Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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/TPPNG 5.0x24MM

Facility

$798.85

Service Code	HCPCS C1713
Hospital Charge Code	270685403
Hospital Revenue Code	278
Min. Negotiated Rate	$119.83
Max. Negotiated Rate	$399.43
Rate for Payer: Aetna Commercial	$239.66
Rate for Payer: Aetna Medicare Advantage	$239.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.71
Rate for Payer: Cigna Commercial	$399.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.32
Rate for Payer: Qualcare PPO/HMO/WC	$119.83

SCREW VA LCKG S/TPPNG 5.0x24MM

Facility

$798.85

Service Code	HCPCS C1713
Hospital Charge Code	270685403
Hospital Revenue Code	278
Min. Negotiated Rate	$119.83
Max. Negotiated Rate	$193.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.32
Rate for Payer: Qualcare PPO/HMO/WC	$119.83

SCREW VA LCKG S/TPPNG 5.0x32MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675714
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x32MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675714
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x34MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675715
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x34MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675715
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x36MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677142
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x36MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677142
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x38MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649687
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$387.80
Rate for Payer: Aetna Commercial	$232.68
Rate for Payer: Aetna Medicare Advantage	$232.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.78
Rate for Payer: Cigna Commercial	$387.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x38MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649687
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$187.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x40MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649688
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$387.80
Rate for Payer: Aetna Commercial	$232.68
Rate for Payer: Aetna Medicare Advantage	$232.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.78
Rate for Payer: Cigna Commercial	$387.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x40MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649688
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$187.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x42MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649690
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$187.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x42MM

Facility

$775.60

Service Code	HCPCS C1713
Hospital Charge Code	270649690
Hospital Revenue Code	278
Min. Negotiated Rate	$116.34
Max. Negotiated Rate	$387.80
Rate for Payer: Aetna Commercial	$232.68
Rate for Payer: Aetna Medicare Advantage	$232.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.78
Rate for Payer: Cigna Commercial	$387.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.34

SCREW VA LCKG S/TPPNG 5.0x46MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677143
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x46MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677143
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x48MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676132
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x48MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270676132
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x55MM

Facility

$7,514.35

Service Code	HCPCS C1713
Hospital Charge Code	270682055
Hospital Revenue Code	278
Min. Negotiated Rate	$1,127.15
Max. Negotiated Rate	$1,818.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,502.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.15

SCREW VA LCKG S/TPPNG 5.0x55MM

Facility

$7,514.35

Service Code	HCPCS C1713
Hospital Charge Code	270682055
Hospital Revenue Code	278
Min. Negotiated Rate	$1,127.15
Max. Negotiated Rate	$3,757.18
Rate for Payer: Aetna Commercial	$2,254.30
Rate for Payer: Aetna Medicare Advantage	$2,254.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,916.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,916.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,502.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,916.16
Rate for Payer: Cigna Commercial	$3,757.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,818.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,127.15

SCREW VA LCKG S/TPPNG 5.0x60MM

Facility

$753.00

Hospital Charge Code	270677414
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x60MM

Facility

$753.00

Hospital Charge Code	270677414
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x70MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677479
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$182.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

SCREW VA LCKG S/TPPNG 5.0x70MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270677479
Hospital Revenue Code	278
Min. Negotiated Rate	$112.95
Max. Negotiated Rate	$376.50
Rate for Payer: Aetna Commercial	$225.90
Rate for Payer: Aetna Medicare Advantage	$225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.01
Rate for Payer: Cigna Commercial	$376.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.95

Know your out-of-pocket cost for care.

All Charges