Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX TI 1.5 24

Facility

$144.00

Hospital Charge Code	270661897
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 Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$73.78
Rate for Payer: Aetna Commercial	$44.27
Rate for Payer: Aetna Medicare Advantage	$44.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.63
Rate for Payer: Cigna Commercial	$73.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX Ti 2.0x10mm

Facility

$147.55

Service Code	HCPCS C1713
Hospital Charge Code	270633431
Hospital Revenue Code	278
Min. Negotiated Rate	$22.13
Max. Negotiated Rate	$35.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.13

SCREW CORTEX Ti 2.4 12MM

Facility

$320.00

Hospital Charge Code	270637592
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SCREW CORTEX Ti 2.4 12MM

Facility

$320.00

Hospital Charge Code	270637592
Hospital Revenue Code	278
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$96.00
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.44
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

SCREW CORTEX Ti 2.4 14MM

Facility

$377.50

Hospital Charge Code	270637593
Hospital Revenue Code	278
Min. Negotiated Rate	$56.62
Max. Negotiated Rate	$188.75
Rate for Payer: Aetna Commercial	$113.25
Rate for Payer: Aetna Medicare Advantage	$113.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.26
Rate for Payer: Cigna Commercial	$188.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.36
Rate for Payer: Qualcare PPO/HMO/WC	$56.62

SCREW CORTEX Ti 2.4 14MM

Facility

$377.50

Hospital Charge Code	270637593
Hospital Revenue Code	278
Min. Negotiated Rate	$56.62
Max. Negotiated Rate	$91.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.36
Rate for Payer: Qualcare PPO/HMO/WC	$56.62

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX TI 2.4x28mm

Facility

$333.00

Hospital Charge Code	270656615
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$99.90
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$80.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX TI 2.4x32mm

Facility

$333.00

Hospital Charge Code	270656618
Hospital Revenue Code	278
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$99.90
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

SCREW CORTEX Ti 2 X 12MM

Facility

$222.50

Hospital Charge Code	270637440
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$111.25
Rate for Payer: Aetna Commercial	$66.75
Rate for Payer: Aetna Medicare Advantage	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.74
Rate for Payer: Cigna Commercial	$111.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

SCREW CORTEX Ti 2 X 12MM

Facility

$222.50

Hospital Charge Code	270637440
Hospital Revenue Code	278
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$53.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.84
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$70.88
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 14MM

Facility

$236.25

Service Code	HCPCS C1713
Hospital Charge Code	270637441
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$57.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 20MM

Facility

$236.25

Hospital Charge Code	270637439
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$70.88
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 20MM

Facility

$236.25

Hospital Charge Code	270637439
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$57.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 8MM

Facility

$236.25

Hospital Charge Code	270637442
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$118.12
Rate for Payer: Aetna Commercial	$70.88
Rate for Payer: Aetna Medicare Advantage	$70.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.24
Rate for Payer: Cigna Commercial	$118.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX Ti 2 X 8MM

Facility

$236.25

Hospital Charge Code	270637442
Hospital Revenue Code	278
Min. Negotiated Rate	$35.44
Max. Negotiated Rate	$57.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.44

SCREW CORTEX TI 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$119.25
Rate for Payer: Aetna Commercial	$71.55
Rate for Payer: Aetna Medicare Advantage	$71.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.82
Rate for Payer: Cigna Commercial	$119.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW CORTEX TI 3.5X38MM

Facility

$238.50

Service Code	HCPCS C1713
Hospital Charge Code	270692181
Hospital Revenue Code	278
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$57.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

SCREW CORTEX TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
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 TI 3.5x80MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673954
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 TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
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 TI 3.5x90MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270673953
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

Know your out-of-pocket cost for care.

All Charges