Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

DRILL BIT 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
Hospital Revenue Code	272
Min. Negotiated Rate	$45.50
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$105.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$175.00

DRILL BIT 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

DRILL BIT 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$774.00
Max. Negotiated Rate	$1,248.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: Qualcare PPO/HMO/WC	$774.00

DRILL BIT 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$569.17
Max. Negotiated Rate	$569.17
Rate for Payer: Qualcare PPO/HMO/WC	$569.17

DRILL BIT 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$493.29
Max. Negotiated Rate	$1,897.25
Rate for Payer: Aetna Commercial	$1,138.35
Rate for Payer: Aetna Medicare Advantage	$1,138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.60
Rate for Payer: Cigna Commercial	$1,897.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.29
Rate for Payer: Oxford Commercial	$1,897.25
Rate for Payer: Qualcare PPO/HMO/WC	$569.17
Rate for Payer: UnitedHealthcare Commercial	$1,897.25

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$774.00
Max. Negotiated Rate	$2,580.00
Rate for Payer: Aetna Commercial	$1,548.00
Rate for Payer: Aetna Medicare Advantage	$1,548.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,315.80
Rate for Payer: Cigna Commercial	$2,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: Qualcare PPO/HMO/WC	$774.00

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$283.50
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: Oxford Commercial	$472.50
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$472.50

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

DRILL BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
Hospital Revenue Code	272
Min. Negotiated Rate	$180.65
Max. Negotiated Rate	$694.83
Rate for Payer: Aetna Commercial	$416.89
Rate for Payer: Aetna Medicare Advantage	$416.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.36
Rate for Payer: Cigna Commercial	$694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.65
Rate for Payer: Oxford Commercial	$694.83
Rate for Payer: Qualcare PPO/HMO/WC	$208.45
Rate for Payer: UnitedHealthcare Commercial	$694.83

DRILL BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
Hospital Revenue Code	272
Min. Negotiated Rate	$208.45
Max. Negotiated Rate	$208.45
Rate for Payer: Qualcare PPO/HMO/WC	$208.45

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$580.68
Max. Negotiated Rate	$2,233.40
Rate for Payer: Aetna Commercial	$1,340.04
Rate for Payer: Aetna Medicare Advantage	$1,340.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.03
Rate for Payer: Cigna Commercial	$2,233.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.68
Rate for Payer: Oxford Commercial	$2,233.40
Rate for Payer: Qualcare PPO/HMO/WC	$670.02
Rate for Payer: UnitedHealthcare Commercial	$2,233.40

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$670.02
Max. Negotiated Rate	$670.02
Rate for Payer: Qualcare PPO/HMO/WC	$670.02

DRILL BIT 1.7

Facility

$625.00

Hospital Charge Code	270652053
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

DRILL BIT 1.7

Facility

$625.00

Hospital Charge Code	270652053
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$219.05
Max. Negotiated Rate	$219.05
Rate for Payer: Qualcare PPO/HMO/WC	$219.05

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$189.85
Max. Negotiated Rate	$730.17
Rate for Payer: Aetna Commercial	$438.11
Rate for Payer: Aetna Medicare Advantage	$438.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.39
Rate for Payer: Cigna Commercial	$730.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.85
Rate for Payer: Oxford Commercial	$730.17
Rate for Payer: Qualcare PPO/HMO/WC	$219.05
Rate for Payer: UnitedHealthcare Commercial	$730.17

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$118.50
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$197.50
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$197.50

DRILL BIT 1.8 50MM STRYKER

Facility

$550.00

Hospital Charge Code	270637597
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

DRILL BIT 1.8 50MM STRYKER

Facility

$550.00

Hospital Charge Code	270637597
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$544.50
Max. Negotiated Rate	$878.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: Qualcare PPO/HMO/WC	$544.50

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$544.50
Max. Negotiated Rate	$1,815.00
Rate for Payer: Aetna Commercial	$1,089.00
Rate for Payer: Aetna Medicare Advantage	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.65
Rate for Payer: Cigna Commercial	$1,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: Qualcare PPO/HMO/WC	$544.50

DRILL BIT 1.9MM AO SHAFT END

Facility

$656.40

Hospital Charge Code	270657998
Hospital Revenue Code	272
Min. Negotiated Rate	$85.33
Max. Negotiated Rate	$328.20
Rate for Payer: Aetna Commercial	$196.92
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.33
Rate for Payer: Oxford Commercial	$328.20
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$328.20

Know your out-of-pocket cost for care.

All Charges