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$125.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW LOCKING STAR 3.5x52MM

Facility

$519.00

Hospital Charge Code	270657131
Hospital Revenue Code	278
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$155.70
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$103.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.60
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

SCREW LOCKING STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
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 STAR 4X38MM

Facility

$924.00

Service Code	HCPCS C1713
Hospital Charge Code	270659944
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 STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
Hospital Revenue Code	278
Min. Negotiated Rate	$142.75
Max. Negotiated Rate	$230.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.75

SCREW LOCKING STAR 4X40MM

Facility

$951.70

Service Code	HCPCS C1713
Hospital Charge Code	270671294
Hospital Revenue Code	278
Min. Negotiated Rate	$142.75
Max. Negotiated Rate	$475.85
Rate for Payer: Aetna Commercial	$285.51
Rate for Payer: Aetna Medicare Advantage	$285.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.68
Rate for Payer: Cigna Commercial	$475.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.75

SCREW LOCKING STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X6MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695239
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$216.18
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$174.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STARDR 2.4X7MM

Facility

$720.60

Service Code	HCPCS C1713
Hospital Charge Code	270695240
Hospital Revenue Code	278
Min. Negotiated Rate	$108.09
Max. Negotiated Rate	$360.30
Rate for Payer: Aetna Commercial	$216.18
Rate for Payer: Aetna Medicare Advantage	$216.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.75
Rate for Payer: Cigna Commercial	$360.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.39
Rate for Payer: Qualcare PPO/HMO/WC	$108.09

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x26MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674864
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x28MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674863
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x30MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674862
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5.0x30MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270674862
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x50MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676133
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x50MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676133
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x80MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675717
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x80MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675717
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x85MM

Facility

$753.00

Hospital Charge Code	270675846
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING STR DRV 5x85MM

Facility

$753.00

Hospital Charge Code	270675846
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW LOCKING T10 3.5MM/L20MM

Facility

$703.25

Service Code	HCPCS C1713
Hospital Charge Code	270657320
Hospital Revenue Code	278
Min. Negotiated Rate	$105.49
Max. Negotiated Rate	$351.62
Rate for Payer: Aetna Commercial	$210.97
Rate for Payer: Aetna Medicare Advantage	$210.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.33
Rate for Payer: Cigna Commercial	$351.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.19
Rate for Payer: Qualcare PPO/HMO/WC	$105.49

Know your out-of-pocket cost for care.

All Charges