Heights University Hospital

All Charges

Charge

Type

Setting

Price

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 2.4X24MM

Facility

$568.40

Service Code	HCPCS C1713
Hospital Charge Code	270704717
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$284.20
Rate for Payer: Aetna Commercial	$170.52
Rate for Payer: Aetna Medicare Advantage	$170.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.94
Rate for Payer: Cigna Commercial	$284.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

CORTEX SCREW 3.5MM X 20 MM LOW

Facility

$187.60

Hospital Charge Code	27063831
Hospital Revenue Code	278
Min. Negotiated Rate	$28.14
Max. Negotiated Rate	$93.80
Rate for Payer: Aetna Commercial	$56.28
Rate for Payer: Aetna Medicare Advantage	$56.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.84
Rate for Payer: Cigna Commercial	$93.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.14

CORTEX SCREW 3.5MM X 20 MM LOW

Facility

$187.60

Hospital Charge Code	27063831
Hospital Revenue Code	278
Min. Negotiated Rate	$28.14
Max. Negotiated Rate	$45.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.14

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CORTEX SCREW 3.5 X 28

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675955
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$94.35
Max. Negotiated Rate	$314.50
Rate for Payer: Aetna Commercial	$188.70
Rate for Payer: Aetna Medicare Advantage	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.40
Rate for Payer: Cigna Commercial	$314.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: Qualcare PPO/HMO/WC	$94.35

CORTEX SCREW 3.5X30MM

Facility

$629.00

Service Code	HCPCS C1713
Hospital Charge Code	270705121
Hospital Revenue Code	278
Min. Negotiated Rate	$94.35
Max. Negotiated Rate	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.22
Rate for Payer: Qualcare PPO/HMO/WC	$94.35

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5 X 32

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681376
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$227.57
Rate for Payer: Aetna Commercial	$136.54
Rate for Payer: Aetna Medicare Advantage	$136.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.06
Rate for Payer: Cigna Commercial	$227.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5X34MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699289
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$110.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CORTEX SCREW 3.5 X 38

Facility

$249.30

Service Code	HCPCS C1713
Hospital Charge Code	270681320
Hospital Revenue Code	278
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$124.65
Rate for Payer: Aetna Commercial	$74.79
Rate for Payer: Aetna Medicare Advantage	$74.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.57
Rate for Payer: Cigna Commercial	$124.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5 X 40

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681400
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$62.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

CORTEX SCREW 3.5X46MM

Facility

$260.00

Service Code	HCPCS C1713
Hospital Charge Code	270693014
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.92
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

CORTEX SCREW 3.5X48MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704453
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$63.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

CORTEX SCREW 3.5X48MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704453
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$130.20
Rate for Payer: Cigna Commercial	$130.20
Rate for Payer: Aetna Commercial	$78.12
Rate for Payer: Aetna Medicare Advantage	$78.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

CORTEX SCREW 3.5X50MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699291
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$227.57
Rate for Payer: Aetna Commercial	$136.54
Rate for Payer: Aetna Medicare Advantage	$136.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.06
Rate for Payer: Cigna Commercial	$227.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW 3.5X50MM

Facility

$455.15

Service Code	HCPCS C1713
Hospital Charge Code	270699291
Hospital Revenue Code	278
Min. Negotiated Rate	$68.27
Max. Negotiated Rate	$110.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.15
Rate for Payer: Qualcare PPO/HMO/WC	$68.27

CORTEX SCREW SELF TAP 18

Facility

$353.30

Service Code	HCPCS C1713
Hospital Charge Code	270680931
Hospital Revenue Code	278
Min. Negotiated Rate	$52.99
Max. Negotiated Rate	$176.65
Rate for Payer: Aetna Commercial	$105.99
Rate for Payer: Aetna Medicare Advantage	$105.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.09
Rate for Payer: Cigna Commercial	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.99

CORTEX SCREW SELF TAP 18

Facility

$353.30

Service Code	HCPCS C1713
Hospital Charge Code	270680931
Hospital Revenue Code	278
Min. Negotiated Rate	$52.99
Max. Negotiated Rate	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.99

CORTEX SCREW SELF TAP 30

Facility

$333.00

Service Code	HCPCS C1713
Hospital Charge Code	270656616
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

Know your out-of-pocket cost for care.

All Charges