Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$42.20
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$97.39
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.20
Rate for Payer: Oxford Commercial	$162.32
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$162.32

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$42.20
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$97.39
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.20
Rate for Payer: Oxford Commercial	$162.32
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$162.32

DRILL BIT MMI NVC

Facility

$250.00

Hospital Charge Code	270639823
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

DRILL BIT MMI NVC

Facility

$250.00

Hospital Charge Code	270639823
Hospital Revenue Code	272
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$125.00

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$144.07
Max. Negotiated Rate	$144.07
Rate for Payer: Qualcare PPO/HMO/WC	$144.07

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$124.86
Max. Negotiated Rate	$480.25
Rate for Payer: Aetna Commercial	$288.15
Rate for Payer: Aetna Medicare Advantage	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.93
Rate for Payer: Cigna Commercial	$480.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.86
Rate for Payer: Oxford Commercial	$480.25
Rate for Payer: Qualcare PPO/HMO/WC	$144.07
Rate for Payer: UnitedHealthcare Commercial	$480.25

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$145.35
Max. Negotiated Rate	$145.35
Rate for Payer: Qualcare PPO/HMO/WC	$145.35

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$125.97
Max. Negotiated Rate	$484.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.09
Rate for Payer: Cigna Commercial	$484.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.97
Rate for Payer: Oxford Commercial	$484.50
Rate for Payer: Qualcare PPO/HMO/WC	$145.35
Rate for Payer: UnitedHealthcare Commercial	$484.50

DRILL BIT OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
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

DRILL BIT OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

DRILL BIT PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$442.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,020.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.00
Rate for Payer: Oxford Commercial	$1,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00
Rate for Payer: UnitedHealthcare Commercial	$1,700.00

DRILL BIT PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$825.50
Max. Negotiated Rate	$3,175.00
Rate for Payer: Aetna Commercial	$1,905.00
Rate for Payer: Aetna Medicare Advantage	$1,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,619.25
Rate for Payer: Cigna Commercial	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.50
Rate for Payer: Oxford Commercial	$3,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$952.50
Rate for Payer: UnitedHealthcare Commercial	$3,175.00

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
Hospital Revenue Code	272
Min. Negotiated Rate	$825.50
Max. Negotiated Rate	$3,175.00
Rate for Payer: Aetna Commercial	$1,905.00
Rate for Payer: Aetna Medicare Advantage	$1,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,619.25
Rate for Payer: Cigna Commercial	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.50
Rate for Payer: Oxford Commercial	$3,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$952.50
Rate for Payer: UnitedHealthcare Commercial	$3,175.00

DRILL BIT PANTA2 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$574.60
Max. Negotiated Rate	$2,210.00
Rate for Payer: Aetna Commercial	$1,326.00
Rate for Payer: Aetna Medicare Advantage	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,127.10
Rate for Payer: Cigna Commercial	$2,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.60
Rate for Payer: Oxford Commercial	$2,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00
Rate for Payer: UnitedHealthcare Commercial	$2,210.00

DRILL BIT PANTA2 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$663.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.62

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$98.47
Max. Negotiated Rate	$378.73
Rate for Payer: Aetna Commercial	$227.24
Rate for Payer: Aetna Medicare Advantage	$227.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.15
Rate for Payer: Cigna Commercial	$378.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.47
Rate for Payer: Oxford Commercial	$378.73
Rate for Payer: Qualcare PPO/HMO/WC	$113.62
Rate for Payer: UnitedHealthcare Commercial	$378.73

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$103.64
Max. Negotiated Rate	$398.60
Rate for Payer: Aetna Commercial	$239.16
Rate for Payer: Aetna Medicare Advantage	$239.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.29
Rate for Payer: Cigna Commercial	$398.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.64
Rate for Payer: Oxford Commercial	$398.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.58
Rate for Payer: UnitedHealthcare Commercial	$398.60

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$119.58
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

DRILL BIT PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

Know your out-of-pocket cost for care.

All Charges