Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT DR FLUTED 3.2mm L 604151

Facility

$81.00

Hospital Charge Code	270604151
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.2mm XLG

Facility

$121.00

Hospital Charge Code	270604472
Hospital Revenue Code	279
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

BIT DR FLUTED 3.2mm XLG

Facility

$121.00

Hospital Charge Code	270604472
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm 604152

Facility

$121.00

Hospital Charge Code	270604152
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm 604152

Facility

$121.00

Hospital Charge Code	270604152
Hospital Revenue Code	279
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

BIT DR FLUTED 3.5mm 604473***

Facility

$81.00

Hospital Charge Code	270604473
Hospital Revenue Code	279
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$24.30
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.53
Rate for Payer: Oxford Commercial	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$40.50

BIT DR FLUTED 3.5mm 604473***

Facility

$81.00

Hospital Charge Code	270604473
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.5mm L 604153

Facility

$121.00

Hospital Charge Code	270604153
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm L 604153

Facility

$121.00

Hospital Charge Code	270604153
Hospital Revenue Code	279
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

BIT DR FLUTED 3.5mm XLG****

Facility

$121.00

Hospital Charge Code	270604474
Hospital Revenue Code	279
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$36.30
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Oxford Commercial	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$60.50

BIT DR FLUTED 3.5mm XLG****

Facility

$121.00

Hospital Charge Code	270604474
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DRIL 2.0mx110m JLAT317.855

Facility

$515.90

Hospital Charge Code	270635599
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRIL 2.0mx110m JLAT317.855

Facility

$515.90

Hospital Charge Code	270635599
Hospital Revenue Code	272
Min. Negotiated Rate	$67.07
Max. Negotiated Rate	$257.95
Rate for Payer: Aetna Commercial	$154.77
Rate for Payer: Aetna Medicare Advantage	$154.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.55
Rate for Payer: Cigna Commercial	$257.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.07
Rate for Payer: Oxford Commercial	$257.95
Rate for Payer: Qualcare PPO/HMO/WC	$77.39
Rate for Payer: UnitedHealthcare Commercial	$257.95

BIT DRIL 2.5mX230m LONG 700355

Facility

$965.00

Hospital Charge Code	270640121
Hospital Revenue Code	272
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

BIT DRIL 2.5mX230m LONG 700355

Facility

$965.00

Hospital Charge Code	270640121
Hospital Revenue Code	272
Min. Negotiated Rate	$125.45
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$289.50
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.45
Rate for Payer: Oxford Commercial	$482.50
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$482.50

BIT DRILL

Facility

$260.00

Hospital Charge Code	270656827
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

BIT DRILL

Facility

$260.00

Hospital Charge Code	270656827
Hospital Revenue Code	270
Min. Negotiated Rate	$33.80
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$130.00

BIT DRILL 10.0mm 190mm QC

Facility

$2,694.50

Hospital Charge Code	270650161
Hospital Revenue Code	272
Min. Negotiated Rate	$350.29
Max. Negotiated Rate	$1,347.25
Rate for Payer: Aetna Commercial	$808.35
Rate for Payer: Aetna Medicare Advantage	$808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$687.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$687.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$687.10
Rate for Payer: Cigna Commercial	$1,347.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.29
Rate for Payer: Oxford Commercial	$1,347.25
Rate for Payer: Qualcare PPO/HMO/WC	$404.18
Rate for Payer: UnitedHealthcare Commercial	$1,347.25

BIT DRILL 10.0mm 190mm QC

Facility

$2,694.50

Hospital Charge Code	270650161
Hospital Revenue Code	272
Min. Negotiated Rate	$404.18
Max. Negotiated Rate	$404.18
Rate for Payer: Qualcare PPO/HMO/WC	$404.18

BIT DRILL 10.0MM 190MM QC LRG

Facility

$2,562.05

Hospital Charge Code	270680673
Hospital Revenue Code	272
Min. Negotiated Rate	$384.31
Max. Negotiated Rate	$384.31
Rate for Payer: Qualcare PPO/HMO/WC	$384.31

BIT DRILL 10.0MM 190MM QC LRG

Facility

$2,562.05

Hospital Charge Code	270680673
Hospital Revenue Code	272
Min. Negotiated Rate	$333.07
Max. Negotiated Rate	$1,281.03
Rate for Payer: Aetna Commercial	$768.62
Rate for Payer: Aetna Medicare Advantage	$768.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.32
Rate for Payer: Cigna Commercial	$1,281.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.07
Rate for Payer: Oxford Commercial	$1,281.03
Rate for Payer: Qualcare PPO/HMO/WC	$384.31
Rate for Payer: UnitedHealthcare Commercial	$1,281.03

BIT DRILL 1.0x22 60-10122

Facility

$750.00

Hospital Charge Code	270648759
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIT DRILL 1.0x22 60-10122

Facility

$750.00

Hospital Charge Code	270648759
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

BIT DRILL 11MM TRI FLAT ZEPHIR

Facility

$1,400.00

Hospital Charge Code	270654836
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$420.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

BIT DRILL 11MM TRI FLAT ZEPHIR

Facility

$1,400.00

Hospital Charge Code	270654836
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

Know your out-of-pocket cost for care.

All Charges