Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$345.64
Max. Negotiated Rate	$345.64
Rate for Payer: Qualcare PPO/HMO/WC	$345.64

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$299.55
Max. Negotiated Rate	$1,152.12
Rate for Payer: Aetna Commercial	$691.27
Rate for Payer: Aetna Medicare Advantage	$691.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$587.58
Rate for Payer: Cigna Commercial	$1,152.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.55
Rate for Payer: Oxford Commercial	$1,152.12
Rate for Payer: Qualcare PPO/HMO/WC	$345.64
Rate for Payer: UnitedHealthcare Commercial	$1,152.12

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$54.99
Max. Negotiated Rate	$211.50
Rate for Payer: Aetna Commercial	$126.90
Rate for Payer: Aetna Medicare Advantage	$126.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.86
Rate for Payer: Cigna Commercial	$211.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.99
Rate for Payer: Oxford Commercial	$211.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.45
Rate for Payer: UnitedHealthcare Commercial	$211.50

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$63.45
Max. Negotiated Rate	$63.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.45

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$367.63
Max. Negotiated Rate	$367.63
Rate for Payer: Qualcare PPO/HMO/WC	$367.63

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$318.61
Max. Negotiated Rate	$1,225.42
Rate for Payer: Aetna Commercial	$735.25
Rate for Payer: Aetna Medicare Advantage	$735.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.97
Rate for Payer: Cigna Commercial	$1,225.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.61
Rate for Payer: Oxford Commercial	$1,225.42
Rate for Payer: Qualcare PPO/HMO/WC	$367.63
Rate for Payer: UnitedHealthcare Commercial	$1,225.42

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$812.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$1,875.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$812.50
Rate for Payer: Oxford Commercial	$3,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$3,125.00

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$256.75
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.75
Rate for Payer: Oxford Commercial	$987.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$987.50

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$256.75
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.75
Rate for Payer: Oxford Commercial	$987.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$987.50

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$91.19
Max. Negotiated Rate	$91.19
Rate for Payer: Qualcare PPO/HMO/WC	$91.19

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$79.03
Max. Negotiated Rate	$303.95
Rate for Payer: Aetna Commercial	$182.37
Rate for Payer: Aetna Medicare Advantage	$182.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.01
Rate for Payer: Cigna Commercial	$303.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: Oxford Commercial	$303.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.19
Rate for Payer: UnitedHealthcare Commercial	$303.95

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$239.40
Max. Negotiated Rate	$239.40
Rate for Payer: Qualcare PPO/HMO/WC	$239.40

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$207.48
Max. Negotiated Rate	$798.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$478.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.98
Rate for Payer: Cigna Commercial	$798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.48
Rate for Payer: Oxford Commercial	$798.00
Rate for Payer: Qualcare PPO/HMO/WC	$239.40
Rate for Payer: UnitedHealthcare Commercial	$798.00

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$185.40
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$134.55
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$310.50
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.55
Rate for Payer: Oxford Commercial	$517.50
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$517.50

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$200.85
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$463.50
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.85
Rate for Payer: Oxford Commercial	$772.50
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Commercial	$772.50

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

Know your out-of-pocket cost for care.

All Charges