Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR CARBIDE OVAL 4.0MM

Facility

$172.20

Hospital Charge Code	270627342
Hospital Revenue Code	272
Min. Negotiated Rate	$25.83
Max. Negotiated Rate	$25.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.83

BURR CARBIDE RND/LNG 4mm

Facility

$92.70

Hospital Charge Code	270647602
Hospital Revenue Code	272
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.90

BURR CARBIDE RND/LNG 4mm

Facility

$92.70

Hospital Charge Code	270647602
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$46.35
Rate for Payer: Aetna Commercial	$27.81
Rate for Payer: Aetna Medicare Advantage	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.64
Rate for Payer: Cigna Commercial	$46.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.05
Rate for Payer: Oxford Commercial	$46.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.90
Rate for Payer: UnitedHealthcare Commercial	$46.35

BURR CARBIDE ROUND 3.0MM

Facility

$1,376.05

Hospital Charge Code	270692061
Hospital Revenue Code	272
Min. Negotiated Rate	$178.89
Max. Negotiated Rate	$688.02
Rate for Payer: Aetna Commercial	$412.81
Rate for Payer: Aetna Medicare Advantage	$412.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.89
Rate for Payer: Cigna Commercial	$688.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.89
Rate for Payer: Oxford Commercial	$688.02
Rate for Payer: Qualcare PPO/HMO/WC	$206.41
Rate for Payer: UnitedHealthcare Commercial	$688.02

BURR CARBIDE ROUND 3.0MM

Facility

$1,376.05

Hospital Charge Code	270692061
Hospital Revenue Code	272
Min. Negotiated Rate	$206.41
Max. Negotiated Rate	$206.41
Rate for Payer: Qualcare PPO/HMO/WC	$206.41

BURR CARTILAGE PROSTEP 4X16MM

Facility

$2,275.40

Service Code	HCPCS A4649
Hospital Charge Code	270699340
Hospital Revenue Code	272
Min. Negotiated Rate	$295.80
Max. Negotiated Rate	$1,137.70
Rate for Payer: Aetna Commercial	$682.62
Rate for Payer: Aetna Medicare Advantage	$682.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.23
Rate for Payer: Cigna Commercial	$1,137.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.80
Rate for Payer: Oxford Commercial	$1,137.70
Rate for Payer: Qualcare PPO/HMO/WC	$341.31
Rate for Payer: UnitedHealthcare Commercial	$1,137.70

BURR CARTILAGE PROSTEP 4X16MM

Facility

$2,275.40

Service Code	HCPCS A4649
Hospital Charge Code	270699340
Hospital Revenue Code	272
Min. Negotiated Rate	$341.31
Max. Negotiated Rate	$341.31
Rate for Payer: Qualcare PPO/HMO/WC	$341.31

BURR CIRCULAR 10x28MM J-LATCH

Facility

$381.00

Hospital Charge Code	270674613
Hospital Revenue Code	272
Min. Negotiated Rate	$57.15
Max. Negotiated Rate	$57.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.15

BURR CIRCULAR 10x28MM J-LATCH

Facility

$381.00

Hospital Charge Code	270674613
Hospital Revenue Code	272
Min. Negotiated Rate	$49.53
Max. Negotiated Rate	$190.50
Rate for Payer: Aetna Commercial	$114.30
Rate for Payer: Aetna Medicare Advantage	$114.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.16
Rate for Payer: Cigna Commercial	$190.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.53
Rate for Payer: Oxford Commercial	$190.50
Rate for Payer: Qualcare PPO/HMO/WC	$57.15
Rate for Payer: UnitedHealthcare Commercial	$190.50

BURR CIRCULAR 10x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674565
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR CIRCULAR 10x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674565
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 12x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674614
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 12x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674614
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR CIRCULAR 12x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674566
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 12x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674566
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR CIRCULAR 15x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674615
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 15x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674615
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR CIRCULAR 15x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674567
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 15x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674567
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$114.45
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.59
Rate for Payer: Oxford Commercial	$190.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$190.75

BURR CIRCULAR 25MM DIAMOND L

Facility

$465.50

Hospital Charge Code	270674487
Hospital Revenue Code	272
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

BURR CIRCULAR 25MM DIAMOND L

Facility

$465.50

Hospital Charge Code	270674487
Hospital Revenue Code	272
Min. Negotiated Rate	$60.52
Max. Negotiated Rate	$232.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$139.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.70
Rate for Payer: Cigna Commercial	$232.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.52
Rate for Payer: Oxford Commercial	$232.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.83
Rate for Payer: UnitedHealthcare Commercial	$232.75

BURR CIRCULAR 25MM DIAMOND M

Facility

$465.50

Hospital Charge Code	270674486
Hospital Revenue Code	272
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

BURR CIRCULAR 25MM DIAMOND M

Facility

$465.50

Hospital Charge Code	270674486
Hospital Revenue Code	272
Min. Negotiated Rate	$60.52
Max. Negotiated Rate	$232.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$139.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.70
Rate for Payer: Cigna Commercial	$232.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.52
Rate for Payer: Oxford Commercial	$232.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.83
Rate for Payer: UnitedHealthcare Commercial	$232.75

BURR CIRCULAR 25MM DIAMOND S

Facility

$465.50

Hospital Charge Code	270674485
Hospital Revenue Code	272
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

BURR CIRCULAR 25MM DIAMOND S

Facility

$465.50

Hospital Charge Code	270674485
Hospital Revenue Code	272
Min. Negotiated Rate	$60.52
Max. Negotiated Rate	$232.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$139.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.70
Rate for Payer: Cigna Commercial	$232.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.52
Rate for Payer: Oxford Commercial	$232.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.83
Rate for Payer: UnitedHealthcare Commercial	$232.75

Know your out-of-pocket cost for care.

All Charges