Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BMT TWIST IM 3.6 472366

Facility

$585.00

Hospital Charge Code	270610879
Hospital Revenue Code	272
Min. Negotiated Rate	$76.05
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$292.50
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$292.50

DRILL BMT TWIST IM 3.6 472366

Facility

$585.00

Hospital Charge Code	270610879
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$179.40
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$414.00
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.40
Rate for Payer: Oxford Commercial	$690.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$690.00

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$38.27
Max. Negotiated Rate	$147.18
Rate for Payer: Aetna Commercial	$88.31
Rate for Payer: Aetna Medicare Advantage	$88.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.06
Rate for Payer: Cigna Commercial	$147.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.27
Rate for Payer: Oxford Commercial	$147.18
Rate for Payer: Qualcare PPO/HMO/WC	$44.15
Rate for Payer: UnitedHealthcare Commercial	$147.18

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$44.15
Max. Negotiated Rate	$44.15
Rate for Payer: Qualcare PPO/HMO/WC	$44.15

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$43.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.79

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$145.97
Rate for Payer: Aetna Commercial	$87.58
Rate for Payer: Aetna Medicare Advantage	$87.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.44
Rate for Payer: Cigna Commercial	$145.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.95
Rate for Payer: Oxford Commercial	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$43.79
Rate for Payer: UnitedHealthcare Commercial	$145.97

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$140.40
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$324.00
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.40
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$540.00

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

DRILL CALIBERATE 4.3mm DC27961

Facility

$793.65

Hospital Charge Code	270635348
Hospital Revenue Code	272
Min. Negotiated Rate	$103.17
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$238.09
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.17
Rate for Payer: Oxford Commercial	$396.82
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Commercial	$396.82

DRILL CALIBERATE 4.3mm DC27961

Facility

$793.65

Hospital Charge Code	270635348
Hospital Revenue Code	272
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$119.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

DRILL CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
Hospital Revenue Code	272
Min. Negotiated Rate	$126.75
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$292.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.75
Rate for Payer: Oxford Commercial	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$487.50

DRILL CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$51.35
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$118.50
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.35
Rate for Payer: Oxford Commercial	$197.50
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$197.50

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$180.38
Max. Negotiated Rate	$180.38
Rate for Payer: Qualcare PPO/HMO/WC	$180.38

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$156.32
Max. Negotiated Rate	$601.25
Rate for Payer: Aetna Commercial	$360.75
Rate for Payer: Aetna Medicare Advantage	$360.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.64
Rate for Payer: Cigna Commercial	$601.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.32
Rate for Payer: Oxford Commercial	$601.25
Rate for Payer: Qualcare PPO/HMO/WC	$180.38
Rate for Payer: UnitedHealthcare Commercial	$601.25

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$145.60
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$560.00

DRILL CANN 3.5X70 8290-34-070

Facility

$1,900.00

Hospital Charge Code	270661696
Hospital Revenue Code	272
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

DRILL CANN 3.5X70 8290-34-070

Facility

$1,900.00

Hospital Charge Code	270661696
Hospital Revenue Code	272
Min. Negotiated Rate	$247.00
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.00
Rate for Payer: Oxford Commercial	$950.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Commercial	$950.00

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$196.95
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$454.50
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.95
Rate for Payer: Oxford Commercial	$757.50
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Commercial	$757.50

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

DRILL CANNLUATED DIAMETER 9MM

Facility

$1,058.75

Hospital Charge Code	270666237
Hospital Revenue Code	272
Min. Negotiated Rate	$158.81
Max. Negotiated Rate	$158.81
Rate for Payer: Qualcare PPO/HMO/WC	$158.81

Know your out-of-pocket cost for care.

All Charges