Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LCKG S/TPPNG 5.0x75MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675716
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 5.0x75MM

Facility

$753.00

Service Code	HCPCS C1713
Hospital Charge Code	270675716
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 LCKNG 3.5MM 28MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689596
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$162.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5MM 28MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689596
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$335.40
Rate for Payer: Aetna Commercial	$201.24
Rate for Payer: Aetna Medicare Advantage	$201.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.05
Rate for Payer: Cigna Commercial	$335.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5MM 32MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689598
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$335.40
Rate for Payer: Aetna Commercial	$201.24
Rate for Payer: Aetna Medicare Advantage	$201.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.05
Rate for Payer: Cigna Commercial	$335.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5MM 32MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689598
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$162.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5MM 34MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689599
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$162.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5MM 34MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689599
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$335.40
Rate for Payer: Aetna Commercial	$201.24
Rate for Payer: Aetna Medicare Advantage	$201.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.05
Rate for Payer: Cigna Commercial	$335.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5 VA 30MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689597
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$335.40
Rate for Payer: Aetna Commercial	$201.24
Rate for Payer: Aetna Medicare Advantage	$201.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.05
Rate for Payer: Cigna Commercial	$335.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5 VA 30MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689597
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$162.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5 x 26MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689595
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$335.40
Rate for Payer: Aetna Commercial	$201.24
Rate for Payer: Aetna Medicare Advantage	$201.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.05
Rate for Payer: Cigna Commercial	$335.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG 3.5 x 26MM

Facility

$670.80

Service Code	HCPCS C1713
Hospital Charge Code	270689595
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$162.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.33
Rate for Payer: Qualcare PPO/HMO/WC	$100.62

SCREW VA LCKNG S/TAP 2.7x18MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270648931
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x18MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270648931
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x20MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270648928
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x20MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270648928
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x22MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669502
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x22MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270669502
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x24MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668006
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x24MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668006
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x26MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668007
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x26MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270668007
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x28MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270675824
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x28MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270675824
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$150.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

SCREW VA LCKNG S/TAP 2.7x30MM

Facility

$623.80

Service Code	HCPCS C1713
Hospital Charge Code	270670538
Hospital Revenue Code	278
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

Know your out-of-pocket cost for care.

All Charges