Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL CANNULATED 3.5MM

Facility

$1,460.00

Hospital Charge Code	270698763
Hospital Revenue Code	272
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$219.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

DRILL CANNULATED 3.5MM

Facility

$1,460.00

Hospital Charge Code	270698763
Hospital Revenue Code	272
Min. Negotiated Rate	$189.80
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$438.00
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.80
Rate for Payer: Oxford Commercial	$730.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.00
Rate for Payer: UnitedHealthcare Commercial	$730.00

DRILL CANNULATED 4.0MM

Facility

$875.00

Service Code	HCPCS A4649
Hospital Charge Code	270697346
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL CANNULATED 4.0MM

Facility

$2,455.00

Hospital Charge Code	270668440
Hospital Revenue Code	278
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$594.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.11
Rate for Payer: Qualcare PPO/HMO/WC	$368.25

DRILL CANNULATED 4.0MM

Facility

$2,455.00

Hospital Charge Code	270668440
Hospital Revenue Code	278
Min. Negotiated Rate	$368.25
Max. Negotiated Rate	$1,227.50
Rate for Payer: Aetna Commercial	$736.50
Rate for Payer: Aetna Medicare Advantage	$736.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$491.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.02
Rate for Payer: Cigna Commercial	$1,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.11
Rate for Payer: Qualcare PPO/HMO/WC	$368.25

DRILL CANNULATED 4.0MM

Facility

$875.00

Service Code	HCPCS A4649
Hospital Charge Code	270697346
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

DRILL CANNULATED 4.5MM

Facility

$920.00

Hospital Charge Code	270655173
Hospital Revenue Code	272
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$460.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$460.00

DRILL CANNULATED 4.5MM

Facility

$920.00

Hospital Charge Code	270655173
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

DRILL CANNULATED 4MM

Facility

$920.00

Hospital Charge Code	270655174
Hospital Revenue Code	272
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$460.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$460.00

DRILL CANNULATED 4MM

Facility

$920.00

Hospital Charge Code	270655174
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

DRILL CANNULATED 5.0

Facility

$2,116.40

Hospital Charge Code	270690803
Hospital Revenue Code	272
Min. Negotiated Rate	$275.13
Max. Negotiated Rate	$1,058.20
Rate for Payer: Aetna Commercial	$634.92
Rate for Payer: Aetna Medicare Advantage	$634.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.68
Rate for Payer: Cigna Commercial	$1,058.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.13
Rate for Payer: Oxford Commercial	$1,058.20
Rate for Payer: Qualcare PPO/HMO/WC	$317.46
Rate for Payer: UnitedHealthcare Commercial	$1,058.20

DRILL CANNULATED 5.0

Facility

$2,116.40

Hospital Charge Code	270690803
Hospital Revenue Code	272
Min. Negotiated Rate	$317.46
Max. Negotiated Rate	$317.46
Rate for Payer: Qualcare PPO/HMO/WC	$317.46

DRILL CANNULATED 5.0MM

Facility

$1,740.00

Hospital Charge Code	270662004
Hospital Revenue Code	272
Min. Negotiated Rate	$226.20
Max. Negotiated Rate	$870.00
Rate for Payer: Aetna Commercial	$522.00
Rate for Payer: Aetna Medicare Advantage	$522.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.70
Rate for Payer: Cigna Commercial	$870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.20
Rate for Payer: Oxford Commercial	$870.00
Rate for Payer: Qualcare PPO/HMO/WC	$261.00
Rate for Payer: UnitedHealthcare Commercial	$870.00

DRILL CANNULATED 5.0MM

Facility

$1,740.00

Hospital Charge Code	270662004
Hospital Revenue Code	272
Min. Negotiated Rate	$261.00
Max. Negotiated Rate	$261.00
Rate for Payer: Qualcare PPO/HMO/WC	$261.00

DRILL CANNULATED 6.5 MM

Facility

$2,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270698643
Hospital Revenue Code	272
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$1,100.00

DRILL CANNULATED 6.5 MM

Facility

$2,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270698643
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL CANNULATED DIAMETER 7MM

Facility

$1,058.75

Hospital Charge Code	270666235
Hospital Revenue Code	272
Min. Negotiated Rate	$158.81
Max. Negotiated Rate	$158.81
Rate for Payer: Qualcare PPO/HMO/WC	$158.81

DRILL CANNULATED DIAMETER 7MM

Facility

$1,058.75

Hospital Charge Code	270666235
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 CANNULATED KIT 2.2mm

Facility

$750.00

Hospital Charge Code	270669881
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

DRILL CANNULATED KIT 2.2mm

Facility

$750.00

Hospital Charge Code	270669881
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL CANNULATED MAX VPC 2.4MM

Facility

$1,440.00

Hospital Charge Code	270689418
Hospital Revenue Code	272
Min. Negotiated Rate	$187.20
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$432.00
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$720.00

DRILL CANNULATED MAX VPC 2.4MM

Facility

$1,440.00

Hospital Charge Code	270689418
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

DRILL CANNULATED MICRO ASNIS 2

Facility

$1,170.00

Hospital Charge Code	270681125
Hospital Revenue Code	272
Min. Negotiated Rate	$152.10
Max. Negotiated Rate	$585.00
Rate for Payer: Aetna Commercial	$351.00
Rate for Payer: Aetna Medicare Advantage	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.35
Rate for Payer: Cigna Commercial	$585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.10
Rate for Payer: Oxford Commercial	$585.00
Rate for Payer: Qualcare PPO/HMO/WC	$175.50
Rate for Payer: UnitedHealthcare Commercial	$585.00

DRILL CANNULATED MICRO ASNIS 2

Facility

$1,170.00

Hospital Charge Code	270681125
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$175.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.50

DRILL CANULATED 4.4

Facility

$1,455.00

Hospital Charge Code	270683637
Hospital Revenue Code	272
Min. Negotiated Rate	$189.15
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$436.50
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.15
Rate for Payer: Oxford Commercial	$727.50
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$727.50

Know your out-of-pocket cost for care.

All Charges