Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW MAXTORQUE SD LT 4X42.5MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270700715
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$319.50
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW MAXTORQUE SD LT 4X42.5MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270700715
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW MD 2.7MMX24MM

Facility

$1,017.00

Hospital Charge Code	270703042
Hospital Revenue Code	278
Min. Negotiated Rate	$152.55
Max. Negotiated Rate	$246.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.11
Rate for Payer: Qualcare PPO/HMO/WC	$152.55

SCREW MD 2.7MMX24MM

Facility

$1,017.00

Hospital Charge Code	270703042
Hospital Revenue Code	278
Min. Negotiated Rate	$152.55
Max. Negotiated Rate	$508.50
Rate for Payer: Aetna Commercial	$305.10
Rate for Payer: Aetna Medicare Advantage	$305.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.33
Rate for Payer: Cigna Commercial	$508.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.11
Rate for Payer: Qualcare PPO/HMO/WC	$152.55

SCREWMDS STRM 2.4 X 10MM RS ST

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270692251
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$390.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

SCREWMDS STRM 2.4 X 10MM RS ST

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270692251
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

SCREWMDS STRM 2.4 X 12MM RS ST

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270692250
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$390.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

SCREWMDS STRM 2.4 X 12MM RS ST

Facility

$1,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270692250
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

SCREW METAGLIN LOCKNG 4.5X24MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686443
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW METAGLIN LOCKNG 4.5X24MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686443
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW METAGLIN LOCKNG 4.5X36MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686442
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW METAGLIN LOCKNG 4.5X36MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686442
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW METAGLIN NONLCK 4.5X18MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686444
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20

SCREW METAGLIN NONLCK 4.5X18MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270686444
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

SCREW METAPHYEASL 2.7 MM X 32

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677646
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYEASL 2.7 MM X 32

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677646
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYEASL 2.7 MM X 34

Facility

$194.65

Service Code	HCPCS C1713
Hospital Charge Code	270669500
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$47.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYEASL 2.7 MM X 34

Facility

$194.65

Service Code	HCPCS C1713
Hospital Charge Code	270669500
Hospital Revenue Code	278
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$58.40
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.11
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SCREW METAPHYEASL 2.7 MM X 34

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677647
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYEASL 2.7 MM X 34

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677647
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x12MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677511
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x12MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270677511
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x14MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270675369
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x14MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270675369
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

SCREW METAPHYSEAL T8 2.7x16MM

Facility

$200.50

Service Code	HCPCS C1713
Hospital Charge Code	270675370
Hospital Revenue Code	278
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$60.15
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.52
Rate for Payer: Qualcare PPO/HMO/WC	$30.07

Know your out-of-pocket cost for care.

All Charges