Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOW PROF CORT 2.4X32MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692440
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOW PROF CORT 2.4X32MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692440
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOW PROFILE 1.6 X 10 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270689946
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10

SCREW LOW PROFILE 1.6 X 10 MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270689946
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOW PROFILE 1.6X 12MM

Facility

$566.50

Hospital Charge Code	270703047
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$137.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.09
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

SCREW LOW PROFILE 1.6X 12MM

Facility

$566.50

Hospital Charge Code	270703047
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$283.25
Rate for Payer: Aetna Commercial	$169.95
Rate for Payer: Aetna Medicare Advantage	$169.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.46
Rate for Payer: Cigna Commercial	$283.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.09
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

SCREW LOW PROFILE 1.6 X 8MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270689945
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOW PROFILE 1.6 X 8MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270689945
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW LOW PROFILE 3.5X10MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270688608
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X10MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270688608
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X18MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676942
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X18MM

Facility

$309.00

Service Code	HCPCS C1317
Hospital Charge Code	270704871
Hospital Revenue Code	278
Min. Negotiated Rate	$46.35
Max. Negotiated Rate	$74.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.78
Rate for Payer: Qualcare PPO/HMO/WC	$46.35

SCREW LOW PROFILE 3.5X18MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270676942
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X18MM

Facility

$309.00

Service Code	HCPCS C1317
Hospital Charge Code	270704871
Hospital Revenue Code	278
Min. Negotiated Rate	$46.35
Max. Negotiated Rate	$154.50
Rate for Payer: Aetna Commercial	$92.70
Rate for Payer: Aetna Medicare Advantage	$92.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.80
Rate for Payer: Cigna Commercial	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.78
Rate for Payer: Qualcare PPO/HMO/WC	$46.35

SCREW LOW PROFILE 3.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668413
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668413
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X24MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270675957
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X24MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270675957
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X34MM

Facility

$300.00

Hospital Charge Code	270676943
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 3.5X34MM

Facility

$300.00

Hospital Charge Code	270676943
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 4MM X 32MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668408
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 4MM X 32MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270668408
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 4x34MM

Facility

$300.00

Hospital Charge Code	270676997
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 4x34MM

Facility

$300.00

Hospital Charge Code	270676997
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW LOW PROFILE 5.5 45MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270687436
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

Know your out-of-pocket cost for care.

All Charges