Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CARBHU4MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695328
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 CARBHU4MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695328
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 CARBHU5MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695329
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 CARBHU5MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695329
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 CARBHU6MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695330
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 CARBHU6MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695330
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 CARTIVA MTP COUNTER

Facility

$1,062.45

Hospital Charge Code	270679216
Hospital Revenue Code	272
Min. Negotiated Rate	$159.37
Max. Negotiated Rate	$159.37
Rate for Payer: Qualcare PPO/HMO/WC	$159.37

DRILL BIT CARTIVA MTP COUNTER

Facility

$1,062.45

Hospital Charge Code	270679216
Hospital Revenue Code	272
Min. Negotiated Rate	$138.12
Max. Negotiated Rate	$531.23
Rate for Payer: Aetna Commercial	$318.74
Rate for Payer: Aetna Medicare Advantage	$318.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.92
Rate for Payer: Cigna Commercial	$531.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.12
Rate for Payer: Oxford Commercial	$531.23
Rate for Payer: Qualcare PPO/HMO/WC	$159.37
Rate for Payer: UnitedHealthcare Commercial	$531.23

DRILL BIT CENTRAL 3.2MM

Facility

$660.00

Hospital Charge Code	270669246
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

DRILL BIT CENTRAL 3.2MM

Facility

$660.00

Hospital Charge Code	270669246
Hospital Revenue Code	272
Min. Negotiated Rate	$85.80
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$330.00

DRILL BIT CERES 12MM

Facility

$750.00

Hospital Charge Code	270692544
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL BIT CERES 12MM

Facility

$750.00

Hospital Charge Code	270692544
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

DRILL BIT CERES 14MM

Facility

$1,375.00

Hospital Charge Code	270692488
Hospital Revenue Code	272
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.75
Rate for Payer: Oxford Commercial	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$687.50

DRILL BIT CERES 14MM

Facility

$1,375.00

Hospital Charge Code	270692488
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

DRILL BIT CERVICAL 14MM

Facility

$2,750.00

Hospital Charge Code	270697546
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL BIT CERVICAL 14MM

Facility

$2,750.00

Hospital Charge Code	270697546
Hospital Revenue Code	272
Min. Negotiated Rate	$357.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$1,375.00

DRILL BIT CINCHLOCK FLEX

Facility

$1,250.00

Hospital Charge Code	270677419
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 CINCHLOCK FLEX

Facility

$1,250.00

Hospital Charge Code	270677419
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 CINCHLOCK SS

Facility

$945.00

Hospital Charge Code	270670493
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 CINCHLOCK SS

Facility

$945.00

Hospital Charge Code	270670493
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 CMPR FT 7.0MM

Facility

$1,000.00

Hospital Charge Code	270693860
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 CMPR FT 7.0MM

Facility

$1,000.00

Hospital Charge Code	270693860
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 COMP FT 2.2MM

Facility

$1,056.25

Hospital Charge Code	270699861
Hospital Revenue Code	272
Min. Negotiated Rate	$137.31
Max. Negotiated Rate	$528.12
Rate for Payer: Aetna Commercial	$316.88
Rate for Payer: Aetna Medicare Advantage	$316.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.34
Rate for Payer: Cigna Commercial	$528.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.31
Rate for Payer: Oxford Commercial	$528.12
Rate for Payer: Qualcare PPO/HMO/WC	$158.44
Rate for Payer: UnitedHealthcare Commercial	$528.12

DRILL BIT COMP FT 2.2MM

Facility

$1,056.25

Hospital Charge Code	270699861
Hospital Revenue Code	272
Min. Negotiated Rate	$158.44
Max. Negotiated Rate	$158.44
Rate for Payer: Qualcare PPO/HMO/WC	$158.44

DRILL BIT DARCO 2.8MM

Facility

$695.00

Hospital Charge Code	270686744
Hospital Revenue Code	272
Min. Negotiated Rate	$90.35
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$208.50
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.35
Rate for Payer: Oxford Commercial	$347.50
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$347.50

Know your out-of-pocket cost for care.

All Charges