Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW VAL TI 2.0 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689807
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 TI 2.0 X 12 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689807
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 TI 2.0 X 14 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689951
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 TI 2.0 X 14 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689951
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 TI 2.0X6MM

Facility

$760.50

Service Code	HCPCS C1713
Hospital Charge Code	270699865
Hospital Revenue Code	278
Min. Negotiated Rate	$114.08
Max. Negotiated Rate	$184.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.04
Rate for Payer: Qualcare PPO/HMO/WC	$114.08

SCREW VAL TI 2.0X6MM

Facility

$760.50

Service Code	HCPCS C1713
Hospital Charge Code	270699865
Hospital Revenue Code	278
Min. Negotiated Rate	$114.08
Max. Negotiated Rate	$380.25
Rate for Payer: Aetna Commercial	$228.15
Rate for Payer: Aetna Medicare Advantage	$228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.93
Rate for Payer: Cigna Commercial	$380.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.04
Rate for Payer: Qualcare PPO/HMO/WC	$114.08

SCREW VAL TI 2.0X7MM

Facility

$760.50

Service Code	HCPCS C1713
Hospital Charge Code	270699866
Hospital Revenue Code	278
Min. Negotiated Rate	$114.08
Max. Negotiated Rate	$380.25
Rate for Payer: Aetna Commercial	$228.15
Rate for Payer: Aetna Medicare Advantage	$228.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.93
Rate for Payer: Cigna Commercial	$380.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.04
Rate for Payer: Qualcare PPO/HMO/WC	$114.08

SCREW VAL TI 2.0X7MM

Facility

$760.50

Service Code	HCPCS C1713
Hospital Charge Code	270699866
Hospital Revenue Code	278
Min. Negotiated Rate	$114.08
Max. Negotiated Rate	$184.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.04
Rate for Payer: Qualcare PPO/HMO/WC	$114.08

SCREW VAL TI 2.0 X 8 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689806
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 TI 2.0 X 8 MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270689806
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 VALTI 2.4 X 14MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687864
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 VALTI 2.4 X 14MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270687864
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 TI 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690223
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW VAL TI 2.4X16MM

Facility

$550.00

Service Code	HCPCS C1713
Hospital Charge Code	270690223
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

SCREW VAL TI 2X24MM

Facility

$721.00

Service Code	HCPCS C1713
Hospital Charge Code	270702063
Hospital Revenue Code	278
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$174.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.48
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

SCREW VAL TI 2X24MM

Facility

$721.00

Service Code	HCPCS C1713
Hospital Charge Code	270702063
Hospital Revenue Code	278
Min. Negotiated Rate	$108.15
Max. Negotiated Rate	$360.50
Rate for Payer: Aetna Commercial	$216.30
Rate for Payer: Aetna Medicare Advantage	$216.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.85
Rate for Payer: Cigna Commercial	$360.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.48
Rate for Payer: Qualcare PPO/HMO/WC	$108.15

SCREW VAR 6.5X35MM

Facility

$1,834.25

Service Code	HCPCS C1713
Hospital Charge Code	270703617
Hospital Revenue Code	278
Min. Negotiated Rate	$275.14
Max. Negotiated Rate	$443.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$275.14

SCREW VAR 6.5X35MM

Facility

$1,834.25

Service Code	HCPCS C1713
Hospital Charge Code	270703617
Hospital Revenue Code	278
Min. Negotiated Rate	$275.14
Max. Negotiated Rate	$917.12
Rate for Payer: Aetna Commercial	$550.27
Rate for Payer: Aetna Medicare Advantage	$550.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.73
Rate for Payer: Cigna Commercial	$917.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.89
Rate for Payer: Qualcare PPO/HMO/WC	$275.14

SCREW VAR ANGLE 3x12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683541
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 VAR ANGLE 3x12MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270683541
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 VAR ANGLE 3x13MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270676998
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 VAR ANGLE 3x13MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270676998
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 VAR ANGLE 3X20MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270677044
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW VAR ANGLE 3X20MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270677044
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SCREW VAR ANGLE PROLINK 14X3MM

Facility

$1,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698825
Hospital Revenue Code	278
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Know your out-of-pocket cost for care.

All Charges