Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 10mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603030
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 12mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603031
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 14mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603032
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 16mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603033
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 18mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603034
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 20mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603035
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 22mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603036
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 24mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603037
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 26mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603038
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 28mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603039
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 30mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603040
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 32mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603041
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$37.12
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

SCREW 2.0mm TITAN CORTEX 34mm

Facility

$123.75

Service Code	HCPCS C1713
Hospital Charge Code	270603042
Hospital Revenue Code	278
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$29.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

Know your out-of-pocket cost for care.

All Charges