Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.0x7mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654759
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

SCREW CORTEX SELF TAP 2.0 X 8M

Facility

$218.30

Hospital Charge Code	270668256
Hospital Revenue Code	278
Min. Negotiated Rate	$32.74
Max. Negotiated Rate	$109.15
Rate for Payer: Aetna Commercial	$65.49
Rate for Payer: Aetna Medicare Advantage	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.67
Rate for Payer: Cigna Commercial	$109.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.83
Rate for Payer: Qualcare PPO/HMO/WC	$32.74

SCREW CORTEX SELF TAP 2.0 X 8M

Facility

$218.30

Hospital Charge Code	270668256
Hospital Revenue Code	278
Min. Negotiated Rate	$32.74
Max. Negotiated Rate	$52.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.83
Rate for Payer: Qualcare PPO/HMO/WC	$32.74

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654760
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 2.0x8mm

Facility

$143.25

Hospital Charge Code	270656864
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$34.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$143.25

Hospital Charge Code	270656864
Hospital Revenue Code	278
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$71.62
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$42.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.53
Rate for Payer: Cigna Commercial	$71.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.67
Rate for Payer: Qualcare PPO/HMO/WC	$21.49

SCREW CORTEX SELFTAP 2.0x8mm

Facility

$142.45

Service Code	HCPCS C1713
Hospital Charge Code	270654760
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 2.0x9mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654762
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

SCREW CORTEX SELFTAP 2.0x9mm

Facility

$138.30

Service Code	HCPCS C1713
Hospital Charge Code	270654762
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 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x10mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656278
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x11mm

Facility

$204.00

Service Code	HCPCS C1713
Hospital Charge Code	270656280
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x12mm

Facility

$198.00

Service Code	HCPCS C1713
Hospital Charge Code	270656282
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x13mm

Facility

$204.00

Hospital Charge Code	270656285
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x13mm

Facility

$204.00

Hospital Charge Code	270656285
Hospital Revenue Code	278
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.37
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

SCREW CORTEX SELFTAP 2.4x14mm

Facility

$198.00

Hospital Charge Code	270656287
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x14mm

Facility

$198.00

Hospital Charge Code	270656287
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x18mm

Facility

$198.00

Hospital Charge Code	270656289
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$59.40
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x18mm

Facility

$198.00

Hospital Charge Code	270656289
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

SCREW CORTEX SELFTAP 2.4x20MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654739
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x20MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654739
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$61.19
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x26MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654749
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$101.97
Rate for Payer: Aetna Commercial	$61.19
Rate for Payer: Aetna Medicare Advantage	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.01
Rate for Payer: Cigna Commercial	$101.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

SCREW CORTEX SELFTAP 2.4x26MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654749
Hospital Revenue Code	278
Min. Negotiated Rate	$30.59
Max. Negotiated Rate	$49.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.36
Rate for Payer: Qualcare PPO/HMO/WC	$30.59

Know your out-of-pocket cost for care.

All Charges