Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VA LOCKING 3.5X18MM

Facility

$1,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697233
Hospital Revenue Code	278
Min. Negotiated Rate	$174.75
Max. Negotiated Rate	$582.50
Rate for Payer: Aetna Commercial	$349.50
Rate for Payer: Aetna Medicare Advantage	$349.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$297.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$297.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$297.07
Rate for Payer: Cigna Commercial	$582.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.93
Rate for Payer: Qualcare PPO/HMO/WC	$174.75

SCREW VA LOCKING 3.5X18MM

Facility

$1,165.00

Service Code	HCPCS C1713
Hospital Charge Code	270697233
Hospital Revenue Code	278
Min. Negotiated Rate	$174.75
Max. Negotiated Rate	$281.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.93
Rate for Payer: Qualcare PPO/HMO/WC	$174.75

SCREWVALOPTILINKSTSD5.0X26MM

Facility

$881.40

Service Code	HCPCS C1713
Hospital Charge Code	270697363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.21
Max. Negotiated Rate	$213.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.30
Rate for Payer: Qualcare PPO/HMO/WC	$132.21

SCREWVALOPTILINKSTSD5.0X26MM

Facility

$881.40

Service Code	HCPCS C1713
Hospital Charge Code	270697363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.21
Max. Negotiated Rate	$440.70
Rate for Payer: Aetna Commercial	$264.42
Rate for Payer: Aetna Medicare Advantage	$264.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.76
Rate for Payer: Cigna Commercial	$440.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.30
Rate for Payer: Qualcare PPO/HMO/WC	$132.21

SCREW VALOR 0.5X20MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699087
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X20MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699087
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X30MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698861
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X30MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270698861
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X50MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699086
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X50MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699086
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X65MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699088
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 0.5X65MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699088
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 5.0x45MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677449
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x45MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677449
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x60MM

Facility

$1,200.00

Hospital Charge Code	270678205
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x60MM

Facility

$1,200.00

Hospital Charge Code	270678205
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x70MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677451
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0x70MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677451
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5.0X75MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699020
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 5.0X75MM

Facility

$1,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270699020
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

SCREW VALOR 5X100MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697000
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5X100MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697000
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$1,315.00
Rate for Payer: Aetna Commercial	$789.00
Rate for Payer: Aetna Medicare Advantage	$789.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$670.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$670.65
Rate for Payer: Cigna Commercial	$1,315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

SCREW VALOR 5X25MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677450
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5X25MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270677450
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

SCREW VALOR 5X35MM

Facility

$2,630.00

Service Code	HCPCS C1713
Hospital Charge Code	270697013
Hospital Revenue Code	278
Min. Negotiated Rate	$394.50
Max. Negotiated Rate	$636.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.46
Rate for Payer: Qualcare PPO/HMO/WC	$394.50

Know your out-of-pocket cost for care.

All Charges