Heights University Hospital

All Charges

Charge

Type

Setting

Price

BIT DRILL QK CONN 2.7m 2410027

Facility

$147.40

Hospital Charge Code	270610161
Hospital Revenue Code	272
Min. Negotiated Rate	$22.11
Max. Negotiated Rate	$22.11
Rate for Payer: Qualcare PPO/HMO/WC	$22.11

BIT DRILL QK CONT 2.0m 2410020

Facility

$158.75

Hospital Charge Code	270610160
Hospital Revenue Code	272
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$47.62
Rate for Payer: Aetna Medicare Advantage	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.48
Rate for Payer: Cigna Commercial	$79.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.64
Rate for Payer: Oxford Commercial	$79.38
Rate for Payer: Qualcare PPO/HMO/WC	$23.81
Rate for Payer: UnitedHealthcare Commercial	$79.38

BIT DRILL QK CONT 2.0m 2410020

Facility

$158.75

Hospital Charge Code	270610160
Hospital Revenue Code	272
Min. Negotiated Rate	$23.81
Max. Negotiated Rate	$23.81
Rate for Payer: Qualcare PPO/HMO/WC	$23.81

BIT DRILL QK RELEAE 3 5 MSDC35

Facility

$112.00

Hospital Charge Code	638173
Hospital Revenue Code	272
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$33.60
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.56
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$56.00

BIT DRILL QK RELEAE 3 5 MSDC35

Facility

$112.00

Hospital Charge Code	638173
Hospital Revenue Code	272
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

BIT DRILL QUICK RELEASE

Facility

$312.50

Hospital Charge Code	270654411
Hospital Revenue Code	272
Min. Negotiated Rate	$40.62
Max. Negotiated Rate	$156.25
Rate for Payer: Aetna Commercial	$93.75
Rate for Payer: Aetna Medicare Advantage	$93.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.69
Rate for Payer: Cigna Commercial	$156.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.62
Rate for Payer: Oxford Commercial	$156.25
Rate for Payer: Qualcare PPO/HMO/WC	$46.88
Rate for Payer: UnitedHealthcare Commercial	$156.25

BIT DRILL QUICK RELEASE

Facility

$312.50

Hospital Charge Code	270654411
Hospital Revenue Code	272
Min. Negotiated Rate	$46.88
Max. Negotiated Rate	$46.88
Rate for Payer: Qualcare PPO/HMO/WC	$46.88

BIT DRILL SCREW GRIDLOK 2.4mm

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270680718
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
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) NJ Health	$195.00
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	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

BIT DRILL SCREW GRIDLOK 2.4mm

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270680718
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

BIT DRILL STERILE 4.0x195mm

Facility

$807.00

Hospital Charge Code	270656655
Hospital Revenue Code	272
Min. Negotiated Rate	$104.91
Max. Negotiated Rate	$403.50
Rate for Payer: Aetna Commercial	$242.10
Rate for Payer: Aetna Medicare Advantage	$242.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.78
Rate for Payer: Cigna Commercial	$403.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.91
Rate for Payer: Oxford Commercial	$403.50
Rate for Payer: Qualcare PPO/HMO/WC	$121.05
Rate for Payer: UnitedHealthcare Commercial	$403.50

BIT DRILL STERILE 4.0x195mm

Facility

$807.00

Hospital Charge Code	270656655
Hospital Revenue Code	272
Min. Negotiated Rate	$121.05
Max. Negotiated Rate	$121.05
Rate for Payer: Qualcare PPO/HMO/WC	$121.05

BIT DRILL TWIST 5/64 23182006

Facility

$161.80

Hospital Charge Code	270601283
Hospital Revenue Code	272
Min. Negotiated Rate	$24.27
Max. Negotiated Rate	$24.27
Rate for Payer: Qualcare PPO/HMO/WC	$24.27

BIT DRILL TWIST 5/64 23182006

Facility

$161.80

Hospital Charge Code	270601283
Hospital Revenue Code	272
Min. Negotiated Rate	$21.03
Max. Negotiated Rate	$80.90
Rate for Payer: Aetna Commercial	$48.54
Rate for Payer: Aetna Medicare Advantage	$48.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.26
Rate for Payer: Cigna Commercial	$80.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.03
Rate for Payer: Oxford Commercial	$80.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.27
Rate for Payer: UnitedHealthcare Commercial	$80.90

BIT DRILL TWIST 7/64

Facility

$193.78

Hospital Charge Code	270601285
Hospital Revenue Code	272
Min. Negotiated Rate	$25.19
Max. Negotiated Rate	$96.89
Rate for Payer: Aetna Commercial	$58.13
Rate for Payer: Aetna Medicare Advantage	$58.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.41
Rate for Payer: Cigna Commercial	$96.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.19
Rate for Payer: Oxford Commercial	$96.89
Rate for Payer: Qualcare PPO/HMO/WC	$29.07
Rate for Payer: UnitedHealthcare Commercial	$96.89

BIT DRILL TWIST 7/64

Facility

$193.78

Hospital Charge Code	270601285
Hospital Revenue Code	272
Min. Negotiated Rate	$29.07
Max. Negotiated Rate	$29.07
Rate for Payer: Qualcare PPO/HMO/WC	$29.07

BIT DR JAC 3.5MM XLG****

Facility

$79.50

Hospital Charge Code	270604454
Hospital Revenue Code	279
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

BIT DR JAC 3.5MM XLG****

Facility

$79.50

Hospital Charge Code	270604454
Hospital Revenue Code	279
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$39.75
Rate for Payer: Aetna Commercial	$23.85
Rate for Payer: Aetna Medicare Advantage	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.27
Rate for Payer: Cigna Commercial	$39.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.34
Rate for Payer: Oxford Commercial	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$39.75

BIT DR JAC CHK 1.1mm 603574

Facility

$60.00

Hospital Charge Code	270603574
Hospital Revenue Code	279
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

BIT DR JAC CHK 1.1mm 603574

Facility

$60.00

Hospital Charge Code	270603574
Hospital Revenue Code	279
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BIT DR JAC CHK 1.1mm 604125

Facility

$60.00

Hospital Charge Code	270604125
Hospital Revenue Code	279
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BIT DR JAC CHK 1.1mm 604125

Facility

$60.00

Hospital Charge Code	270604125
Hospital Revenue Code	279
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$30.00

BIT DR JAC CHK 1.5mm 603577

Facility

$57.50

Hospital Charge Code	270603577
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 1.5mm 603577

Facility

$57.50

Hospital Charge Code	270603577
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 1.5mm 604127

Facility

$57.50

Hospital Charge Code	270604127
Hospital Revenue Code	279
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$17.25
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.47
Rate for Payer: Oxford Commercial	$28.75
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$28.75

BIT DR JAC CHK 1.5mm 604127

Facility

$57.50

Hospital Charge Code	270604127
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

Know your out-of-pocket cost for care.

All Charges