Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SLF 30 MM 2.4 MM

Facility

$232.50

Service Code	HCPCS C1713
Hospital Charge Code	270659709
Hospital Revenue Code	278
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$56.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: Qualcare PPO/HMO/WC	$34.88

SCREW CORTEX SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$35.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW CORTEX SLF TAP 1.5x6MM

Facility

$148.30

Service Code	HCPCS C1713
Hospital Charge Code	270606011
Hospital Revenue Code	278
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$74.15
Rate for Payer: Aetna Commercial	$44.49
Rate for Payer: Aetna Medicare Advantage	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.82
Rate for Payer: Cigna Commercial	$74.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.25

SCREW CORTEX SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCREW CORTEX SLF TAP 1.5x8MM

Facility

$144.00

Hospital Charge Code	270675503
Hospital Revenue Code	278
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$43.20
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.85
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCREW CORTEX SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$36.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

SCREW CORTEX SLF TAP 2.0x20MM

Facility

$150.65

Service Code	HCPCS C1713
Hospital Charge Code	270676259
Hospital Revenue Code	278
Min. Negotiated Rate	$22.60
Max. Negotiated Rate	$75.33
Rate for Payer: Aetna Commercial	$45.20
Rate for Payer: Aetna Medicare Advantage	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.42
Rate for Payer: Cigna Commercial	$75.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.60

SCREW CORTEX SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2.0x22MM

Facility

$146.25

Hospital Charge Code	270676260
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$43.88
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x10MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671210
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x10MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671210
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x11MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671211
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x11MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671211
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x12MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666012
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x12MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666012
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x13MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666013
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x13MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270666013
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x14MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270667186
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x14MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270667186
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x6MM

Facility

$146.25

Hospital Charge Code	270671991
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x6MM

Facility

$146.25

Hospital Charge Code	270671991
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$43.88
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x7MM

Facility

$146.25

Service Code	HCPCS C1713
Hospital Charge Code	270671992
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$73.12
Rate for Payer: Aetna Commercial	$43.88
Rate for Payer: Aetna Medicare Advantage	$43.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$73.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x7MM

Facility

$146.25

Service Code	HCPCS C1713
Hospital Charge Code	270671992
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.39
Rate for Payer: Qualcare PPO/HMO/WC	$21.94

SCREW CORTEX SLF TAP 2x8MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671207
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$77.58
Rate for Payer: Aetna Commercial	$46.55
Rate for Payer: Aetna Medicare Advantage	$46.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.56
Rate for Payer: Cigna Commercial	$77.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

SCREW CORTEX SLF TAP 2x8MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671207
Hospital Revenue Code	278
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

Know your out-of-pocket cost for care.

All Charges