Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
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 3.5x40mm

Facility

$148.50

Service Code	HCPCS C1713
Hospital Charge Code	270672091
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

SCREW CORTEX 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
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 3.5x40MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674956
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 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SCREW CORTEX 3.5 X 44

Facility

$425.00

Service Code	HCPCS C1713
Hospital Charge Code	270681375
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SCREW CORTEX 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
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 3.5x60MM

Facility

$148.20

Service Code	HCPCS C1713
Hospital Charge Code	270674957
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 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
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 CORTEX 3.5X70MM

Facility

$235.00

Hospital Charge Code	270669928
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 CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$94.19
Max. Negotiated Rate	$94.19
Rate for Payer: Qualcare PPO/HMO/WC	$94.19

SCREW CORTEX 3.5X70MM

Facility

$627.90

Service Code	HCPCS C1713
Hospital Charge Code	270704636
Hospital Revenue Code	360
Min. Negotiated Rate	$81.63
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$188.37
Rate for Payer: Aetna Medicare Advantage	$188.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.11
Rate for Payer: Cigna Commercial	$313.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.63
Rate for Payer: Qualcare PPO/HMO/WC	$94.19

SCREW CORTEX 3.5X75mm SELF TAP

Facility

$225.00

Hospital Charge Code	270667325
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW CORTEX 3.5X75mm SELF TAP

Facility

$225.00

Hospital Charge Code	270667325
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

SCREW CORTEX 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
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 3.5x80MM

Facility

$148.50

Hospital Charge Code	270677105
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

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$16.31
Max. Negotiated Rate	$54.38
Rate for Payer: Aetna Commercial	$32.62
Rate for Payer: Aetna Medicare Advantage	$32.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.73
Rate for Payer: Cigna Commercial	$54.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$16.31

SCREW CORTEX 4.0 X 36 MM

Facility

$108.75

Hospital Charge Code	270668005
Hospital Revenue Code	278
Min. Negotiated Rate	$16.31
Max. Negotiated Rate	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$16.31

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$45.58
Rate for Payer: Aetna Commercial	$27.34
Rate for Payer: Aetna Medicare Advantage	$27.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.24
Rate for Payer: Cigna Commercial	$45.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: Oxford Commercial	$45.58
Rate for Payer: Qualcare PPO/HMO/WC	$13.67
Rate for Payer: UnitedHealthcare Commercial	$45.58

SCREW CORTEX 4.5mmx50mm

Facility

$91.15

Hospital Charge Code	270603623
Hospital Revenue Code	272
Min. Negotiated Rate	$13.67
Max. Negotiated Rate	$13.67
Rate for Payer: Qualcare PPO/HMO/WC	$13.67

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$20.86
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x36mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603731
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x40mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603733
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$34.77
Rate for Payer: Aetna Commercial	$20.86
Rate for Payer: Aetna Medicare Advantage	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.74
Rate for Payer: Cigna Commercial	$34.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SCREW CORTEX 4.5x44mm

Facility

$69.55

Service Code	HCPCS C1713
Hospital Charge Code	270603735
Hospital Revenue Code	278
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

Know your out-of-pocket cost for care.

All Charges