Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT QC 3.5x110 480611035

Facility

$249.75

Hospital Charge Code	270632094
Hospital Revenue Code	272
Min. Negotiated Rate	$37.46
Max. Negotiated Rate	$37.46
Rate for Payer: Qualcare PPO/HMO/WC	$37.46

DRILL BIT QC 3.5x110MM

Facility

$337.40

Hospital Charge Code	270601915
Hospital Revenue Code	272
Min. Negotiated Rate	$43.86
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$101.22
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.86
Rate for Payer: Oxford Commercial	$168.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Commercial	$168.70

DRILL BIT QC 3.5x110MM

Facility

$337.40

Hospital Charge Code	270601915
Hospital Revenue Code	272
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$50.61
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

DRILL BIT QC 3.5x110MM STER

Facility

$550.60

Hospital Charge Code	270678039
Hospital Revenue Code	272
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$82.59
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

DRILL BIT QC 3.5x110MM STER

Facility

$550.60

Hospital Charge Code	270678039
Hospital Revenue Code	272
Min. Negotiated Rate	$71.58
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$165.18
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.58
Rate for Payer: Oxford Commercial	$275.30
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Commercial	$275.30

DRILL BIT QC 3.5x195MM

Facility

$356.50

Hospital Charge Code	270604124
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

DRILL BIT QC 3.5x195MM

Facility

$356.50

Hospital Charge Code	270604124
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 4.3x180MM

Facility

$522.20

Hospital Charge Code	270637798
Hospital Revenue Code	272
Min. Negotiated Rate	$78.33
Max. Negotiated Rate	$78.33
Rate for Payer: Qualcare PPO/HMO/WC	$78.33

DRILL BIT QC 4.3x180MM

Facility

$522.20

Hospital Charge Code	270637798
Hospital Revenue Code	272
Min. Negotiated Rate	$67.89
Max. Negotiated Rate	$261.10
Rate for Payer: Aetna Commercial	$156.66
Rate for Payer: Aetna Medicare Advantage	$156.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.16
Rate for Payer: Cigna Commercial	$261.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.89
Rate for Payer: Oxford Commercial	$261.10
Rate for Payer: Qualcare PPO/HMO/WC	$78.33
Rate for Payer: UnitedHealthcare Commercial	$261.10

DRILL BIT QC 4.5X145MM 310.44

Facility

$271.25

Hospital Charge Code	270619719
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

DRILL BIT QC 4.5X145MM 310.44

Facility

$271.25

Hospital Charge Code	270619719
Hospital Revenue Code	272
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$135.62
Rate for Payer: Aetna Commercial	$81.38
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.26
Rate for Payer: Oxford Commercial	$135.62
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$135.62

DRILL BIT QC 4.5x145MM STER

Facility

$526.50

Hospital Charge Code	270681478
Hospital Revenue Code	272
Min. Negotiated Rate	$78.97
Max. Negotiated Rate	$78.97
Rate for Payer: Qualcare PPO/HMO/WC	$78.97

DRILL BIT QC 4.5x145MM STER

Facility

$526.50

Hospital Charge Code	270681478
Hospital Revenue Code	272
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$263.25
Rate for Payer: Aetna Commercial	$157.95
Rate for Payer: Aetna Medicare Advantage	$157.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.26
Rate for Payer: Cigna Commercial	$263.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.44
Rate for Payer: Oxford Commercial	$263.25
Rate for Payer: Qualcare PPO/HMO/WC	$78.97
Rate for Payer: UnitedHealthcare Commercial	$263.25

DRILL BIT QC CALIBR 3.2X300MM

Facility

$2,495.00

Hospital Charge Code	270699499
Hospital Revenue Code	272
Min. Negotiated Rate	$324.35
Max. Negotiated Rate	$1,247.50
Rate for Payer: Aetna Commercial	$748.50
Rate for Payer: Aetna Medicare Advantage	$748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.23
Rate for Payer: Cigna Commercial	$1,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.35
Rate for Payer: Oxford Commercial	$1,247.50
Rate for Payer: Qualcare PPO/HMO/WC	$374.25
Rate for Payer: UnitedHealthcare Commercial	$1,247.50

DRILL BIT QC CALIBR 3.2X300MM

Facility

$2,495.00

Hospital Charge Code	270699499
Hospital Revenue Code	272
Min. Negotiated Rate	$374.25
Max. Negotiated Rate	$374.25
Rate for Payer: Qualcare PPO/HMO/WC	$374.25

DRILL BIT QC CANNULAT 1.6X95MM

Facility

$2,139.50

Service Code	HCPCS A4649
Hospital Charge Code	270697772
Hospital Revenue Code	272
Min. Negotiated Rate	$320.93
Max. Negotiated Rate	$320.93
Rate for Payer: Qualcare PPO/HMO/WC	$320.93

DRILL BIT QC CANNULAT 1.6X95MM

Facility

$2,139.50

Service Code	HCPCS A4649
Hospital Charge Code	270697772
Hospital Revenue Code	272
Min. Negotiated Rate	$278.13
Max. Negotiated Rate	$1,069.75
Rate for Payer: Aetna Commercial	$641.85
Rate for Payer: Aetna Medicare Advantage	$641.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$545.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$545.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$545.57
Rate for Payer: Cigna Commercial	$1,069.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.13
Rate for Payer: Oxford Commercial	$1,069.75
Rate for Payer: Qualcare PPO/HMO/WC	$320.93
Rate for Payer: UnitedHealthcare Commercial	$1,069.75

DRILL BIT QC GOLD 2.5x110MM

Facility

$316.65

Hospital Charge Code	270601914
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 GOLD 2.5x110MM

Facility

$316.65

Hospital Charge Code	270601914
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 GOLD 2.5x180MM

Facility

$356.50

Hospital Charge Code	270604439
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 GOLD 2.5x180MM

Facility

$356.50

Hospital Charge Code	270604439
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

DRILL BIT QC ORANGE 2x125MM

Facility

$324.00

Hospital Charge Code	270675735
Hospital Revenue Code	272
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

DRILL BIT QC ORANGE 2x125MM

Facility

$324.00

Hospital Charge Code	270675735
Hospital Revenue Code	272
Min. Negotiated Rate	$42.12
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$97.20
Rate for Payer: Aetna Medicare Advantage	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.12
Rate for Payer: Oxford Commercial	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$162.00

DRILL BIT QC PURPLE 1.7x100MM

Facility

$1,806.00

Hospital Charge Code	270676409
Hospital Revenue Code	272
Min. Negotiated Rate	$270.90
Max. Negotiated Rate	$270.90
Rate for Payer: Qualcare PPO/HMO/WC	$270.90

DRILL BIT QC PURPLE 1.7x100MM

Facility

$1,806.00

Hospital Charge Code	270676409
Hospital Revenue Code	272
Min. Negotiated Rate	$234.78
Max. Negotiated Rate	$903.00
Rate for Payer: Aetna Commercial	$541.80
Rate for Payer: Aetna Medicare Advantage	$541.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.53
Rate for Payer: Cigna Commercial	$903.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.78
Rate for Payer: Oxford Commercial	$903.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.90
Rate for Payer: UnitedHealthcare Commercial	$903.00

Know your out-of-pocket cost for care.

All Charges