Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL CANNLUATED DIAMETER 9MM

Facility

$1,058.75

Hospital Charge Code	270666237
Hospital Revenue Code	272
Min. Negotiated Rate	$137.64
Max. Negotiated Rate	$529.38
Rate for Payer: Aetna Commercial	$317.62
Rate for Payer: Aetna Medicare Advantage	$317.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.98
Rate for Payer: Cigna Commercial	$529.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.64
Rate for Payer: Oxford Commercial	$529.38
Rate for Payer: Qualcare PPO/HMO/WC	$158.81
Rate for Payer: UnitedHealthcare Commercial	$529.38

DRILL CANN TWIST 1.8 L87MM

Facility

$2,340.00

Hospital Charge Code	270675316
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

DRILL CANN TWIST 1.8 L87MM

Facility

$2,340.00

Hospital Charge Code	270675316
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$702.00
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$1,170.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$1,170.00

DRILL CANNULA 12 MM 270 MM

Facility

$2,256.00

Hospital Charge Code	270688272
Hospital Revenue Code	272
Min. Negotiated Rate	$338.40
Max. Negotiated Rate	$338.40
Rate for Payer: Qualcare PPO/HMO/WC	$338.40

DRILL CANNULA 12 MM 270 MM

Facility

$2,256.00

Hospital Charge Code	270688272
Hospital Revenue Code	272
Min. Negotiated Rate	$293.28
Max. Negotiated Rate	$1,128.00
Rate for Payer: Aetna Commercial	$676.80
Rate for Payer: Aetna Medicare Advantage	$676.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.28
Rate for Payer: Cigna Commercial	$1,128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.28
Rate for Payer: Oxford Commercial	$1,128.00
Rate for Payer: Qualcare PPO/HMO/WC	$338.40
Rate for Payer: UnitedHealthcare Commercial	$1,128.00

DRILL CANNULATED 10mm

Facility

$840.00

Hospital Charge Code	270601371
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL CANNULATED 10mm

Facility

$840.00

Hospital Charge Code	270601371
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 CANNULATED 10 MM

Facility

$975.00

Hospital Charge Code	270688625
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 CANNULATED 10 MM

Facility

$975.00

Hospital Charge Code	270688625
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL CANNULATED 11mm AR1217L

Facility

$840.00

Hospital Charge Code	270601373
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 CANNULATED 11mm AR1217L

Facility

$840.00

Hospital Charge Code	270601373
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL CANNULATED 1.7MM

Facility

$1,775.00

Hospital Charge Code	270662574
Hospital Revenue Code	272
Min. Negotiated Rate	$230.75
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$532.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.75
Rate for Payer: Oxford Commercial	$887.50
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Commercial	$887.50

DRILL CANNULATED 1.7MM

Facility

$1,775.00

Hospital Charge Code	270662574
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

DRILL CANNULATED 1.7MM LONG

Facility

$1,675.00

Hospital Charge Code	270677348
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

DRILL CANNULATED 1.7MM LONG

Facility

$1,675.00

Hospital Charge Code	270677348
Hospital Revenue Code	272
Min. Negotiated Rate	$217.75
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$502.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.75
Rate for Payer: Oxford Commercial	$837.50
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$837.50

DRILL CANNULATED 2.3MM

Facility

$695.00

Hospital Charge Code	270674310
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 CANNULATED 2.3MM

Facility

$695.00

Hospital Charge Code	270674310
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

DRILL CANNULATED 2.7

Facility

$2,145.00

Hospital Charge Code	270690804
Hospital Revenue Code	272
Min. Negotiated Rate	$278.85
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$643.50
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.85
Rate for Payer: Oxford Commercial	$1,072.50
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$1,072.50

DRILL CANNULATED 2.7

Facility

$2,145.00

Hospital Charge Code	270690804
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

DRILL CANNULATED 2.9 X 140 MM

Facility

$1,550.00

Hospital Charge Code	270690332
Hospital Revenue Code	272
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

DRILL CANNULATED 2.9 X 140 MM

Facility

$1,550.00

Hospital Charge Code	270690332
Hospital Revenue Code	272
Min. Negotiated Rate	$201.50
Max. Negotiated Rate	$775.00
Rate for Payer: Aetna Commercial	$465.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$775.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$775.00

DRILL CANNULATED 3.2MM

Facility

$840.00

Hospital Charge Code	270656782
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 CANNULATED 3.2MM

Facility

$840.00

Hospital Charge Code	270656782
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL CANNULATED 3.2x150mm

Facility

$1,125.00

Hospital Charge Code	270680222
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

DRILL CANNULATED 3.2x150mm

Facility

$1,125.00

Hospital Charge Code	270680222
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

Know your out-of-pocket cost for care.

All Charges