Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$44.44
Max. Negotiated Rate	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$44.44

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$38.51
Max. Negotiated Rate	$148.12
Rate for Payer: Aetna Commercial	$88.88
Rate for Payer: Aetna Medicare Advantage	$88.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.54
Rate for Payer: Cigna Commercial	$148.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.51
Rate for Payer: Oxford Commercial	$148.12
Rate for Payer: Qualcare PPO/HMO/WC	$44.44
Rate for Payer: UnitedHealthcare Commercial	$148.12

DRILL 3.5 PUSH LOCS

Facility

$2,430.00

Hospital Charge Code	270656506
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL 3.5 PUSH LOCS

Facility

$2,430.00

Hospital Charge Code	270656506
Hospital Revenue Code	272
Min. Negotiated Rate	$315.90
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$729.00
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.90
Rate for Payer: Oxford Commercial	$1,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$1,215.00

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Oxford Commercial	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$237.50

DRILL 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
Hospital Revenue Code	272
Min. Negotiated Rate	$79.95
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$184.50
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.95
Rate for Payer: Oxford Commercial	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$307.50

DRILL 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$340.47
Max. Negotiated Rate	$1,309.50
Rate for Payer: Aetna Commercial	$785.70
Rate for Payer: Aetna Medicare Advantage	$785.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.85
Rate for Payer: Cigna Commercial	$1,309.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.47
Rate for Payer: Oxford Commercial	$1,309.50
Rate for Payer: Qualcare PPO/HMO/WC	$392.85
Rate for Payer: UnitedHealthcare Commercial	$1,309.50

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$392.85
Max. Negotiated Rate	$392.85
Rate for Payer: Qualcare PPO/HMO/WC	$392.85

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$462.00

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$462.00

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4/5 CANN STANDAED AM5010

Facility

$940.00

Hospital Charge Code	270638178
Hospital Revenue Code	272
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

DRILL 4/5 CANN STANDAED AM5010

Facility

$940.00

Hospital Charge Code	270638178
Hospital Revenue Code	272
Min. Negotiated Rate	$122.20
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$282.00
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.20
Rate for Payer: Oxford Commercial	$470.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Commercial	$470.00

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$122.85
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$106.47
Max. Negotiated Rate	$409.50
Rate for Payer: Aetna Commercial	$245.70
Rate for Payer: Aetna Medicare Advantage	$245.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.84
Rate for Payer: Cigna Commercial	$409.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.47
Rate for Payer: Oxford Commercial	$409.50
Rate for Payer: Qualcare PPO/HMO/WC	$122.85
Rate for Payer: UnitedHealthcare Commercial	$409.50

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$166.30
Max. Negotiated Rate	$639.62
Rate for Payer: Aetna Commercial	$383.77
Rate for Payer: Aetna Medicare Advantage	$383.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.21
Rate for Payer: Cigna Commercial	$639.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.30
Rate for Payer: Oxford Commercial	$639.62
Rate for Payer: Qualcare PPO/HMO/WC	$191.89
Rate for Payer: UnitedHealthcare Commercial	$639.62

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$191.89
Max. Negotiated Rate	$191.89
Rate for Payer: Qualcare PPO/HMO/WC	$191.89

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$311.85
Rate for Payer: Qualcare PPO/HMO/WC	$311.85

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$270.27
Max. Negotiated Rate	$1,039.50
Rate for Payer: Aetna Commercial	$623.70
Rate for Payer: Aetna Medicare Advantage	$623.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.14
Rate for Payer: Cigna Commercial	$1,039.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.27
Rate for Payer: Oxford Commercial	$1,039.50
Rate for Payer: Qualcare PPO/HMO/WC	$311.85
Rate for Payer: UnitedHealthcare Commercial	$1,039.50

DRILL 8 MM ANCHOR

Facility

$979.95

Hospital Charge Code	270690397
Hospital Revenue Code	272
Min. Negotiated Rate	$146.99
Max. Negotiated Rate	$146.99
Rate for Payer: Qualcare PPO/HMO/WC	$146.99

Know your out-of-pocket cost for care.

All Charges