Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$174.85
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$403.50
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.85
Rate for Payer: Oxford Commercial	$672.50
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$672.50

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$174.85
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$403.50
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.85
Rate for Payer: Oxford Commercial	$672.50
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$672.50

BUR DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND 5MM

Facility

$621.00

Hospital Charge Code	270672679
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 5MM

Facility

$621.00

Hospital Charge Code	270672679
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND 6MM

Facility

$948.90

Hospital Charge Code	270672706
Hospital Revenue Code	272
Min. Negotiated Rate	$123.36
Max. Negotiated Rate	$474.45
Rate for Payer: Aetna Commercial	$284.67
Rate for Payer: Aetna Medicare Advantage	$284.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.97
Rate for Payer: Cigna Commercial	$474.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.36
Rate for Payer: Oxford Commercial	$474.45
Rate for Payer: Qualcare PPO/HMO/WC	$142.34
Rate for Payer: UnitedHealthcare Commercial	$474.45

BUR DIAMOND RND 6MM

Facility

$948.90

Hospital Charge Code	270672706
Hospital Revenue Code	272
Min. Negotiated Rate	$142.34
Max. Negotiated Rate	$142.34
Rate for Payer: Qualcare PPO/HMO/WC	$142.34

BUR DIAMOND RND COARSE 2MM

Facility

$621.00

Hospital Charge Code	270679193
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 2MM

Facility

$621.00

Hospital Charge Code	270679193
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND COARSE 3MM

Facility

$621.00

Hospital Charge Code	270672703
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 3MM

Facility

$621.00

Hospital Charge Code	270672703
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND COARSE 4MM

Facility

$621.00

Hospital Charge Code	270672704
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 4MM

Facility

$621.00

Hospital Charge Code	270672704
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND COARSE 6MM

Facility

$621.00

Hospital Charge Code	270679295
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND COARSE 6MM

Facility

$621.00

Hospital Charge Code	270679294
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 6MM

Facility

$621.00

Hospital Charge Code	270679294
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$186.30
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.73
Rate for Payer: Oxford Commercial	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$310.50

BUR DIAMOND RND COARSE 6MM

Facility

$621.00

Hospital Charge Code	270679295
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND ROUND 5MM

Facility

$375.00

Hospital Charge Code	270698414
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BUR DIAMOND ROUND 5MM

Facility

$375.00

Hospital Charge Code	270698414
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$187.50

BUR DRILL NEURO 3.0X3.8MM

Facility

$375.00

Hospital Charge Code	270698407
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

Know your out-of-pocket cost for care.

All Charges