Heights University Hospital

All Charges

Charge

Type

Setting

Price

DRILL FIXED 12MM

Facility

$1,041.25

Hospital Charge Code	270663785
Hospital Revenue Code	272
Min. Negotiated Rate	$135.36
Max. Negotiated Rate	$520.62
Rate for Payer: Aetna Commercial	$312.38
Rate for Payer: Aetna Medicare Advantage	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.52
Rate for Payer: Cigna Commercial	$520.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.36
Rate for Payer: Oxford Commercial	$520.62
Rate for Payer: Qualcare PPO/HMO/WC	$156.19
Rate for Payer: UnitedHealthcare Commercial	$520.62

DRILL FIXED 12MM

Facility

$1,041.25

Hospital Charge Code	270663785
Hospital Revenue Code	272
Min. Negotiated Rate	$156.19
Max. Negotiated Rate	$156.19
Rate for Payer: Qualcare PPO/HMO/WC	$156.19

DRILL FLEX 1.6MM w/SHARP OBTUR

Facility

$525.00

Hospital Charge Code	270683556
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$157.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.25
Rate for Payer: Oxford Commercial	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$262.50

DRILL FLEX 1.6MM w/SHARP OBTUR

Facility

$525.00

Hospital Charge Code	270683556
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

DRILL FLUTED 10MM

Facility

$1,360.00

Hospital Charge Code	270637721
Hospital Revenue Code	272
Min. Negotiated Rate	$176.80
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$408.00
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.80
Rate for Payer: Oxford Commercial	$680.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Commercial	$680.00

DRILL FLUTED 10MM

Facility

$1,360.00

Hospital Charge Code	270637721
Hospital Revenue Code	272
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

DRILL FOR 2.9MM PUSHLOCK

Facility

$475.00

Hospital Charge Code	270656511
Hospital Revenue Code	271
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.75
Rate for Payer: Oxford Commercial	$237.50
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$237.50

DRILL FOR 2.9MM PUSHLOCK

Facility

$475.00

Hospital Charge Code	270656511
Hospital Revenue Code	271
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL FOR CALCANEM SCREW 4.3MM

Facility

$924.00

Hospital Charge Code	270666232
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL FOR CALCANEM SCREW 4.3MM

Facility

$924.00

Hospital Charge Code	270666232
Hospital Revenue Code	272
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$277.20
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.12
Rate for Payer: Oxford Commercial	$462.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$462.00

DRILL GRADUATED 4.3 MM

Facility

$984.00

Hospital Charge Code	270682504
Hospital Revenue Code	272
Min. Negotiated Rate	$127.92
Max. Negotiated Rate	$492.00
Rate for Payer: Aetna Commercial	$295.20
Rate for Payer: Aetna Medicare Advantage	$295.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.92
Rate for Payer: Cigna Commercial	$492.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.92
Rate for Payer: Oxford Commercial	$492.00
Rate for Payer: Qualcare PPO/HMO/WC	$147.60
Rate for Payer: UnitedHealthcare Commercial	$492.00

DRILL GRADUATED 4.3 MM

Facility

$984.00

Hospital Charge Code	270682504
Hospital Revenue Code	272
Min. Negotiated Rate	$147.60
Max. Negotiated Rate	$147.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.60

DRILL GUIDE

Facility

$2,142.00

Hospital Charge Code	270671713
Hospital Revenue Code	272
Min. Negotiated Rate	$278.46
Max. Negotiated Rate	$1,071.00
Rate for Payer: Aetna Commercial	$642.60
Rate for Payer: Aetna Medicare Advantage	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.21
Rate for Payer: Cigna Commercial	$1,071.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.46
Rate for Payer: Oxford Commercial	$1,071.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.30
Rate for Payer: UnitedHealthcare Commercial	$1,071.00

DRILL GUIDE

Facility

$1,500.00

Hospital Charge Code	270681072
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$750.00

DRILL GUIDE

Facility

$2,404.05

Hospital Charge Code	270688226
Hospital Revenue Code	272
Min. Negotiated Rate	$360.61
Max. Negotiated Rate	$360.61
Rate for Payer: Qualcare PPO/HMO/WC	$360.61

DRILL GUIDE

Facility

$1,500.00

Hospital Charge Code	270681072
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

DRILL GUIDE

Facility

$2,142.00

Hospital Charge Code	270671713
Hospital Revenue Code	272
Min. Negotiated Rate	$321.30
Max. Negotiated Rate	$321.30
Rate for Payer: Qualcare PPO/HMO/WC	$321.30

DRILL GUIDE

Facility

$2,404.05

Hospital Charge Code	270688226
Hospital Revenue Code	272
Min. Negotiated Rate	$312.53
Max. Negotiated Rate	$1,202.03
Rate for Payer: Aetna Commercial	$721.22
Rate for Payer: Aetna Medicare Advantage	$721.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.03
Rate for Payer: Cigna Commercial	$1,202.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.53
Rate for Payer: Oxford Commercial	$1,202.03
Rate for Payer: Qualcare PPO/HMO/WC	$360.61
Rate for Payer: UnitedHealthcare Commercial	$1,202.03

DRILL GUIDE 1.8MM THREADED

Facility

$500.55

Hospital Charge Code	270688231
Hospital Revenue Code	272
Min. Negotiated Rate	$75.08
Max. Negotiated Rate	$75.08
Rate for Payer: Qualcare PPO/HMO/WC	$75.08

DRILL GUIDE 1.8MM THREADED

Facility

$500.55

Hospital Charge Code	270688231
Hospital Revenue Code	272
Min. Negotiated Rate	$65.07
Max. Negotiated Rate	$250.28
Rate for Payer: Aetna Commercial	$150.16
Rate for Payer: Aetna Medicare Advantage	$150.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.64
Rate for Payer: Cigna Commercial	$250.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.07
Rate for Payer: Oxford Commercial	$250.28
Rate for Payer: Qualcare PPO/HMO/WC	$75.08
Rate for Payer: UnitedHealthcare Commercial	$250.28

DRILL GUIDE 1.8mm W/MEASURING

Facility

$1,887.00

Hospital Charge Code	270645646
Hospital Revenue Code	272
Min. Negotiated Rate	$245.31
Max. Negotiated Rate	$943.50
Rate for Payer: Aetna Commercial	$566.10
Rate for Payer: Aetna Medicare Advantage	$566.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.19
Rate for Payer: Cigna Commercial	$943.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.31
Rate for Payer: Oxford Commercial	$943.50
Rate for Payer: Qualcare PPO/HMO/WC	$283.05
Rate for Payer: UnitedHealthcare Commercial	$943.50

DRILL GUIDE 1.8mm W/MEASURING

Facility

$1,887.00

Hospital Charge Code	270645646
Hospital Revenue Code	272
Min. Negotiated Rate	$283.05
Max. Negotiated Rate	$283.05
Rate for Payer: Qualcare PPO/HMO/WC	$283.05

DRILL GUIDE 2.0 UNIV VA LCKG

Facility

$2,666.65

Hospital Charge Code	270677659
Hospital Revenue Code	272
Min. Negotiated Rate	$400.00
Max. Negotiated Rate	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$400.00

DRILL GUIDE 2.0 UNIV VA LCKG

Facility

$2,666.65

Hospital Charge Code	270677659
Hospital Revenue Code	272
Min. Negotiated Rate	$346.66
Max. Negotiated Rate	$1,333.33
Rate for Payer: Aetna Commercial	$800.00
Rate for Payer: Aetna Medicare Advantage	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$680.00
Rate for Payer: Cigna Commercial	$1,333.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.66
Rate for Payer: Oxford Commercial	$1,333.33
Rate for Payer: Qualcare PPO/HMO/WC	$400.00
Rate for Payer: UnitedHealthcare Commercial	$1,333.33

DRILL GUIDE 2.8MM VA W/CONE

Facility

$2,450.35

Hospital Charge Code	270677606
Hospital Revenue Code	272
Min. Negotiated Rate	$318.55
Max. Negotiated Rate	$1,225.17
Rate for Payer: Aetna Commercial	$735.11
Rate for Payer: Aetna Medicare Advantage	$735.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.84
Rate for Payer: Cigna Commercial	$1,225.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.55
Rate for Payer: Oxford Commercial	$1,225.17
Rate for Payer: Qualcare PPO/HMO/WC	$367.55
Rate for Payer: UnitedHealthcare Commercial	$1,225.17

Know your out-of-pocket cost for care.

All Charges