Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$79.61
Max. Negotiated Rate	$306.20
Rate for Payer: Aetna Commercial	$183.72
Rate for Payer: Aetna Medicare Advantage	$183.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.16
Rate for Payer: Cigna Commercial	$306.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.61
Rate for Payer: Oxford Commercial	$306.20
Rate for Payer: Qualcare PPO/HMO/WC	$91.86
Rate for Payer: UnitedHealthcare Commercial	$306.20

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$91.86
Max. Negotiated Rate	$91.86
Rate for Payer: Qualcare PPO/HMO/WC	$91.86

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$127.05
Max. Negotiated Rate	$488.65
Rate for Payer: Aetna Commercial	$293.19
Rate for Payer: Aetna Medicare Advantage	$293.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.21
Rate for Payer: Cigna Commercial	$488.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: Oxford Commercial	$488.65
Rate for Payer: Qualcare PPO/HMO/WC	$146.59
Rate for Payer: UnitedHealthcare Commercial	$488.65

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$146.59
Max. Negotiated Rate	$146.59
Rate for Payer: Qualcare PPO/HMO/WC	$146.59

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$292.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$1,125.00

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$48.57
Max. Negotiated Rate	$186.82
Rate for Payer: Aetna Commercial	$112.09
Rate for Payer: Aetna Medicare Advantage	$112.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.28
Rate for Payer: Cigna Commercial	$186.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.57
Rate for Payer: Oxford Commercial	$186.82
Rate for Payer: Qualcare PPO/HMO/WC	$56.05
Rate for Payer: UnitedHealthcare Commercial	$186.82

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$56.05
Max. Negotiated Rate	$56.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.05

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
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 BIT 3.5x130MM

Facility

$1,250.00

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

DRILL BIT 3.5x130MM

Facility

$1,250.00

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$51.91
Max. Negotiated Rate	$51.91
Rate for Payer: Qualcare PPO/HMO/WC	$51.91

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$44.99
Max. Negotiated Rate	$173.05
Rate for Payer: Aetna Commercial	$103.83
Rate for Payer: Aetna Medicare Advantage	$103.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.26
Rate for Payer: Cigna Commercial	$173.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.99
Rate for Payer: Oxford Commercial	$173.05
Rate for Payer: Qualcare PPO/HMO/WC	$51.91
Rate for Payer: UnitedHealthcare Commercial	$173.05

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$237.00
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$106.60
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$246.00
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.60
Rate for Payer: Oxford Commercial	$410.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$410.00

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$112.73
Max. Negotiated Rate	$433.57
Rate for Payer: Aetna Commercial	$260.14
Rate for Payer: Aetna Medicare Advantage	$260.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.12
Rate for Payer: Cigna Commercial	$433.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.73
Rate for Payer: Oxford Commercial	$433.57
Rate for Payer: Qualcare PPO/HMO/WC	$130.07
Rate for Payer: UnitedHealthcare Commercial	$433.57

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$130.07
Rate for Payer: Qualcare PPO/HMO/WC	$130.07

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$131.36
Max. Negotiated Rate	$505.23
Rate for Payer: Aetna Commercial	$303.13
Rate for Payer: Aetna Medicare Advantage	$303.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.66
Rate for Payer: Cigna Commercial	$505.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.36
Rate for Payer: Oxford Commercial	$505.23
Rate for Payer: Qualcare PPO/HMO/WC	$151.57
Rate for Payer: UnitedHealthcare Commercial	$505.23

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$151.57
Max. Negotiated Rate	$151.57
Rate for Payer: Qualcare PPO/HMO/WC	$151.57

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$122.69
Max. Negotiated Rate	$197.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: Qualcare PPO/HMO/WC	$122.69

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$122.69
Max. Negotiated Rate	$408.98
Rate for Payer: Aetna Medicare Advantage	$245.38
Rate for Payer: Aetna Commercial	$245.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.58
Rate for Payer: Cigna Commercial	$408.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: Qualcare PPO/HMO/WC	$122.69

DRILL BIT 3 FLUTED 2.7x125mm

Facility

$719.30

Hospital Charge Code	270681007
Hospital Revenue Code	272
Min. Negotiated Rate	$93.51
Max. Negotiated Rate	$359.65
Rate for Payer: Aetna Commercial	$215.79
Rate for Payer: Aetna Medicare Advantage	$215.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.42
Rate for Payer: Cigna Commercial	$359.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.51
Rate for Payer: Oxford Commercial	$359.65
Rate for Payer: Qualcare PPO/HMO/WC	$107.89
Rate for Payer: UnitedHealthcare Commercial	$359.65

Know your out-of-pocket cost for care.

All Charges