Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR PRECISION TWO FLUTE 4.0MM

Facility

$1,125.00

Hospital Charge Code	270673205
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 4.0MM

Facility

$1,125.00

Hospital Charge Code	270673205
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

BUR PRECISION TWO FLUTE 5.0MM

Facility

$1,125.00

Hospital Charge Code	270673206
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 5.0MM

Facility

$1,125.00

Hospital Charge Code	270673206
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

BUR PRECISION TWO FLUTE 6MM

Facility

$1,125.00

Hospital Charge Code	270675219
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 6MM

Facility

$1,125.00

Hospital Charge Code	270675219
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

BUR PRECISION TWO FLUTE 7.5MM

Facility

$1,125.00

Hospital Charge Code	270675303
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 7.5MM

Facility

$1,125.00

Hospital Charge Code	270675303
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$337.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.25
Rate for Payer: Oxford Commercial	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$562.50

BURR

Facility

$1,082.50

Hospital Charge Code	270705521
Hospital Revenue Code	279
Min. Negotiated Rate	$162.38
Max. Negotiated Rate	$162.38
Rate for Payer: Qualcare PPO/HMO/WC	$162.38

BURR

Facility

$1,082.50

Hospital Charge Code	270705521
Hospital Revenue Code	279
Min. Negotiated Rate	$140.72
Max. Negotiated Rate	$541.25
Rate for Payer: Aetna Commercial	$324.75
Rate for Payer: Aetna Medicare Advantage	$324.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.04
Rate for Payer: Cigna Commercial	$541.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.72
Rate for Payer: Oxford Commercial	$541.25
Rate for Payer: Qualcare PPO/HMO/WC	$162.38
Rate for Payer: UnitedHealthcare Commercial	$541.25

BURR 2.0MM HEAD

Facility

$607.55

Hospital Charge Code	270688301
Hospital Revenue Code	272
Min. Negotiated Rate	$91.13
Max. Negotiated Rate	$91.13
Rate for Payer: Qualcare PPO/HMO/WC	$91.13

BURR 2.0MM HEAD

Facility

$607.55

Hospital Charge Code	270688301
Hospital Revenue Code	272
Min. Negotiated Rate	$78.98
Max. Negotiated Rate	$303.77
Rate for Payer: Aetna Commercial	$182.26
Rate for Payer: Aetna Medicare Advantage	$182.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.93
Rate for Payer: Cigna Commercial	$303.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.98
Rate for Payer: Oxford Commercial	$303.77
Rate for Payer: Qualcare PPO/HMO/WC	$91.13
Rate for Payer: UnitedHealthcare Commercial	$303.77

BURR 2.2 MM HEAD

Facility

$1,250.00

Hospital Charge Code	270688289
Hospital Revenue Code	272
Min. Negotiated Rate	$162.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$375.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$625.00

BURR 2.2 MM HEAD

Facility

$1,250.00

Hospital Charge Code	270688289
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BURR 2.2X20MM

Facility

$1,365.00

Hospital Charge Code	270705570
Hospital Revenue Code	279
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$204.75
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

BURR 2.2X20MM

Facility

$1,365.00

Hospital Charge Code	270705570
Hospital Revenue Code	279
Min. Negotiated Rate	$177.45
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.45
Rate for Payer: Oxford Commercial	$682.50
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Commercial	$682.50

BURR 2.9X13MM

Facility

$1,365.00

Hospital Charge Code	270705388
Hospital Revenue Code	279
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$204.75
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

BURR 2.9X13MM

Facility

$1,365.00

Hospital Charge Code	270705388
Hospital Revenue Code	279
Min. Negotiated Rate	$177.45
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.45
Rate for Payer: Oxford Commercial	$682.50
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Commercial	$682.50

BURR 2X12MM

Facility

$3,553.50

Hospital Charge Code	270702615
Hospital Revenue Code	272
Min. Negotiated Rate	$533.02
Max. Negotiated Rate	$533.02
Rate for Payer: Qualcare PPO/HMO/WC	$533.02

BURR 2X12MM

Facility

$3,553.50

Hospital Charge Code	270702615
Hospital Revenue Code	272
Min. Negotiated Rate	$461.95
Max. Negotiated Rate	$1,776.75
Rate for Payer: Aetna Commercial	$1,066.05
Rate for Payer: Aetna Medicare Advantage	$1,066.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$906.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$906.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$906.14
Rate for Payer: Cigna Commercial	$1,776.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.95
Rate for Payer: Oxford Commercial	$1,776.75
Rate for Payer: Qualcare PPO/HMO/WC	$533.02
Rate for Payer: UnitedHealthcare Commercial	$1,776.75

BURR 2X13MM

Facility

$1,365.00

Hospital Charge Code	270705563
Hospital Revenue Code	279
Min. Negotiated Rate	$204.75
Max. Negotiated Rate	$204.75
Rate for Payer: Qualcare PPO/HMO/WC	$204.75

BURR 2X13MM

Facility

$1,365.00

Hospital Charge Code	270705563
Hospital Revenue Code	279
Min. Negotiated Rate	$177.45
Max. Negotiated Rate	$682.50
Rate for Payer: Aetna Commercial	$409.50
Rate for Payer: Aetna Medicare Advantage	$409.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.07
Rate for Payer: Cigna Commercial	$682.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.45
Rate for Payer: Oxford Commercial	$682.50
Rate for Payer: Qualcare PPO/HMO/WC	$204.75
Rate for Payer: UnitedHealthcare Commercial	$682.50

BURR 4.0 AGRESS

Facility

$392.85

Hospital Charge Code	270703073
Hospital Revenue Code	270
Min. Negotiated Rate	$51.07
Max. Negotiated Rate	$196.43
Rate for Payer: Aetna Commercial	$117.86
Rate for Payer: Aetna Medicare Advantage	$117.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.18
Rate for Payer: Cigna Commercial	$196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.07
Rate for Payer: Oxford Commercial	$196.43
Rate for Payer: Qualcare PPO/HMO/WC	$58.93
Rate for Payer: UnitedHealthcare Commercial	$196.43

BURR 4.0 AGRESS

Facility

$392.85

Hospital Charge Code	270703073
Hospital Revenue Code	270
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$58.93
Rate for Payer: Qualcare PPO/HMO/WC	$58.93

BURR 5.0 ROUND FLUTED

Facility

$700.00

Hospital Charge Code	270703074
Hospital Revenue Code	270
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

Know your out-of-pocket cost for care.

All Charges