Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 2.7x26MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678290
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 2.7x26MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678290
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 2.7x28MM

Facility

$139.80

Hospital Charge Code	270678291
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 2.7x28MM

Facility

$139.80

Hospital Charge Code	270678291
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 2.7x30MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648929
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 2.7x30MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648929
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 2.7x32mm

Facility

$135.75

Hospital Charge Code	270656720
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 S/TAP 2.7x32mm

Facility

$135.75

Hospital Charge Code	270656720
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 S/TAP 2.7x32MM

Facility

$139.80

Hospital Charge Code	270678293
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 2.7x32MM

Facility

$139.80

Hospital Charge Code	270678293
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 2.7x34MM

Facility

$139.80

Hospital Charge Code	270678292
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 2.7x34MM

Facility

$139.80

Hospital Charge Code	270678292
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 2.7x36MM

Facility

$139.80

Hospital Charge Code	270678294
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 2.7x36MM

Facility

$139.80

Hospital Charge Code	270678294
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 2.7x40MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648930
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 2.7x40MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270648930
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 2.7x45MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678295
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 2.7x45MM

Facility

$139.80

Service Code	HCPCS C1713
Hospital Charge Code	270678295
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 2.7x50MM

Facility

$139.80

Hospital Charge Code	270678296
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 2.7x50MM

Facility

$139.80

Hospital Charge Code	270678296
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 3.5x24mm

Facility

$87.75

Hospital Charge Code	270656912
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORTEX S/TAP 3.5x24mm

Facility

$87.75

Hospital Charge Code	270656912
Hospital Revenue Code	278
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$43.88
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.38
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.24
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

SCREW CORTEX S/TAP T8 2.7x20MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270674354
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$49.12
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

SCREW CORTEX S/TAP T8 2.7x20MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270674354
Hospital Revenue Code	278
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$39.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.63
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

Know your out-of-pocket cost for care.

All Charges