Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 2x8MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671994
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$237.00
Rate for Payer: Aetna Commercial	$142.20
Rate for Payer: Aetna Medicare Advantage	$142.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.87
Rate for Payer: Cigna Commercial	$237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING SLF TAP 2x8MM

Facility

$474.00

Service Code	HCPCS C1713
Hospital Charge Code	270671994
Hospital Revenue Code	278
Min. Negotiated Rate	$71.10
Max. Negotiated Rate	$114.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.71
Rate for Payer: Qualcare PPO/HMO/WC	$71.10

SCREW LOCKING SLF TAP 3.5x10MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637258
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x10MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637258
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x12MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637259
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x12MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637259
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x14MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637260
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x14MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270637260
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x16MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270634850
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x16MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270634850
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x18MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636275
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x18MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636275
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x20MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636276
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x20MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270636276
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x22MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270641388
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x22MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270641388
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x24MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633836
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x24MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633836
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x26MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633835
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x26MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633835
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x28MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633524
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x28MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633524
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x30MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633834
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x30MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270633834
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

SCREW LOCKING SLF TAP 3.5x32MM

Facility

$550.60

Service Code	HCPCS C1713
Hospital Charge Code	270638923
Hospital Revenue Code	278
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$133.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

Know your out-of-pocket cost for care.

All Charges