Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 2.0x12mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604173
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x12mm

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604173
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x12MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656877
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 CORTEX 2.0x12MM

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270656877
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 CORTEX 2.0x14MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604174
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x14MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604174
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x16MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604175
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x16MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604175
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0X16MM

Facility

$124.50

Hospital Charge Code	270668166
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$62.25
Rate for Payer: Aetna Commercial	$37.35
Rate for Payer: Aetna Medicare Advantage	$37.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.75
Rate for Payer: Cigna Commercial	$62.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.68

SCREW CORTEX 2.0X16MM

Facility

$124.50

Hospital Charge Code	270668166
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Qualcare PPO/HMO/WC	$18.68

SCREW CORTEX 2.0x18MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604176
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x18MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604176
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x20MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604177
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x20MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604177
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x8MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604171
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$61.02
Rate for Payer: Aetna Commercial	$36.62
Rate for Payer: Aetna Medicare Advantage	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$61.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.0x8MM

Facility

$122.05

Service Code	HCPCS C1713
Hospital Charge Code	270604171
Hospital Revenue Code	278
Min. Negotiated Rate	$18.31
Max. Negotiated Rate	$29.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.54
Rate for Payer: Qualcare PPO/HMO/WC	$18.31

SCREW CORTEX 2.4mm 12MM

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270683774
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW CORTEX 2.4mm 12MM

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	270683774
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

SCREW CORTEX 2.4 MM SLF T8 14

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270688277
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4 MM SLF T8 14

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270688277
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$163.32
Rate for Payer: Aetna Commercial	$98.00
Rate for Payer: Aetna Medicare Advantage	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.30
Rate for Payer: Cigna Commercial	$163.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4MM X 16MM

Facility

$332.10

Hospital Charge Code	270661258
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX 2.4MM X 16MM

Facility

$332.10

Hospital Charge Code	270661258
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$166.05
Rate for Payer: Aetna Commercial	$99.63
Rate for Payer: Aetna Medicare Advantage	$99.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.69
Rate for Payer: Cigna Commercial	$166.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX 2.4x14MM

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270687795
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$79.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4x14MM

Facility

$326.65

Service Code	HCPCS C1713
Hospital Charge Code	270687795
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$163.32
Rate for Payer: Aetna Commercial	$98.00
Rate for Payer: Aetna Medicare Advantage	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.30
Rate for Payer: Cigna Commercial	$163.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.05
Rate for Payer: Qualcare PPO/HMO/WC	$49.00

SCREW CORTEX 2.4X 14 MM

Facility

$568.40

Hospital Charge Code	270703506
Hospital Revenue Code	278
Min. Negotiated Rate	$85.26
Max. Negotiated Rate	$137.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.55
Rate for Payer: Qualcare PPO/HMO/WC	$85.26

Know your out-of-pocket cost for care.

All Charges