Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2 0 CORTICAL 16m 2310017

Facility

$38.00

Hospital Charge Code	270610115
Hospital Revenue Code	278
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SCREW 2.0m CORTICAL 10 2320011

Facility

$37.75

Hospital Charge Code	270610112
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$9.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

SCREW 2.0m CORTICAL 10 2320011

Facility

$37.75

Hospital Charge Code	270610112
Hospital Revenue Code	278
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$18.88
Rate for Payer: Aetna Commercial	$11.32
Rate for Payer: Aetna Medicare Advantage	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.63
Rate for Payer: Cigna Commercial	$18.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.66

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$674.45
Rate for Payer: Aetna Commercial	$404.67
Rate for Payer: Aetna Medicare Advantage	$404.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.97
Rate for Payer: Cigna Commercial	$674.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW 20 MM 4.5 MM TI

Facility

$1,348.90

Service Code	HCPCS C1713
Hospital Charge Code	270688997
Hospital Revenue Code	278
Min. Negotiated Rate	$202.34
Max. Negotiated Rate	$326.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.43
Rate for Payer: Qualcare PPO/HMO/WC	$202.34

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$44.27
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656873
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Service Code	HCPCS C1713
Hospital Charge Code	270656873
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656871
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656881
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656888
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP

Facility

$143.25

Hospital Charge Code	270656881
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP 6M

Facility

$143.25

Hospital Charge Code	270656820
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP 6M

Facility

$143.25

Hospital Charge Code	270656820
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP 9M

Facility

$143.25

Hospital Charge Code	270656869
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 2.0MM CORTEX SELF TAP 9M

Facility

$143.25

Hospital Charge Code	270656869
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW 20MM MPACT DOME

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270684310
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$301.12
Max. Negotiated Rate	$485.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: Qualcare PPO/HMO/WC	$301.12

SCREW2.0MMTICANNCOMPLT30MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270697771
Hospital Revenue Code	278
Min. Negotiated Rate	$301.12
Max. Negotiated Rate	$1,003.75
Rate for Payer: Aetna Commercial	$602.25
Rate for Payer: Aetna Medicare Advantage	$602.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$401.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.91
Rate for Payer: Cigna Commercial	$1,003.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$485.81
Rate for Payer: Qualcare PPO/HMO/WC	$301.12

SCREW 2.0mm Ti CORTEX 16mm SE-

Facility

$207.40

Hospital Charge Code	270635517
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$50.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SCREW 2.0mm Ti CORTEX 16mm SE-

Facility

$207.40

Hospital Charge Code	270635517
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$62.22
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SCREW 2.0mm Ti CORTEX 18mm SE-

Facility

$207.40

Hospital Charge Code	270635516
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$62.22
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SCREW 2.0mm Ti CORTEX 18mm SE-

Facility

$207.40

Hospital Charge Code	270635516
Hospital Revenue Code	278
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$50.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.19
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

Know your out-of-pocket cost for care.

All Charges