Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SELFTAP LOCKING 5x50mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270645545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW SELFTAP LOCKING 5x50mm

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270645545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW SELFTAP LOCKING 5X60mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270670453
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X60mm

Facility

$603.00

Service Code	HCPCS C1713
Hospital Charge Code	270670453
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x70mm

Facility

$603.00

Hospital Charge Code	270673439
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x70mm

Facility

$603.00

Hospital Charge Code	270673439
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X75MM

Facility

$603.00

Hospital Charge Code	270670454
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5X75MM

Facility

$603.00

Hospital Charge Code	270670454
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x80mm

Facility

$603.00

Hospital Charge Code	270673438
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELFTAP LOCKING 5x80mm

Facility

$603.00

Hospital Charge Code	270673438
Hospital Revenue Code	278
Min. Negotiated Rate	$90.45
Max. Negotiated Rate	$301.50
Rate for Payer: Aetna Commercial	$180.90
Rate for Payer: Aetna Medicare Advantage	$180.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.76
Rate for Payer: Cigna Commercial	$301.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$90.45

SCREW SELF TAPPING 3.5X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698151
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF TAPPING 3.5X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698151
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF TAPPING 4 X 14MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692108
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 14MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692108
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 16MM FI

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692110
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 16MM FI

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692110
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 16MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692109
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 4 X 16MM VA

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270692109
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SCREW SELF TAPPING 6x30MM

Facility

$1,413.00

Service Code	HCPCS C1713
Hospital Charge Code	270672588
Hospital Revenue Code	278
Min. Negotiated Rate	$211.95
Max. Negotiated Rate	$341.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95

SCREW SELF TAPPING 6x30MM

Facility

$1,413.00

Service Code	HCPCS C1713
Hospital Charge Code	270672588
Hospital Revenue Code	278
Min. Negotiated Rate	$211.95
Max. Negotiated Rate	$706.50
Rate for Payer: Aetna Commercial	$423.90
Rate for Payer: Aetna Medicare Advantage	$423.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.31
Rate for Payer: Cigna Commercial	$706.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95

SCREW SELF TAPPING 6x35MM

Facility

$1,413.00

Service Code	HCPCS C1713
Hospital Charge Code	270672589
Hospital Revenue Code	278
Min. Negotiated Rate	$211.95
Max. Negotiated Rate	$341.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95

SCREW SELF TAPPING 6x35MM

Facility

$1,413.00

Service Code	HCPCS C1713
Hospital Charge Code	270672589
Hospital Revenue Code	278
Min. Negotiated Rate	$211.95
Max. Negotiated Rate	$706.50
Rate for Payer: Aetna Commercial	$423.90
Rate for Payer: Aetna Medicare Advantage	$423.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.31
Rate for Payer: Cigna Commercial	$706.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.95
Rate for Payer: Qualcare PPO/HMO/WC	$211.95

SCREW SELF TAP VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694264
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF TAP VAR 4.0X14MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694264
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW SELF TAP VARIAB 3.5X14MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270694462
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

Know your out-of-pocket cost for care.

All Charges