Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656925
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656920
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656832
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW 3.5MM CORTEX SELF TAP

Facility

$87.75

Hospital Charge Code	270656842
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW3.5MM CORTEX SELFTAP 10MM

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270655488
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$45.20
Rate for Payer: Aetna Commercial	$27.12
Rate for Payer: Aetna Medicare Advantage	$27.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.05
Rate for Payer: Cigna Commercial	$45.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW3.5MM CORTEX SELFTAP 10MM

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270655488
Hospital Revenue Code	278
Min. Negotiated Rate	$13.56
Max. Negotiated Rate	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.56

SCREW 3.5mm CORTEX TITAN 16mm

Facility

$74.25

Hospital Charge Code	270601845
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 16mm

Facility

$74.25

Hospital Charge Code	270601845
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 18mm

Facility

$74.25

Hospital Charge Code	270601846
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 18mm

Facility

$74.25

Hospital Charge Code	270601846
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 20mm

Facility

$74.25

Hospital Charge Code	270601847
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 20mm

Facility

$74.25

Hospital Charge Code	270601847
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 22mm

Facility

$74.25

Hospital Charge Code	270601848
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 22mm

Facility

$74.25

Hospital Charge Code	270601848
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 28mm

Facility

$74.25

Hospital Charge Code	270601851
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 28mm

Facility

$74.25

Hospital Charge Code	270601851
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 30mm

Facility

$74.25

Service Code	HCPCS C1713
Hospital Charge Code	270601852
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 30mm

Facility

$74.25

Service Code	HCPCS C1713
Hospital Charge Code	270601852
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 34mm

Facility

$74.25

Hospital Charge Code	270601854
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$37.12
Rate for Payer: Aetna Commercial	$22.27
Rate for Payer: Aetna Medicare Advantage	$22.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.93
Rate for Payer: Cigna Commercial	$37.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5mm CORTEX TITAN 34mm

Facility

$74.25

Hospital Charge Code	270601854
Hospital Revenue Code	278
Min. Negotiated Rate	$11.14
Max. Negotiated Rate	$17.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.97
Rate for Payer: Qualcare PPO/HMO/WC	$11.14

SCREW 3.5MM CORTICAL 44MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270651354
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW 3.5MM CORTICAL 44MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270651354
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW 3.5MM CORTICAL SELF TAP

Facility

$133.20

Hospital Charge Code	270665203
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$66.60
Rate for Payer: Aetna Commercial	$39.96
Rate for Payer: Aetna Medicare Advantage	$39.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.97
Rate for Payer: Cigna Commercial	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.23
Rate for Payer: Qualcare PPO/HMO/WC	$19.98

SCREW 3.5MM CORTICAL SELF TAP

Facility

$133.20

Hospital Charge Code	270665203
Hospital Revenue Code	278
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.23
Rate for Payer: Qualcare PPO/HMO/WC	$19.98

SCREW 3.5MM CRTX LOW PROF HD

Facility

$148.50

Hospital Charge Code	270660894
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$35.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.94
Rate for Payer: Qualcare PPO/HMO/WC	$22.27

Know your out-of-pocket cost for care.

All Charges