Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR CYL FISSURE S 1.6x4.3MM

Facility

$430.50

Hospital Charge Code	270674470
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR CYL FISSURE S 1.6x4.3MM

Facility

$430.50

Hospital Charge Code	270674470
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR CYL FISSURE S 3.0x16MM

Facility

$430.50

Hospital Charge Code	270674473
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR CYL FISSURE S 3.0x16MM

Facility

$430.50

Hospital Charge Code	270674473
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BUR RD DIAD 3D 140GRIT 7021363

Facility

$362.15

Hospital Charge Code	270629148
Hospital Revenue Code	272
Min. Negotiated Rate	$54.32
Max. Negotiated Rate	$54.32
Rate for Payer: Qualcare PPO/HMO/WC	$54.32

BUR RD DIAD 3D 140GRIT 7021363

Facility

$362.15

Hospital Charge Code	270629148
Hospital Revenue Code	272
Min. Negotiated Rate	$47.08
Max. Negotiated Rate	$181.07
Rate for Payer: Aetna Commercial	$108.64
Rate for Payer: Aetna Medicare Advantage	$108.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.35
Rate for Payer: Cigna Commercial	$181.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.08
Rate for Payer: Oxford Commercial	$181.07
Rate for Payer: Qualcare PPO/HMO/WC	$54.32
Rate for Payer: UnitedHealthcare Commercial	$181.07

BURR DIAMOND 2mm

Facility

$755.00

Hospital Charge Code	270669540
Hospital Revenue Code	272
Min. Negotiated Rate	$98.15
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.15
Rate for Payer: Oxford Commercial	$377.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Commercial	$377.50

BURR DIAMOND 2mm

Facility

$755.00

Hospital Charge Code	270669540
Hospital Revenue Code	272
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$113.25
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

BURR DIAMOND 3mm

Facility

$755.00

Hospital Charge Code	270669536
Hospital Revenue Code	272
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$113.25
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

BURR DIAMOND 3mm

Facility

$755.00

Hospital Charge Code	270669536
Hospital Revenue Code	272
Min. Negotiated Rate	$98.15
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.15
Rate for Payer: Oxford Commercial	$377.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Commercial	$377.50

BURR DIAMOND 4mm

Facility

$755.00

Hospital Charge Code	270669541
Hospital Revenue Code	272
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$113.25
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

BURR DIAMOND 4mm

Facility

$755.00

Hospital Charge Code	270669541
Hospital Revenue Code	272
Min. Negotiated Rate	$98.15
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.15
Rate for Payer: Oxford Commercial	$377.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Commercial	$377.50

BURR DIAMOND 5.0MM ROUND

Facility

$948.90

Hospital Charge Code	270692940
Hospital Revenue Code	272
Min. Negotiated Rate	$142.34
Max. Negotiated Rate	$142.34
Rate for Payer: Qualcare PPO/HMO/WC	$142.34

BURR DIAMOND 5.0MM ROUND

Facility

$948.90

Hospital Charge Code	270692940
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

BURR DIAMOND 5mm

Facility

$755.00

Hospital Charge Code	270669542
Hospital Revenue Code	272
Min. Negotiated Rate	$98.15
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.15
Rate for Payer: Oxford Commercial	$377.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.25
Rate for Payer: UnitedHealthcare Commercial	$377.50

BURR DIAMOND 5mm

Facility

$755.00

Hospital Charge Code	270669542
Hospital Revenue Code	272
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$113.25
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

BURR DIAMOND OVAL 3X330MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703127
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BURR DIAMOND OVAL 3X330MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703127
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BURR DIAMOND RD 1.0X48 5056158

Facility

$535.75

Hospital Charge Code	270622539
Hospital Revenue Code	272
Min. Negotiated Rate	$69.65
Max. Negotiated Rate	$267.88
Rate for Payer: Aetna Commercial	$160.72
Rate for Payer: Aetna Medicare Advantage	$160.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.62
Rate for Payer: Cigna Commercial	$267.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.65
Rate for Payer: Oxford Commercial	$267.88
Rate for Payer: Qualcare PPO/HMO/WC	$80.36
Rate for Payer: UnitedHealthcare Commercial	$267.88

BURR DIAMOND RD 1.0X48 5056158

Facility

$535.75

Hospital Charge Code	270622539
Hospital Revenue Code	272
Min. Negotiated Rate	$80.36
Max. Negotiated Rate	$80.36
Rate for Payer: Qualcare PPO/HMO/WC	$80.36

BURR DRUM L 4.7MM HD LTH 7.9MM

Facility

$430.50

Hospital Charge Code	270674634
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR DRUM L 4.7MM HD LTH 7.9MM

Facility

$430.50

Hospital Charge Code	270674634
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR DRUM L 6.0MM HD LTH 7.9MM

Facility

$430.50

Hospital Charge Code	270674481
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

BURR DRUM L 6.0MM HD LTH 7.9MM

Facility

$430.50

Hospital Charge Code	270674481
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR DRUM L 9.1MM HD LTH 7.9MM

Facility

$430.50

Hospital Charge Code	270674484
Hospital Revenue Code	272
Min. Negotiated Rate	$55.97
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.97
Rate for Payer: Oxford Commercial	$215.25
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$215.25

Know your out-of-pocket cost for care.

All Charges