Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SELFTAP 2.4x28MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654750
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 2.4x28MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654750
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 2.4x30MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654751
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 2.4x30MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654751
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 2.4x32MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654752
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 2.4x32MM

Facility

$203.95

Service Code	HCPCS C1713
Hospital Charge Code	270654752
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 2.4x6mm

Facility

$204.00

Hospital Charge Code	270656275
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 2.4x6mm

Facility

$204.00

Hospital Charge Code	270656275
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 2.4x7mm

Facility

$204.00

Hospital Charge Code	270656277
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 2.4x7mm

Facility

$204.00

Hospital Charge Code	270656277
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 2.4x8mm

Facility

$198.00

Hospital Charge Code	270656284
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 2.4x8mm

Facility

$198.00

Hospital Charge Code	270656284
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 SELF TAP 2.7MMX22

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656905
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$41.94
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7MMX22

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656905
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7MMX24

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656906
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7MMX24

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656906
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$41.94
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$137.55

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$68.78
Rate for Payer: Aetna Commercial	$41.27
Rate for Payer: Aetna Medicare Advantage	$41.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.08
Rate for Payer: Cigna Commercial	$68.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.29
Rate for Payer: Qualcare PPO/HMO/WC	$20.63

SCREW CORTEX SELF TAP 2.7x12MM

Facility

$137.55

Service Code	HCPCS C1713
Hospital Charge Code	270656896
Hospital Revenue Code	278
Min. Negotiated Rate	$20.63
Max. Negotiated Rate	$33.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.29
Rate for Payer: Qualcare PPO/HMO/WC	$20.63

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x14MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656898
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$41.94
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$69.90
Rate for Payer: Aetna Commercial	$41.94
Rate for Payer: Aetna Medicare Advantage	$41.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.65
Rate for Payer: Cigna Commercial	$69.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x16MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270656899
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.97

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x6mm

Facility

$135.75

Hospital Charge Code	270673149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$67.88
Rate for Payer: Aetna Commercial	$40.73
Rate for Payer: Aetna Medicare Advantage	$40.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.62
Rate for Payer: Cigna Commercial	$67.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

SCREW CORTEX SELFTAP 2.7x8mm

Facility

$135.75

Hospital Charge Code	270673150
Hospital Revenue Code	278
Min. Negotiated Rate	$20.36
Max. Negotiated Rate	$32.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.36

Know your out-of-pocket cost for care.

All Charges