Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING SLF TAP 5x26MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637795
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x28MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637794
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x28MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637794
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x30MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637875
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x30MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637875
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x34MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637874
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x34MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637874
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x36MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641549
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x36MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641549
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x38MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637793
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x38MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637793
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x40MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637876
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x40MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270637876
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x44MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641548
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x44MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641548
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x46MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$150.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING SLF TAP 5x46MM

Facility

$621.10

Service Code	HCPCS C1713
Hospital Charge Code	270641545
Hospital Revenue Code	278
Min. Negotiated Rate	$93.17
Max. Negotiated Rate	$310.55
Rate for Payer: Aetna Commercial	$186.33
Rate for Payer: Aetna Medicare Advantage	$186.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.38
Rate for Payer: Cigna Commercial	$310.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.17

SCREW LOCKING S/TAP 2.0x13MM

Facility

$474.00

Hospital Charge Code	270676297
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 S/TAP 2.0x13MM

Facility

$474.00

Hospital Charge Code	270676297
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 S/TAP 3.0x14 mm

Facility

$487.50

Hospital Charge Code	270671852
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$117.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x14 mm

Facility

$487.50

Hospital Charge Code	270671852
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$243.75
Rate for Payer: Aetna Commercial	$146.25
Rate for Payer: Aetna Medicare Advantage	$146.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.31
Rate for Payer: Cigna Commercial	$243.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x16mm

Facility

$487.50

Hospital Charge Code	270671854
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$117.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x16mm

Facility

$487.50

Hospital Charge Code	270671854
Hospital Revenue Code	278
Min. Negotiated Rate	$73.12
Max. Negotiated Rate	$243.75
Rate for Payer: Aetna Commercial	$146.25
Rate for Payer: Aetna Medicare Advantage	$146.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.31
Rate for Payer: Cigna Commercial	$243.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.97
Rate for Payer: Qualcare PPO/HMO/WC	$73.12

SCREW LOCKING S/TAP 3.0x18mm

Facility

$655.00

Hospital Charge Code	270671855
Hospital Revenue Code	278
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$158.51
Rate for Payer: Qualcare PPO/HMO/WC	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51

SCREW LOCKING S/TAP 3.0x18mm

Facility

$655.00

Hospital Charge Code	270671855
Hospital Revenue Code	278
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$327.50
Rate for Payer: Aetna Commercial	$196.50
Rate for Payer: Aetna Medicare Advantage	$196.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.03
Rate for Payer: Cigna Commercial	$327.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.51
Rate for Payer: Qualcare PPO/HMO/WC	$98.25

Know your out-of-pocket cost for care.

All Charges