Heights University Hospital

All Charges

Charge

Type

Setting

Price

REAMER CANN PROXIMAL 18MM

Facility

$1,473.95

Hospital Charge Code	270679796
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 PROXIMAL 18MM

Facility

$1,473.95

Hospital Charge Code	270679796
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 PROXIMAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677393
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 PROXIMAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677393
Hospital Revenue Code	272
Min. Negotiated Rate	$214.65
Max. Negotiated Rate	$214.65
Rate for Payer: Qualcare PPO/HMO/WC	$214.65

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
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

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
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

REAMER CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
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 CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
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 CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
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 CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$261.27
Max. Negotiated Rate	$1,004.90
Rate for Payer: Aetna Commercial	$602.94
Rate for Payer: Aetna Medicare Advantage	$602.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.50
Rate for Payer: Cigna Commercial	$1,004.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.27
Rate for Payer: Oxford Commercial	$1,004.90
Rate for Payer: Qualcare PPO/HMO/WC	$301.47
Rate for Payer: UnitedHealthcare Commercial	$1,004.90

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$301.47
Max. Negotiated Rate	$301.47
Rate for Payer: Qualcare PPO/HMO/WC	$301.47

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.00
Max. Negotiated Rate	$6,660.00
Rate for Payer: Aetna Commercial	$3,996.00
Rate for Payer: Aetna Medicare Advantage	$3,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,396.60
Rate for Payer: Cigna Commercial	$6,660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.00
Max. Negotiated Rate	$3,223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00

REAMER FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

REAMER FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEXIBLE DD -MONOBLOC 6

Facility

$5,508.20

Hospital Charge Code	270694987
Hospital Revenue Code	279
Min. Negotiated Rate	$826.23
Max. Negotiated Rate	$826.23
Rate for Payer: Qualcare PPO/HMO/WC	$826.23

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