Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 3.5X20MM LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663831
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 LOW

Facility

$157.55

Service Code	HCPCS C1713
Hospital Charge Code	270663831
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 3.5x22MM

Facility

$148.20

Hospital Charge Code	270675646
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x22MM

Facility

$148.20

Hospital Charge Code	270675646
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5 X24

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675956
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CORTEX 3.5 X24

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270675956
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SCREW CORTEX 3.5x24mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604209
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 3.5x24mm

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604209
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 3.5x26MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270675645
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x26MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270675645
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x28MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674959
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x28MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674959
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x30MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674958
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$74.10
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$44.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.79
Rate for Payer: Cigna Commercial	$74.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5x30MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674958
Hospital Revenue Code	278
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$35.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.86
Rate for Payer: Qualcare PPO/HMO/WC	$22.23

SCREW CORTEX 3.5X32MM

Facility

$267.65

Service Code	HCPCS C1713
Hospital Charge Code	270705011
Hospital Revenue Code	278
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$64.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.77
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

SCREW CORTEX 3.5X32MM

Facility

$267.65

Service Code	HCPCS C1713
Hospital Charge Code	270705011
Hospital Revenue Code	278
Min. Negotiated Rate	$40.15
Max. Negotiated Rate	$133.82
Rate for Payer: Aetna Commercial	$80.30
Rate for Payer: Aetna Medicare Advantage	$80.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.25
Rate for Payer: Cigna Commercial	$133.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.77
Rate for Payer: Qualcare PPO/HMO/WC	$40.15

SCREW CORTEX 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
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 3.5 X34

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681336
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 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
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 3.5 X36

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	270681338
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 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5x36MM

Facility

$64.90

Service Code	HCPCS C1713
Hospital Charge Code	270604215
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 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
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

SCREW CORTEX 3.5 X 38 MM

Facility

$148.50

Hospital Charge Code	270668003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$74.25
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$44.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.87
Rate for Payer: Cigna Commercial	$74.25
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