Heights University Hospital

All Charges

Charge

Type

Setting

Price

REAMER 12.2 ONE STEP 14442002

Facility

$2,800.00

Hospital Charge Code	270641742
Hospital Revenue Code	272
Min. Negotiated Rate	$364.00
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$1,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$1,400.00

REAMER 14 MM CORING COLLARED

Facility

$1,025.00

Hospital Charge Code	270688460
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

REAMER 14 MM CORING COLLARED

Facility

$1,025.00

Hospital Charge Code	270688460
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER 15MM

Facility

$975.00

Hospital Charge Code	270680646
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

REAMER 15MM

Facility

$975.00

Hospital Charge Code	270680646
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

REAMER ACORN 8mm 232404

Facility

$825.00

Hospital Charge Code	270638806
Hospital Revenue Code	272
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$247.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.25
Rate for Payer: Oxford Commercial	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$412.50

REAMER ACORN 8mm 232404

Facility

$825.00

Hospital Charge Code	270638806
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

REAMER ACORN 9mm 232406

Facility

$825.00

Hospital Charge Code	270636916
Hospital Revenue Code	272
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$247.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.25
Rate for Payer: Oxford Commercial	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$412.50

REAMER ACORN 9mm 232406

Facility

$825.00

Hospital Charge Code	270636916
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

REAMER BLADE

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270702528
Hospital Revenue Code	275
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

REAMER BLADE

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270702528
Hospital Revenue Code	275
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

REAMER BMT VHS COMBO 35-463108

Facility

$3,628.85

Hospital Charge Code	270614163
Hospital Revenue Code	272
Min. Negotiated Rate	$544.33
Max. Negotiated Rate	$544.33
Rate for Payer: Qualcare PPO/HMO/WC	$544.33

REAMER BMT VHS COMBO 35-463108

Facility

$3,628.85

Hospital Charge Code	270614163
Hospital Revenue Code	272
Min. Negotiated Rate	$471.75
Max. Negotiated Rate	$1,814.42
Rate for Payer: Aetna Commercial	$1,088.65
Rate for Payer: Aetna Medicare Advantage	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.36
Rate for Payer: Cigna Commercial	$1,814.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.75
Rate for Payer: Oxford Commercial	$1,814.42
Rate for Payer: Qualcare PPO/HMO/WC	$544.33
Rate for Payer: UnitedHealthcare Commercial	$1,814.42

REAMER CALIBRATED 2.7mm

Facility

$1,000.00

Hospital Charge Code	270663814
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

REAMER CALIBRATED 2.7mm

Facility

$1,000.00

Hospital Charge Code	270663814
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

REAMER CANN CORING 10MM

Facility

$1,025.00

Hospital Charge Code	270666956
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

REAMER CANN CORING 10MM

Facility

$1,025.00

Hospital Charge Code	270666956
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CANN CORING 9MM

Facility

$1,025.00

Service Code	HCPCS A4649
Hospital Charge Code	270675522
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CANN CORING 9MM

Facility

$1,025.00

Service Code	HCPCS A4649
Hospital Charge Code	270675522
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.25
Rate for Payer: Oxford Commercial	$512.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$512.50

REAMER CANN DISTAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677394
Hospital Revenue Code	272
Min. Negotiated Rate	$214.65
Max. Negotiated Rate	$214.65
Rate for Payer: Qualcare PPO/HMO/WC	$214.65

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679819
Hospital Revenue Code	272
Min. Negotiated Rate	$191.61
Max. Negotiated Rate	$736.98
Rate for Payer: Aetna Commercial	$442.19
Rate for Payer: Aetna Medicare Advantage	$442.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.86
Rate for Payer: Cigna Commercial	$736.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.61
Rate for Payer: Oxford Commercial	$736.98
Rate for Payer: Qualcare PPO/HMO/WC	$221.09
Rate for Payer: UnitedHealthcare Commercial	$736.98

REAMER CANN DISTAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677394
Hospital Revenue Code	272
Min. Negotiated Rate	$186.03
Max. Negotiated Rate	$715.50
Rate for Payer: Aetna Commercial	$429.30
Rate for Payer: Aetna Medicare Advantage	$429.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.90
Rate for Payer: Cigna Commercial	$715.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.03
Rate for Payer: Oxford Commercial	$715.50
Rate for Payer: Qualcare PPO/HMO/WC	$214.65
Rate for Payer: UnitedHealthcare Commercial	$715.50

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679797
Hospital Revenue Code	272
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$221.09
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679797
Hospital Revenue Code	272
Min. Negotiated Rate	$191.61
Max. Negotiated Rate	$736.98
Rate for Payer: Aetna Commercial	$442.19
Rate for Payer: Aetna Medicare Advantage	$442.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.86
Rate for Payer: Cigna Commercial	$736.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.61
Rate for Payer: Oxford Commercial	$736.98
Rate for Payer: Qualcare PPO/HMO/WC	$221.09
Rate for Payer: UnitedHealthcare Commercial	$736.98

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679819
Hospital Revenue Code	272
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$221.09
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

Know your out-of-pocket cost for care.

All Charges