Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANNULATED 2.5MM

Facility

$840.00

Hospital Charge Code	270675124
Hospital Revenue Code	272
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.20
Rate for Payer: Oxford Commercial	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$420.00

DRILL BIT CANNULATED 3.0MM

Facility

$1,250.00

Hospital Charge Code	270687933
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 CANNULATED 3.0MM

Facility

$1,250.00

Hospital Charge Code	270687933
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 CANNULATED 3.0MM

Facility

$840.00

Hospital Charge Code	270676768
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT CANNULATED 3.0MM

Facility

$840.00

Hospital Charge Code	270676768
Hospital Revenue Code	272
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.20
Rate for Payer: Oxford Commercial	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$420.00

DRILL BIT CANNULATED 3.2MM

Facility

$1,990.00

Hospital Charge Code	270673485
Hospital Revenue Code	272
Min. Negotiated Rate	$298.50
Max. Negotiated Rate	$298.50
Rate for Payer: Qualcare PPO/HMO/WC	$298.50

DRILL BIT CANNULATED 3.2MM

Facility

$1,990.00

Hospital Charge Code	270673485
Hospital Revenue Code	272
Min. Negotiated Rate	$258.70
Max. Negotiated Rate	$995.00
Rate for Payer: Aetna Commercial	$597.00
Rate for Payer: Aetna Medicare Advantage	$597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$507.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$507.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$507.45
Rate for Payer: Cigna Commercial	$995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.70
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$298.50
Rate for Payer: UnitedHealthcare Commercial	$995.00

DRILL BIT CANNULATED 3.7X200MM

Facility

$2,330.00

Service Code	HCPCS A4649
Hospital Charge Code	270698261
Hospital Revenue Code	272
Min. Negotiated Rate	$302.90
Max. Negotiated Rate	$1,165.00
Rate for Payer: Aetna Commercial	$699.00
Rate for Payer: Aetna Medicare Advantage	$699.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$594.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$594.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$594.15
Rate for Payer: Cigna Commercial	$1,165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.90
Rate for Payer: Oxford Commercial	$1,165.00
Rate for Payer: Qualcare PPO/HMO/WC	$349.50
Rate for Payer: UnitedHealthcare Commercial	$1,165.00

DRILL BIT CANNULATED 3.7X200MM

Facility

$2,330.00

Service Code	HCPCS A4649
Hospital Charge Code	270698261
Hospital Revenue Code	272
Min. Negotiated Rate	$349.50
Max. Negotiated Rate	$349.50
Rate for Payer: Qualcare PPO/HMO/WC	$349.50

DRILL BIT CANNULATED 3MM

Facility

$875.00

Hospital Charge Code	270661060
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 3MM

Facility

$875.00

Hospital Charge Code	270661060
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 CANNULATED 3 X 170mm

Facility

$1,650.00

Hospital Charge Code	270681219
Hospital Revenue Code	272
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$495.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$825.00

DRILL BIT CANNULATED 3 X 170mm

Facility

$1,650.00

Hospital Charge Code	270681219
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

DRILL BIT CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

DRILL BIT CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$1,100.00

DRILL BIT CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$116.35
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$268.50
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.35
Rate for Payer: Oxford Commercial	$447.50
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$447.50

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$1,100.00

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$291.52
Max. Negotiated Rate	$1,121.25
Rate for Payer: Aetna Commercial	$672.75
Rate for Payer: Aetna Medicare Advantage	$672.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.84
Rate for Payer: Cigna Commercial	$1,121.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.52
Rate for Payer: Oxford Commercial	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$336.38
Rate for Payer: UnitedHealthcare Commercial	$1,121.25

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$336.38
Max. Negotiated Rate	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$336.38

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$250.56
Max. Negotiated Rate	$250.56
Rate for Payer: Qualcare PPO/HMO/WC	$250.56

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$217.15
Max. Negotiated Rate	$835.20
Rate for Payer: Aetna Commercial	$501.12
Rate for Payer: Aetna Medicare Advantage	$501.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.95
Rate for Payer: Cigna Commercial	$835.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.15
Rate for Payer: Oxford Commercial	$835.20
Rate for Payer: Qualcare PPO/HMO/WC	$250.56
Rate for Payer: UnitedHealthcare Commercial	$835.20

Know your out-of-pocket cost for care.

All Charges