Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW CORTEX SLF TAP 2x9MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671208
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 2x9MM

Facility

$155.15

Service Code	HCPCS C1713
Hospital Charge Code	270671208
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 3.5x10MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603076
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x10MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603076
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x12MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601829
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x12MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601829
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x14MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601830
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x14MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601830
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x16MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601831
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x16MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270601831
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x18MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603162
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x18MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603162
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x22MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603164
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x22MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603164
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x24MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603165
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x24MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603165
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x28MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603167
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x28MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603167
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x30MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603168
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x30MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603168
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x32MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603169
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x32MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603169
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x34MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603170
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x34MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603170
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$46.55
Rate for Payer: Aetna Commercial	$27.93
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.74
Rate for Payer: Cigna Commercial	$46.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

SCREW CORTEX SLF TAP 3.5x36MM

Facility

$93.10

Service Code	HCPCS C1713
Hospital Charge Code	270603171
Hospital Revenue Code	278
Min. Negotiated Rate	$13.96
Max. Negotiated Rate	$22.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.96

Know your out-of-pocket cost for care.

All Charges