Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT DRILL 1.5mm J-LATCH 125mm

Facility

$515.90

Hospital Charge Code	270635520
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 DRILL 1.5mm J-LATCH 125mm

Facility

$515.90

Hospital Charge Code	270635520
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRILL 1.5mm x110mm J-LATCH

Facility

$515.90

Hospital Charge Code	270628800
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 DRILL 1.5mm x110mm J-LATCH

Facility

$515.90

Hospital Charge Code	270628800
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRILL 1.8mm W/DEPTH GAUGE

Facility

$652.45

Hospital Charge Code	207661256
Hospital Revenue Code	270
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

BIT DRILL 1.8mm W/DEPTH GAUGE

Facility

$652.45

Hospital Charge Code	207661256
Hospital Revenue Code	270
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$195.74
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.82
Rate for Payer: Oxford Commercial	$326.23
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$326.23

BIT DRILL 1.8x75mm J-LATCH

Facility

$825.00

Hospital Charge Code	270639687
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

BIT DRILL 1.8x75mm J-LATCH

Facility

$825.00

Hospital Charge Code	270639687
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

BIT DRILL 2.0

Facility

$990.00

Hospital Charge Code	270662555
Hospital Revenue Code	270
Min. Negotiated Rate	$128.70
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$297.00
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Commercial	$495.00

BIT DRILL 2.0

Facility

$990.00

Hospital Charge Code	270662555
Hospital Revenue Code	270
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

BIT DRILL 2.0mm

Facility

$795.60

Hospital Charge Code	270648599
Hospital Revenue Code	272
Min. Negotiated Rate	$119.34
Max. Negotiated Rate	$119.34
Rate for Payer: Qualcare PPO/HMO/WC	$119.34

BIT DRILL 2.0mm

Facility

$795.60

Hospital Charge Code	270648599
Hospital Revenue Code	272
Min. Negotiated Rate	$103.43
Max. Negotiated Rate	$397.80
Rate for Payer: Aetna Commercial	$238.68
Rate for Payer: Aetna Medicare Advantage	$238.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.88
Rate for Payer: Cigna Commercial	$397.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.43
Rate for Payer: Oxford Commercial	$397.80
Rate for Payer: Qualcare PPO/HMO/WC	$119.34
Rate for Payer: UnitedHealthcare Commercial	$397.80

BIT DRILL 2.0MM

Facility

$875.00

Hospital Charge Code	270648826
Hospital Revenue Code	272
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

BIT DRILL 2.0MM

Facility

$875.00

Hospital Charge Code	270648826
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BIT DRILL 2.0mm 60-20385

Facility

$635.00

Hospital Charge Code	270643444
Hospital Revenue Code	272
Min. Negotiated Rate	$82.55
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$190.50
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.55
Rate for Payer: Oxford Commercial	$317.50
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$317.50

BIT DRILL 2.0mm 60-20385

Facility

$635.00

Hospital Charge Code	270643444
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

BIT DRILL 2.0MM CALIBRATED

Facility

$625.00

Hospital Charge Code	270646199
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

BIT DRILL 2.0MM CALIBRATED

Facility

$625.00

Hospital Charge Code	270646199
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BIT DRILL 2.0MMX100MM DB20100

Facility

$190.00

Hospital Charge Code	270643377
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

BIT DRILL 2.0MMX100MM DB20100

Facility

$190.00

Hospital Charge Code	270643377
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BIT DRILL 2.0MMX33.5MM

Facility

$1,535.00

Service Code	HCPCS A4649
Hospital Charge Code	270693532
Hospital Revenue Code	272
Min. Negotiated Rate	$199.55
Max. Negotiated Rate	$767.50
Rate for Payer: Aetna Commercial	$460.50
Rate for Payer: Aetna Medicare Advantage	$460.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.43
Rate for Payer: Cigna Commercial	$767.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.55
Rate for Payer: Oxford Commercial	$767.50
Rate for Payer: Qualcare PPO/HMO/WC	$230.25
Rate for Payer: UnitedHealthcare Commercial	$767.50

BIT DRILL 2.0MMX33.5MM

Facility

$1,535.00

Service Code	HCPCS A4649
Hospital Charge Code	270693532
Hospital Revenue Code	272
Min. Negotiated Rate	$230.25
Max. Negotiated Rate	$230.25
Rate for Payer: Qualcare PPO/HMO/WC	$230.25

BIT DRILL 2.3mm CALIBERATED

Facility

$545.00

Hospital Charge Code	270646198
Hospital Revenue Code	272
Min. Negotiated Rate	$70.85
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.85
Rate for Payer: Oxford Commercial	$272.50
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$272.50

BIT DRILL 2.3mm CALIBERATED

Facility

$545.00

Hospital Charge Code	270646198
Hospital Revenue Code	272
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

BIT DRILL 2.3x125mm

Facility

$601.20

Hospital Charge Code	270671846
Hospital Revenue Code	272
Min. Negotiated Rate	$78.16
Max. Negotiated Rate	$300.60
Rate for Payer: Aetna Commercial	$180.36
Rate for Payer: Aetna Medicare Advantage	$180.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.31
Rate for Payer: Cigna Commercial	$300.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.16
Rate for Payer: Oxford Commercial	$300.60
Rate for Payer: Qualcare PPO/HMO/WC	$90.18
Rate for Payer: UnitedHealthcare Commercial	$300.60

Know your out-of-pocket cost for care.

All Charges