Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANN LG QC 12x190MM

Facility

$2,175.00

Hospital Charge Code	270674887
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$319.86
Max. Negotiated Rate	$319.86
Rate for Payer: Qualcare PPO/HMO/WC	$319.86

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$277.21
Max. Negotiated Rate	$1,066.20
Rate for Payer: Aetna Commercial	$639.72
Rate for Payer: Aetna Medicare Advantage	$639.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.76
Rate for Payer: Cigna Commercial	$1,066.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.21
Rate for Payer: Oxford Commercial	$1,066.20
Rate for Payer: Qualcare PPO/HMO/WC	$319.86
Rate for Payer: UnitedHealthcare Commercial	$1,066.20

DRILL BIT CANN QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
Hospital Revenue Code	272
Min. Negotiated Rate	$252.80
Max. Negotiated Rate	$972.33
Rate for Payer: Aetna Commercial	$583.39
Rate for Payer: Aetna Medicare Advantage	$583.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.89
Rate for Payer: Cigna Commercial	$972.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.80
Rate for Payer: Oxford Commercial	$972.33
Rate for Payer: Qualcare PPO/HMO/WC	$291.70
Rate for Payer: UnitedHealthcare Commercial	$972.33

DRILL BIT CANN QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
Hospital Revenue Code	272
Min. Negotiated Rate	$291.70
Max. Negotiated Rate	$291.70
Rate for Payer: Qualcare PPO/HMO/WC	$291.70

DRILL BIT CANN QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$367.12
Max. Negotiated Rate	$367.12
Rate for Payer: Qualcare PPO/HMO/WC	$367.12

DRILL BIT CANN QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$318.18
Max. Negotiated Rate	$1,223.75
Rate for Payer: Aetna Commercial	$734.25
Rate for Payer: Aetna Medicare Advantage	$734.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.11
Rate for Payer: Cigna Commercial	$1,223.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.18
Rate for Payer: Oxford Commercial	$1,223.75
Rate for Payer: Qualcare PPO/HMO/WC	$367.12
Rate for Payer: UnitedHealthcare Commercial	$1,223.75

DRILL BIT CANN QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
Hospital Revenue Code	272
Min. Negotiated Rate	$286.44
Max. Negotiated Rate	$286.44
Rate for Payer: Qualcare PPO/HMO/WC	$286.44

DRILL BIT CANN QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
Hospital Revenue Code	272
Min. Negotiated Rate	$248.25
Max. Negotiated Rate	$954.80
Rate for Payer: Aetna Commercial	$572.88
Rate for Payer: Aetna Medicare Advantage	$572.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.95
Rate for Payer: Cigna Commercial	$954.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.25
Rate for Payer: Oxford Commercial	$954.80
Rate for Payer: Qualcare PPO/HMO/WC	$286.44
Rate for Payer: UnitedHealthcare Commercial	$954.80

DRILL BIT CANN QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$280.52
Max. Negotiated Rate	$1,078.92
Rate for Payer: Aetna Commercial	$647.36
Rate for Payer: Aetna Medicare Advantage	$647.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.25
Rate for Payer: Cigna Commercial	$1,078.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.52
Rate for Payer: Oxford Commercial	$1,078.92
Rate for Payer: Qualcare PPO/HMO/WC	$323.68
Rate for Payer: UnitedHealthcare Commercial	$1,078.92

DRILL BIT CANN QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$323.68
Max. Negotiated Rate	$323.68
Rate for Payer: Qualcare PPO/HMO/WC	$323.68

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$230.12
Max. Negotiated Rate	$230.12
Rate for Payer: Qualcare PPO/HMO/WC	$230.12

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$199.43
Max. Negotiated Rate	$767.05
Rate for Payer: Aetna Commercial	$460.23
Rate for Payer: Aetna Medicare Advantage	$460.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.20
Rate for Payer: Cigna Commercial	$767.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.43
Rate for Payer: Oxford Commercial	$767.05
Rate for Payer: Qualcare PPO/HMO/WC	$230.12
Rate for Payer: UnitedHealthcare Commercial	$767.05

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$768.95
Max. Negotiated Rate	$2,957.50
Rate for Payer: Aetna Commercial	$1,774.50
Rate for Payer: Aetna Medicare Advantage	$1,774.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,508.33
Rate for Payer: Cigna Commercial	$2,957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.95
Rate for Payer: Oxford Commercial	$2,957.50
Rate for Payer: Qualcare PPO/HMO/WC	$887.25
Rate for Payer: UnitedHealthcare Commercial	$2,957.50

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$887.25
Max. Negotiated Rate	$887.25
Rate for Payer: Qualcare PPO/HMO/WC	$887.25

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$216.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.90

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$187.98
Max. Negotiated Rate	$723.00
Rate for Payer: Aetna Commercial	$433.80
Rate for Payer: Aetna Medicare Advantage	$433.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.73
Rate for Payer: Cigna Commercial	$723.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.98
Rate for Payer: Oxford Commercial	$723.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.90
Rate for Payer: UnitedHealthcare Commercial	$723.00

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$702.00
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$1,170.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$1,170.00

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$102.43
Max. Negotiated Rate	$393.98
Rate for Payer: Aetna Commercial	$236.38
Rate for Payer: Aetna Medicare Advantage	$236.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.93
Rate for Payer: Cigna Commercial	$393.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.43
Rate for Payer: Oxford Commercial	$393.98
Rate for Payer: Qualcare PPO/HMO/WC	$118.19
Rate for Payer: UnitedHealthcare Commercial	$393.98

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$118.19
Max. Negotiated Rate	$118.19
Rate for Payer: Qualcare PPO/HMO/WC	$118.19

DRILL BIT CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
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 CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

Know your out-of-pocket cost for care.

All Charges