Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 1.3x10mm

Facility

$318.00

Hospital Charge Code	270656250
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x11mm

Facility

$318.00

Hospital Charge Code	270656252
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x11mm

Facility

$318.00

Hospital Charge Code	270656252
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3X11MM

Facility

$435.00

Hospital Charge Code	270656251
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$217.50
Rate for Payer: Aetna Commercial	$130.50
Rate for Payer: Aetna Medicare Advantage	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.92
Rate for Payer: Cigna Commercial	$217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

SCREW CORTEX SELFTAP 1.3X11MM

Facility

$435.00

Hospital Charge Code	270656251
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$105.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

SCREW CORTEX SELFTAP 1.3x13mm

Facility

$318.00

Hospital Charge Code	270656253
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x13mm

Facility

$318.00

Hospital Charge Code	270656253
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x14mm

Facility

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	270656254
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x14mm

Facility

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	270656254
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x16mm

Facility

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	270656256
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x16mm

Facility

$318.00

Service Code	HCPCS C1713
Hospital Charge Code	270656256
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x6mm

Facility

$318.00

Hospital Charge Code	270656245
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x6mm

Facility

$318.00

Hospital Charge Code	270656245
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x7mm

Facility

$318.00

Hospital Charge Code	270656246
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x7mm

Facility

$318.00

Hospital Charge Code	270656246
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x8mm

Facility

$318.00

Hospital Charge Code	270656247
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x8mm

Facility

$318.00

Hospital Charge Code	270656247
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x9mm

Facility

$318.00

Hospital Charge Code	270656249
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$76.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.3x9mm

Facility

$318.00

Hospital Charge Code	270656249
Hospital Revenue Code	278
Min. Negotiated Rate	$47.70
Max. Negotiated Rate	$159.00
Rate for Payer: Aetna Commercial	$95.40
Rate for Payer: Aetna Medicare Advantage	$95.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.09
Rate for Payer: Cigna Commercial	$159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Qualcare PPO/HMO/WC	$47.70

SCREW CORTEX SELFTAP 1.5x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656262
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$42.73
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

SCREW CORTEX SELFTAP 1.5x10mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270656262
Hospital Revenue Code	278
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

SCREW CORTEX SELFTAP 1.5x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656263
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x11mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656263
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$69.15
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: Aetna Commercial	$41.49
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x12mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656265
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

SCREW CORTEX SELFTAP 1.5x12mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270656265
Hospital Revenue Code	278
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$69.15
Rate for Payer: Aetna Commercial	$41.49
Rate for Payer: Aetna Medicare Advantage	$41.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

Know your out-of-pocket cost for care.

All Charges