Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LP 6.7 X 100MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270686757
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW LP 6.7 X 100MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270686757
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW LP 6.7 X 100MM CANN FT

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270686773
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW LP 6.7 X 100MM CANN FT

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270686773
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

SCREW LP CORT FT ST 3.5X16MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700342
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$129.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW LP CORT FT ST 3.5X16MM

Facility

$535.60

Service Code	HCPCS C1713
Hospital Charge Code	270700342
Hospital Revenue Code	278
Min. Negotiated Rate	$80.34
Max. Negotiated Rate	$267.80
Rate for Payer: Aetna Commercial	$160.68
Rate for Payer: Aetna Medicare Advantage	$160.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.58
Rate for Payer: Cigna Commercial	$267.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.62
Rate for Payer: Qualcare PPO/HMO/WC	$80.34

SCREW LP CORTICAL 1.6X6MM

Facility

$598.00

Service Code	HCPCS C1713
Hospital Charge Code	270699303
Hospital Revenue Code	278
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$299.00
Rate for Payer: Aetna Commercial	$179.40
Rate for Payer: Aetna Medicare Advantage	$179.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.49
Rate for Payer: Cigna Commercial	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.72
Rate for Payer: Qualcare PPO/HMO/WC	$89.70

SCREW LP CORTICAL 1.6X6MM

Facility

$598.00

Service Code	HCPCS C1713
Hospital Charge Code	270699303
Hospital Revenue Code	278
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$144.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.72
Rate for Payer: Qualcare PPO/HMO/WC	$89.70

SCREW LP CORTICAL 2.4X12MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694871
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 LP CORTICAL 2.4X12MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694871
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 LP LOCKING 5X38MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695443
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$360.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X38MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695443
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$745.25
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X44MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695444
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$360.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X44MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695444
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$745.25
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X50MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695445
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$360.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X50MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695445
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$745.25
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X78MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695446
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$745.25
Rate for Payer: Aetna Commercial	$447.15
Rate for Payer: Aetna Medicare Advantage	$447.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.08
Rate for Payer: Cigna Commercial	$745.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP LOCKING 5X78MM XL25

Facility

$1,490.50

Service Code	HCPCS C1713
Hospital Charge Code	270695446
Hospital Revenue Code	278
Min. Negotiated Rate	$223.57
Max. Negotiated Rate	$360.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.70
Rate for Payer: Qualcare PPO/HMO/WC	$223.57

SCREW LP NON LCK 2.7 X 13 MM

Facility

$595.00

Service Code	HCPCS C1713
Hospital Charge Code	270702079
Hospital Revenue Code	278
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$143.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.99
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

SCREW LP NON LCK 2.7 X 13 MM

Facility

$595.00

Service Code	HCPCS C1713
Hospital Charge Code	270702079
Hospital Revenue Code	278
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$297.50
Rate for Payer: Aetna Commercial	$178.50
Rate for Payer: Aetna Medicare Advantage	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.72
Rate for Payer: Cigna Commercial	$297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.99
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

SCREW LP NONLOCK 3.5mm x 70mm

Facility

$370.00

Hospital Charge Code	270665435
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW LP NONLOCK 3.5mm x 70mm

Facility

$370.00

Hospital Charge Code	270665435
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW LP NONLOCK 3.5mm x 75mm

Facility

$370.00

Hospital Charge Code	270665434
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW LP NONLOCK 3.5mm x 75mm

Facility

$370.00

Hospital Charge Code	270665434
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

SCREW LP-PRO 5.5X 55MM

Facility

$4,100.00

Hospital Charge Code	270703177
Hospital Revenue Code	278
Min. Negotiated Rate	$615.00
Max. Negotiated Rate	$2,050.00
Rate for Payer: Aetna Commercial	$1,230.00
Rate for Payer: Aetna Medicare Advantage	$1,230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,045.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,045.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$820.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,045.50
Rate for Payer: Cigna Commercial	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$992.20
Rate for Payer: Qualcare PPO/HMO/WC	$615.00

Know your out-of-pocket cost for care.

All Charges