Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
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 PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

DRILL BIT PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$222.95
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$514.50
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.95
Rate for Payer: Oxford Commercial	$857.50
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$857.50

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$118.95
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$274.50
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.95
Rate for Payer: Oxford Commercial	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$457.50

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

DRILL BIT QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
Hospital Revenue Code	272
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

DRILL BIT QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
Hospital Revenue Code	272
Min. Negotiated Rate	$39.97
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$92.23
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.97
Rate for Payer: Oxford Commercial	$153.72
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$153.72

DRILL BIT QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

DRILL BIT QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$74.06
Max. Negotiated Rate	$284.85
Rate for Payer: Aetna Commercial	$170.91
Rate for Payer: Aetna Medicare Advantage	$170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.27
Rate for Payer: Cigna Commercial	$284.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.06
Rate for Payer: Oxford Commercial	$284.85
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$284.85

DRILL BIT QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
Hospital Revenue Code	272
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

DRILL BIT QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
Hospital Revenue Code	272
Min. Negotiated Rate	$39.97
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$92.23
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.97
Rate for Payer: Oxford Commercial	$153.72
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$153.72

DRILL BIT QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
Hospital Revenue Code	272
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.50

DRILL BIT QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$69.10
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$159.47
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.10
Rate for Payer: Oxford Commercial	$265.77
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$265.77

DRILL BIT QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$79.73
Rate for Payer: Qualcare PPO/HMO/WC	$79.73

DRILL BIT QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
Hospital Revenue Code	272
Min. Negotiated Rate	$41.16
Max. Negotiated Rate	$158.32
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.75
Rate for Payer: Cigna Commercial	$158.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.16
Rate for Payer: Oxford Commercial	$158.32
Rate for Payer: Qualcare PPO/HMO/WC	$47.50
Rate for Payer: UnitedHealthcare Commercial	$158.32

DRILL BIT QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$119.85

DRILL BIT QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$103.87
Max. Negotiated Rate	$399.50
Rate for Payer: Aetna Commercial	$239.70
Rate for Payer: Aetna Medicare Advantage	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.75
Rate for Payer: Cigna Commercial	$399.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.87
Rate for Payer: Oxford Commercial	$399.50
Rate for Payer: Qualcare PPO/HMO/WC	$119.85
Rate for Payer: UnitedHealthcare Commercial	$399.50

DRILL BIT Q-C 2.0MMX100MM

Facility

$455.00

Hospital Charge Code	270697190
Hospital Revenue Code	272
Min. Negotiated Rate	$59.15
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$136.50
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.15
Rate for Payer: Oxford Commercial	$227.50
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Commercial	$227.50

DRILL BIT Q-C 2.0MMX100MM

Facility

$455.00

Hospital Charge Code	270697190
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$68.25
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

DRILL BIT QC 2.0x100 480610020

Facility

$261.80

Hospital Charge Code	270632813
Hospital Revenue Code	272
Min. Negotiated Rate	$34.03
Max. Negotiated Rate	$130.90
Rate for Payer: Aetna Commercial	$78.54
Rate for Payer: Aetna Medicare Advantage	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.76
Rate for Payer: Cigna Commercial	$130.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.03
Rate for Payer: Oxford Commercial	$130.90
Rate for Payer: Qualcare PPO/HMO/WC	$39.27
Rate for Payer: UnitedHealthcare Commercial	$130.90

DRILL BIT QC 2.0x100 480610020

Facility

$261.80

Hospital Charge Code	270632813
Hospital Revenue Code	272
Min. Negotiated Rate	$39.27
Max. Negotiated Rate	$39.27
Rate for Payer: Qualcare PPO/HMO/WC	$39.27

DRILL BIT QC 2.0x100mm

Facility

$534.55

Hospital Charge Code	270650975
Hospital Revenue Code	272
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$80.18
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

DRILL BIT QC 2.0x100mm

Facility

$534.55

Hospital Charge Code	270650975
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$160.37
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.49
Rate for Payer: Oxford Commercial	$267.27
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Commercial	$267.27

DRILL BIT QC 2.0x125MM

Facility

$356.50

Hospital Charge Code	270604120
Hospital Revenue Code	272
Min. Negotiated Rate	$46.34
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$106.95
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.34
Rate for Payer: Oxford Commercial	$178.25
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$178.25

DRILL BIT QC 2.0x125MM

Facility

$356.50

Hospital Charge Code	270604120
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

Know your out-of-pocket cost for care.

All Charges