Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX S/TAP T8 2.7x24MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676261
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 2.7x24MM

Facility

$163.75

Service Code	HCPCS C1713
Hospital Charge Code	270676261
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

SCREW CORTEX S/TAP T8 2.7x30MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676245
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$47.70
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX S/TAP T8 2.7x30MM

Facility

$159.00

Service Code	HCPCS C1713
Hospital Charge Code	270676245
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX S/TAP T8 2.7x35MM

Facility

$159.00

Hospital Charge Code	270676246
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$38.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX S/TAP T8 2.7x35MM

Facility

$159.00

Hospital Charge Code	270676246
Hospital Revenue Code	278
Min. Negotiated Rate	$23.85
Max. Negotiated Rate	$79.50
Rate for Payer: Aetna Commercial	$47.70
Rate for Payer: Aetna Medicare Advantage	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.55
Rate for Payer: Cigna Commercial	$79.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Qualcare PPO/HMO/WC	$23.85

SCREW CORTEX STARDRIV 2.7x16MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659773
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$84.33
Rate for Payer: Aetna Commercial	$50.59
Rate for Payer: Aetna Medicare Advantage	$50.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.01
Rate for Payer: Cigna Commercial	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX STARDRIV 2.7x16MM

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659773
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$40.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX STARDRIVE 2.4X9MM

Facility

$332.10

Hospital Charge Code	270670056
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX STARDRIVE 2.4X9MM

Facility

$332.10

Hospital Charge Code	270670056
Hospital Revenue Code	278
Min. Negotiated Rate	$49.81
Max. Negotiated Rate	$166.05
Rate for Payer: Aetna Commercial	$99.63
Rate for Payer: Aetna Medicare Advantage	$99.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.69
Rate for Payer: Cigna Commercial	$166.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: Qualcare PPO/HMO/WC	$49.81

SCREW CORTEX ST T8 SD 2.4X16MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697638
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$98.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX ST T8 SD 2.4X16MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697638
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$121.67
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$98.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX ST T8 SS 2.4X12MM

Facility

$405.55

Service Code	HCPCS C1713
Hospital Charge Code	270697616
Hospital Revenue Code	278
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$202.78
Rate for Payer: Aetna Commercial	$121.67
Rate for Payer: Aetna Medicare Advantage	$121.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.42
Rate for Payer: Cigna Commercial	$202.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.14
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

SCREW CORTEX T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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 T6 STAR 2x36MM

Facility

$146.25

Hospital Charge Code	270672969
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 T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$84.33
Rate for Payer: Aetna Commercial	$50.59
Rate for Payer: Aetna Medicare Advantage	$50.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.01
Rate for Payer: Cigna Commercial	$84.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX T8 STAR

Facility

$168.65

Service Code	HCPCS C1713
Hospital Charge Code	270659771
Hospital Revenue Code	278
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$40.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.30

SCREW CORTEX T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$119.75
Rate for Payer: Aetna Commercial	$71.85
Rate for Payer: Aetna Medicare Advantage	$71.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.07
Rate for Payer: Cigna Commercial	$119.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x10MM

Facility

$239.50

Service Code	HCPCS C1713
Hospital Charge Code	270667137
Hospital Revenue Code	278
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$57.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.96
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

SCREW CORTEX T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
Hospital Revenue Code	278
Min. Negotiated Rate	$34.88
Max. Negotiated Rate	$116.25
Rate for Payer: Aetna Commercial	$69.75
Rate for Payer: Aetna Medicare Advantage	$69.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.29
Rate for Payer: Cigna Commercial	$116.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.27
Rate for Payer: Qualcare PPO/HMO/WC	$34.88

SCREW CORTEX T8 STAR 2.4x11MM

Facility

$232.50

Hospital Charge Code	270672970
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 T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x14MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637242
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$74.01
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

SCREW CORTEX T8 STAR 2.4x16MM

Facility

$246.70

Service Code	HCPCS C1713
Hospital Charge Code	270637240
Hospital Revenue Code	278
Min. Negotiated Rate	$37.01
Max. Negotiated Rate	$123.35
Rate for Payer: Aetna Commercial	$74.01
Rate for Payer: Aetna Medicare Advantage	$74.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.91
Rate for Payer: Cigna Commercial	$123.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$37.01

Know your out-of-pocket cost for care.

All Charges