Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
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 CORT 3.5x48mm SELFTAP

Facility

$87.75

Service Code	HCPCS C1713
Hospital Charge Code	270669727
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
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 CORT 3.5x60mm SELFTAP

Facility

$90.40

Service Code	HCPCS C1713
Hospital Charge Code	270646513
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

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$70.50
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

SCREW CORT 3.5X65MM SELF TAP

Facility

$235.00

Hospital Charge Code	270670034
Hospital Revenue Code	278
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$56.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
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

SCREW CORT 3.5X68MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	270704454
Hospital Revenue Code	278
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$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: Cigna Commercial	$130.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.02
Rate for Payer: Qualcare PPO/HMO/WC	$39.06

SCREW CORT 4.5x40 N/S 18235140

Facility

$94.25

Hospital Charge Code	270633561
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x40 N/S 18235140

Facility

$94.25

Hospital Charge Code	270633561
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x42 N/S 18235142

Facility

$94.25

Hospital Charge Code	270633562
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x42 N/S 18235142

Facility

$94.25

Hospital Charge Code	270633562
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x44 N/S 18235144

Facility

$94.25

Hospital Charge Code	270633563
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 4.5x44 N/S 18235144

Facility

$94.25

Hospital Charge Code	270633563
Hospital Revenue Code	278
Min. Negotiated Rate	$14.14
Max. Negotiated Rate	$47.12
Rate for Payer: Aetna Commercial	$28.27
Rate for Payer: Aetna Medicare Advantage	$28.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.03
Rate for Payer: Cigna Commercial	$47.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$14.14

SCREW CORT 5mmX90mm 14-405090

Facility

$905.00

Hospital Charge Code	270643469
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$219.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW CORT 5mmX90mm 14-405090

Facility

$905.00

Hospital Charge Code	270643469
Hospital Revenue Code	278
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$452.50
Rate for Payer: Aetna Commercial	$271.50
Rate for Payer: Aetna Medicare Advantage	$271.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.78
Rate for Payer: Cigna Commercial	$452.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.01
Rate for Payer: Qualcare PPO/HMO/WC	$135.75

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$653.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

SCREW CORT DOUBLE

Facility

$2,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270705498
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$810.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$26.88
Max. Negotiated Rate	$89.60
Rate for Payer: Aetna Commercial	$53.76
Rate for Payer: Aetna Medicare Advantage	$53.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.70
Rate for Payer: Cigna Commercial	$89.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: Qualcare PPO/HMO/WC	$26.88

SCREW CORTEX 1.3 X 7MM

Facility

$179.20

Service Code	HCPCS C1713
Hospital Charge Code	270681687
Hospital Revenue Code	278
Min. Negotiated Rate	$26.88
Max. Negotiated Rate	$43.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.37
Rate for Payer: Qualcare PPO/HMO/WC	$26.88

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$98.67
Rate for Payer: Aetna Commercial	$59.20
Rate for Payer: Aetna Medicare Advantage	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.32
Rate for Payer: Cigna Commercial	$98.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 10MM

Facility

$197.35

Service Code	HCPCS C1713
Hospital Charge Code	270666008
Hospital Revenue Code	278
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$47.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.60

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X 11 MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270666009
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

SCREW CORTEX 1.5 X12MM

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	270685341
Hospital Revenue Code	278
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$45.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.01
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

Know your out-of-pocket cost for care.

All Charges