Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 3.5 MM

Facility

$93.35

Service Code	HCPCS C1713
Hospital Charge Code	270690440
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$46.67
Rate for Payer: Aetna Commercial	$28.00
Rate for Payer: Aetna Medicare Advantage	$28.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.80
Rate for Payer: Cigna Commercial	$46.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.00

SCREW CORTEX 3.5 MM

Facility

$93.35

Service Code	HCPCS C1713
Hospital Charge Code	270690440
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$22.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.00

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx14MM

Facility

$132.00

Hospital Charge Code	270647947C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946C
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MMx16MM

Facility

$132.00

Hospital Charge Code	270647946
Hospital Revenue Code	278
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.94
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

SCREW CORTEX 3.5MM x 42MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681335
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$90.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CORTEX 3.5MM x 42MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681335
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

SCREW CORTEX 3.5x10mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604202
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x10mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604202
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x12mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604203
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x12mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604203
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x14mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604204
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x14mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604204
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x16mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604205
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x16mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604205
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x18mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604206
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5x18mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604206
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

SCREW CORTEX 3.5X18MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663832
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$38.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORTEX 3.5X18MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663832
Hospital Revenue Code	278
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$78.78
Rate for Payer: Aetna Commercial	$47.27
Rate for Payer: Aetna Medicare Advantage	$47.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.18
Rate for Payer: Cigna Commercial	$78.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.13
Rate for Payer: Qualcare PPO/HMO/WC	$23.63

SCREW CORTEX 3.5x20mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604207
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

Know your out-of-pocket cost for care.

All Charges