Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LCKG 5.0x12MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679780
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

SCREW VA LCKG 5.0x12MM STER

Facility

$1,294.70

Service Code	HCPCS C1713
Hospital Charge Code	270679780
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 S/TPNG 3.5x16MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659114
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x16MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270659114
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x18MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270678045
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x18MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270678045
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$192.81
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x190MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686780
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x190MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686780
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$192.81
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x22MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270660398
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x22MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270660398
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x24MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270668474
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x24MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270668474
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x26MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270672090
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x26MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270672090
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x28MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665810
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x28MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665810
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x34MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676495
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x34MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270676495
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x42MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270676494
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$187.20
Rate for Payer: Aetna Medicare Advantage	$187.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.12
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW VA LCKG S/TPNG 3.5x42MM

Facility

$624.00

Service Code	HCPCS C1713
Hospital Charge Code	270676494
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$151.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.01
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

SCREW VA LCKG S/TPNG 3.5x48MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686778
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$192.81
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x48MM

Facility

$642.70

Service Code	HCPCS C1713
Hospital Charge Code	270686778
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

SCREW VA LCKG S/TPNG 3.5x58MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665812
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$198.60
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x58MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270665812
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

SCREW VA LCKG S/TPNG 3.5x85MM

Facility

$662.00

Service Code	HCPCS C1713
Hospital Charge Code	270664457
Hospital Revenue Code	278
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$160.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

Know your out-of-pocket cost for care.

All Charges