Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING T2 ALPHA 5X55MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700388
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$765.08
Rate for Payer: Aetna Commercial	$459.05
Rate for Payer: Aetna Medicare Advantage	$459.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.19
Rate for Payer: Cigna Commercial	$765.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LOCKING T2 ALPHA 5X55MM

Facility

$1,530.15

Service Code	HCPCS C1713
Hospital Charge Code	270700388
Hospital Revenue Code	278
Min. Negotiated Rate	$229.52
Max. Negotiated Rate	$370.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.30
Rate for Payer: Qualcare PPO/HMO/WC	$229.52

SCREW LOCKING T2 F/T 4x26MM

Facility

$972.00

Hospital Charge Code	270663839
Hospital Revenue Code	278
Min. Negotiated Rate	$145.80
Max. Negotiated Rate	$235.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.22
Rate for Payer: Qualcare PPO/HMO/WC	$145.80

SCREW LOCKING T2 F/T 4x26MM

Facility

$972.00

Hospital Charge Code	270663839
Hospital Revenue Code	278
Min. Negotiated Rate	$145.80
Max. Negotiated Rate	$486.00
Rate for Payer: Aetna Commercial	$291.60
Rate for Payer: Aetna Medicare Advantage	$291.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.86
Rate for Payer: Cigna Commercial	$486.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.22
Rate for Payer: Qualcare PPO/HMO/WC	$145.80

SCREW LOCKING T6 2x9MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270674230
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$142.20
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 2x9MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270674230
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x10MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270671213
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$251.43
Rate for Payer: Aetna Commercial	$150.85
Rate for Payer: Aetna Medicare Advantage	$150.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.23
Rate for Payer: Cigna Commercial	$251.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x10MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270671213
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$121.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x11MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671995
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x11MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671995
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$142.20
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x14MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270672177
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$121.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x14MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270672177
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$251.43
Rate for Payer: Aetna Commercial	$150.85
Rate for Payer: Aetna Medicare Advantage	$150.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.23
Rate for Payer: Cigna Commercial	$251.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x16MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270667133
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$121.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x16MM

Facility

$502.85

Service Code	HCPCS C1713
Hospital Charge Code	270667133
Hospital Revenue Code	278
Min. Negotiated Rate	$75.43
Max. Negotiated Rate	$251.43
Rate for Payer: Aetna Commercial	$150.85
Rate for Payer: Aetna Medicare Advantage	$150.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.23
Rate for Payer: Cigna Commercial	$251.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$75.43

SCREW LOCKING T6 STAR 2x20MM

Facility

$474.00

Hospital Charge Code	270667135
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$142.20
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x20MM

Facility

$474.00

Hospital Charge Code	270667135
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x6MM

Facility

$474.00

Hospital Charge Code	270667164
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T6 STAR 2x6MM

Facility

$474.00

Hospital Charge Code	270667164
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$142.20
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING T8 3.5X14MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270668046
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$335.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING T8 3.5X14MM

Facility

$1,385.00

Service Code	HCPCS C1713
Hospital Charge Code	270668046
Hospital Revenue Code	278
Min. Negotiated Rate	$207.75
Max. Negotiated Rate	$692.50
Rate for Payer: Aetna Commercial	$415.50
Rate for Payer: Aetna Medicare Advantage	$415.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$277.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.18
Rate for Payer: Cigna Commercial	$692.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.17
Rate for Payer: Qualcare PPO/HMO/WC	$207.75

SCREW LOCKING T8 3.5x16MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270667538
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x16MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270667538
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673319
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x20MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673319
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SCREW LOCKING T8 3.5x24MM

Facility

$1,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270673314
Hospital Revenue Code	278
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$344.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.85
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

Know your out-of-pocket cost for care.

All Charges