Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW OPTILINK 5.0MM X 50 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691472
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 55 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691474
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 55 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691474
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 60 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691473
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 60 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691473
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 65 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691477
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 65 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691477
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 70 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691478
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 70 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691478
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 75 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691479
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 75 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691479
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 80 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691480
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 80 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691480
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 85 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691481
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 85 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691481
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 90 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691482
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK 5.0MM X 90 MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691482
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK ST SD 5.0X28MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691214
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$453.93
Rate for Payer: Aetna Commercial	$272.36
Rate for Payer: Aetna Medicare Advantage	$272.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.50
Rate for Payer: Cigna Commercial	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW OPTILINK ST SD 5.0X28MM

Facility

$907.85

Service Code	HCPCS C1713
Hospital Charge Code	270691214
Hospital Revenue Code	278
Min. Negotiated Rate	$136.18
Max. Negotiated Rate	$219.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.70
Rate for Payer: Qualcare PPO/HMO/WC	$136.18

SCREW ORTHOLOC 3.5X36MM

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270700815
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$129.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW ORTHOLOC 3.5X36MM

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270700815
Hospital Revenue Code	278
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$160.50
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

SCREW ORTHOLOC 3DI 2.7X10MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700378
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$525.30
Rate for Payer: Aetna Commercial	$315.18
Rate for Payer: Aetna Medicare Advantage	$315.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.90
Rate for Payer: Cigna Commercial	$525.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW ORTHOLOC 3DI 2.7X10MM

Facility

$1,050.60

Service Code	HCPCS C1713
Hospital Charge Code	270700378
Hospital Revenue Code	278
Min. Negotiated Rate	$157.59
Max. Negotiated Rate	$254.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.25
Rate for Payer: Qualcare PPO/HMO/WC	$157.59

SCREW ORTHOLOC 3DI 3.5X10MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270700814
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$315.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

SCREW ORTHOLOC 3DI 3.5X10MM

Facility

$1,050.00

Service Code	HCPCS C1713
Hospital Charge Code	270700814
Hospital Revenue Code	278
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$254.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

Know your out-of-pocket cost for care.

All Charges