Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW 4.5MM CORTEX SELFTAP95MM

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655798
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MM CORTEX SELFTTAP76M

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655788
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$35.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MM CORTEX SELFTTAP76M

Facility

$145.25

Service Code	HCPCS C1713
Hospital Charge Code	270655788
Hospital Revenue Code	278
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$72.62
Rate for Payer: Aetna Commercial	$43.58
Rate for Payer: Aetna Medicare Advantage	$43.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.04
Rate for Payer: Cigna Commercial	$72.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.79

SCREW 4.5MM CORTEX TI 26MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693024
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 26MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693024
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 32MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693025
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 32MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693025
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 34MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693026
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 34MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693026
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 38MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693027
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 38MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693027
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 48MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693029
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 48MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693029
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 50MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693028
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$65.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5MM CORTEX TI 50MM

Facility

$270.30

Service Code	HCPCS C1713
Hospital Charge Code	270693028
Hospital Revenue Code	278
Min. Negotiated Rate	$40.55
Max. Negotiated Rate	$135.15
Rate for Payer: Aetna Commercial	$81.09
Rate for Payer: Aetna Medicare Advantage	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.93
Rate for Payer: Cigna Commercial	$135.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.41
Rate for Payer: Qualcare PPO/HMO/WC	$40.55

SCREW 4.5mm CORTICAL 54 230655

Facility

$36.25

Hospital Charge Code	270610345
Hospital Revenue Code	278
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$18.12
Rate for Payer: Aetna Commercial	$10.88
Rate for Payer: Aetna Medicare Advantage	$10.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.24
Rate for Payer: Cigna Commercial	$18.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.44

SCREW 4.5mm CORTICAL 54 230655

Facility

$36.25

Hospital Charge Code	270610345
Hospital Revenue Code	278
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$8.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.44

SCREW 4.5 MM X 20 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270688817
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$295.43
Rate for Payer: Aetna Medicare Advantage	$295.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.11
Rate for Payer: Cigna Commercial	$492.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW 4.5 MM X 20 MM

Facility

$984.75

Service Code	HCPCS C1713
Hospital Charge Code	270688817
Hospital Revenue Code	278
Min. Negotiated Rate	$147.71
Max. Negotiated Rate	$238.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.31
Rate for Payer: Qualcare PPO/HMO/WC	$147.71

SCREW 4.5MM X 50 CANNULATED

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270702092
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW 4.5MM X 50 CANNULATED

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270702092
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SCREW 4.5 TI CAN HDLSS ST 55MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270696488
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

SCREW 4.5 TI CAN HDLSS ST 55MM

Facility

$2,007.50

Service Code	HCPCS C1713
Hospital Charge Code	270696488
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 4.5 TI CANN COMP 28

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695650
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$1,127.50
Rate for Payer: Aetna Commercial	$676.50
Rate for Payer: Aetna Medicare Advantage	$676.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.02
Rate for Payer: Cigna Commercial	$1,127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

SCREW 4.5 TI CANN COMP 28

Facility

$2,255.00

Service Code	HCPCS C1713
Hospital Charge Code	270695650
Hospital Revenue Code	278
Min. Negotiated Rate	$338.25
Max. Negotiated Rate	$545.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.71
Rate for Payer: Qualcare PPO/HMO/WC	$338.25

Know your out-of-pocket cost for care.

All Charges