Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VAL 2.0 X 8MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689900
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 2.4X12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693610
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 2.4X12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693610
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SCREW VAL 5.0 LOCKING STSD14MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697335
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$1,082.50
Rate for Payer: Aetna Commercial	$649.50
Rate for Payer: Aetna Medicare Advantage	$649.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.08
Rate for Payer: Cigna Commercial	$1,082.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VAL 5.0 LOCKING STSD14MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697335
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$523.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VAL 5.0 LOCKING STSD18MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697334
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$523.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VAL 5.0 LOCKING STSD18MM

Facility

$2,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697334
Hospital Revenue Code	278
Min. Negotiated Rate	$324.75
Max. Negotiated Rate	$1,082.50
Rate for Payer: Aetna Commercial	$649.50
Rate for Payer: Aetna Medicare Advantage	$649.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$552.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$552.08
Rate for Payer: Cigna Commercial	$1,082.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.93
Rate for Payer: Qualcare PPO/HMO/WC	$324.75

SCREW VA LCKG 2.0x10MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677812
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x10MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677812
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x12MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677813
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x12MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677813
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x14MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677814
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x14MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677814
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x16MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677815
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x16MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270677815
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x18MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270680076
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x18MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270680076
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x20MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682562
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x20MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682562
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x22MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682563
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$271.93
Rate for Payer: Aetna Commercial	$163.16
Rate for Payer: Aetna Medicare Advantage	$163.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.68
Rate for Payer: Cigna Commercial	$271.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x22MM

Facility

$543.85

Service Code	HCPCS C1713
Hospital Charge Code	270682563
Hospital Revenue Code	278
Min. Negotiated Rate	$81.58
Max. Negotiated Rate	$131.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.61
Rate for Payer: Qualcare PPO/HMO/WC	$81.58

SCREW VA LCKG 2.0x8MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677811
Hospital Revenue Code	278
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.78
Rate for Payer: Qualcare PPO/HMO/WC	$79.20

SCREW VA LCKG 2.0x8MM

Facility

$528.00

Service Code	HCPCS C1713
Hospital Charge Code	270677811
Hospital Revenue Code	278
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$264.00
Rate for Payer: Aetna Commercial	$158.40
Rate for Payer: Aetna Medicare Advantage	$158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.64
Rate for Payer: Cigna Commercial	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.78
Rate for Payer: Qualcare PPO/HMO/WC	$79.20

SCREW VA LCKG 5.0x10MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679781
Hospital Revenue Code	278
Min. Negotiated Rate	$194.21
Max. Negotiated Rate	$647.35
Rate for Payer: Aetna Commercial	$388.41
Rate for Payer: Aetna Medicare Advantage	$388.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.15
Rate for Payer: Cigna Commercial	$647.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21

SCREW VA LCKG 5.0x10MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679781
Hospital Revenue Code	278
Min. Negotiated Rate	$194.21
Max. Negotiated Rate	$313.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.32
Rate for Payer: Qualcare PPO/HMO/WC	$194.21

Know your out-of-pocket cost for care.

All Charges