Heights University Hospital

All Charges

Charge

Type

Setting

Price

REAMER SHAFT, MOD.TRINKLE

Facility

$3,315.00

Hospital Charge Code	270656546
Hospital Revenue Code	272
Min. Negotiated Rate	$497.25
Max. Negotiated Rate	$497.25
Rate for Payer: Qualcare PPO/HMO/WC	$497.25

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$397.81
Max. Negotiated Rate	$397.81
Rate for Payer: Qualcare PPO/HMO/WC	$397.81

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$344.77
Max. Negotiated Rate	$1,326.05
Rate for Payer: Aetna Commercial	$795.63
Rate for Payer: Aetna Medicare Advantage	$795.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.29
Rate for Payer: Cigna Commercial	$1,326.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.77
Rate for Payer: Oxford Commercial	$1,326.05
Rate for Payer: Qualcare PPO/HMO/WC	$397.81
Rate for Payer: UnitedHealthcare Commercial	$1,326.05

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
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 STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$648.00
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.80
Rate for Payer: Oxford Commercial	$1,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$1,080.00

REAMER STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$795.00
Rate for Payer: Aetna Commercial	$477.00
Rate for Payer: Aetna Medicare Advantage	$477.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405.45
Rate for Payer: Cigna Commercial	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$384.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$1,018.07
Max. Negotiated Rate	$1,018.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$882.32
Max. Negotiated Rate	$3,393.55
Rate for Payer: Aetna Commercial	$2,036.13
Rate for Payer: Aetna Medicare Advantage	$2,036.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,730.71
Rate for Payer: Cigna Commercial	$3,393.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$882.32
Rate for Payer: Oxford Commercial	$3,393.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07
Rate for Payer: UnitedHealthcare Commercial	$3,393.55

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$156.60
Max. Negotiated Rate	$156.60
Rate for Payer: Qualcare PPO/HMO/WC	$156.60

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$135.72
Max. Negotiated Rate	$522.00
Rate for Payer: Aetna Commercial	$313.20
Rate for Payer: Aetna Medicare Advantage	$313.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.22
Rate for Payer: Cigna Commercial	$522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.72
Rate for Payer: Oxford Commercial	$522.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.60
Rate for Payer: UnitedHealthcare Commercial	$522.00

REAMER ZIM MAGNA 2.7 1142-1127

Facility

$1,060.85

Hospital Charge Code	270613428
Hospital Revenue Code	272
Min. Negotiated Rate	$137.91
Max. Negotiated Rate	$530.42
Rate for Payer: Aetna Commercial	$318.25
Rate for Payer: Aetna Medicare Advantage	$318.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.52
Rate for Payer: Cigna Commercial	$530.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.91
Rate for Payer: Oxford Commercial	$530.42
Rate for Payer: Qualcare PPO/HMO/WC	$159.13
Rate for Payer: UnitedHealthcare Commercial	$530.42

REAMER ZIM MAGNA 2.7 1142-1127

Facility

$1,060.85

Hospital Charge Code	270613428
Hospital Revenue Code	272
Min. Negotiated Rate	$159.13
Max. Negotiated Rate	$159.13
Rate for Payer: Qualcare PPO/HMO/WC	$159.13

REAMER ZIM MAGNA 5.0 1146-20

Facility

$2,278.45

Hospital Charge Code	270605979
Hospital Revenue Code	272
Min. Negotiated Rate	$341.77
Max. Negotiated Rate	$341.77
Rate for Payer: Qualcare PPO/HMO/WC	$341.77

REAMER ZIM MAGNA 5.0 1146-20

Facility

$2,278.45

Hospital Charge Code	270605979
Hospital Revenue Code	272
Min. Negotiated Rate	$296.20
Max. Negotiated Rate	$1,139.22
Rate for Payer: Aetna Commercial	$683.53
Rate for Payer: Aetna Medicare Advantage	$683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.00
Rate for Payer: Cigna Commercial	$1,139.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.20
Rate for Payer: Oxford Commercial	$1,139.22
Rate for Payer: Qualcare PPO/HMO/WC	$341.77
Rate for Payer: UnitedHealthcare Commercial	$1,139.22

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$14,097.46
Rate for Payer: Aetna Better Health Medicaid	$7,710.51
Rate for Payer: Aetna Commercial	$10,464.96
Rate for Payer: Aetna Medicare Advantage	$10,464.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,895.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,895.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,895.22
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,534.82
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48
Rate for Payer: UnitedHealthcare Commercial	$8,580.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,864.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7,710.51

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$5,232.48
Max. Negotiated Rate	$5,232.48
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$224.10
Max. Negotiated Rate	$224.10
Rate for Payer: Qualcare PPO/HMO/WC	$224.10

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$194.22
Max. Negotiated Rate	$747.00
Rate for Payer: Aetna Commercial	$448.20
Rate for Payer: Aetna Medicare Advantage	$448.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.97
Rate for Payer: Cigna Commercial	$747.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.22
Rate for Payer: Oxford Commercial	$747.00
Rate for Payer: Qualcare PPO/HMO/WC	$224.10
Rate for Payer: UnitedHealthcare Commercial	$747.00

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$172.64
Max. Negotiated Rate	$664.00
Rate for Payer: Aetna Commercial	$398.40
Rate for Payer: Aetna Medicare Advantage	$398.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.64
Rate for Payer: Cigna Commercial	$664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.64
Rate for Payer: Oxford Commercial	$664.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.20
Rate for Payer: UnitedHealthcare Commercial	$664.00

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$199.20
Max. Negotiated Rate	$199.20
Rate for Payer: Qualcare PPO/HMO/WC	$199.20

Know your out-of-pocket cost for care.

All Charges