Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SLF TAP 4.5x58MM

Facility

$88.50

Hospital Charge Code	270675551
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$44.25
Rate for Payer: Aetna Commercial	$26.55
Rate for Payer: Aetna Medicare Advantage	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.57
Rate for Payer: Cigna Commercial	$44.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SCREW CORTEX SLF TAP 4.5x58MM

Facility

$88.50

Hospital Charge Code	270675551
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SCREW CORTEX ST 3.5X20

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270661841
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX ST 3.5X20

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270661841
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SCREW CORTEX ST 3.5x26MM

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270603166
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$98.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW CORTEX ST 3.5x26MM

Facility

$405.00

Service Code	HCPCS C1713
Hospital Charge Code	270603166
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$121.50
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.01
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

SCREW CORTEX S/TAP 2.7x10MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639828
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 S/TAP 2.7x10MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639828
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 S/TAP 2.7x12MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639829
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 S/TAP 2.7x12MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639829
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 S/TAP 2.7x14mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639830
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 S/TAP 2.7x14mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270639830
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 S/TAP 2.7x16mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270643841
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 S/TAP 2.7x16mm

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270643841
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 S/TAP 2.7x18 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700807
Hospital Revenue Code	278
Min. Negotiated Rate	$428.25
Max. Negotiated Rate	$690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: Qualcare PPO/HMO/WC	$428.25

SCREW CORTEX S/TAP 2.7x18 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700807
Hospital Revenue Code	278
Min. Negotiated Rate	$428.25
Max. Negotiated Rate	$1,427.50
Rate for Payer: Aetna Commercial	$856.50
Rate for Payer: Aetna Medicare Advantage	$856.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$728.02
Rate for Payer: Cigna Commercial	$1,427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: Qualcare PPO/HMO/WC	$428.25

SCREW CORTEX S/TAP 2.7x18MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270640062
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 S/TAP 2.7x18MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270640062
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 S/TAP 2.7x20mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643582
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 S/TAP 2.7x20mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643582
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 S/TAP 2.7 X 22 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700808
Hospital Revenue Code	278
Min. Negotiated Rate	$428.25
Max. Negotiated Rate	$690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: Qualcare PPO/HMO/WC	$428.25

SCREW CORTEX S/TAP 2.7 X 22 MM

Facility

$2,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270700808
Hospital Revenue Code	278
Min. Negotiated Rate	$428.25
Max. Negotiated Rate	$1,427.50
Rate for Payer: Aetna Commercial	$856.50
Rate for Payer: Aetna Medicare Advantage	$856.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$728.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$571.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$728.02
Rate for Payer: Cigna Commercial	$1,427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.91
Rate for Payer: Qualcare PPO/HMO/WC	$428.25

SCREW CORTEX S/TAP 2.7x22mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643581
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 S/TAP 2.7x22mm

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270643581
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 S/TAP 2.7x24MM

Facility

$144.00

Service Code	HCPCS C1713
Hospital Charge Code	270673151
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

Know your out-of-pocket cost for care.

All Charges