Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR HOODED ABRASION 2.0mm

Facility

$1,000.00

Hospital Charge Code	270601426
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

BURR HOODED ABRASION 3.0mm

Facility

$190.00

Hospital Charge Code	270601433
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BURR HOODED ABRASION 3.0mm

Facility

$190.00

Hospital Charge Code	270601433
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

BURR HYDROBRADER

Facility

$965.00

Hospital Charge Code	270640186
Hospital Revenue Code	272
Min. Negotiated Rate	$125.45
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$289.50
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.45
Rate for Payer: Oxford Commercial	$482.50
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$482.50

BURR HYDROBRADER

Facility

$965.00

Hospital Charge Code	270640186
Hospital Revenue Code	272
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

BURR INVERTED CONE L 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674478
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR INVERTED CONE L 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674478
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 INVERTED CONE M 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674477
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 INVERTED CONE M 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674477
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
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 INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR LINDERMAN LG 80mm 010077

Facility

$506.00

Hospital Charge Code	270633330
Hospital Revenue Code	272
Min. Negotiated Rate	$75.90
Max. Negotiated Rate	$75.90
Rate for Payer: Qualcare PPO/HMO/WC	$75.90

BURR LINDERMAN LG 80mm 010077

Facility

$506.00

Hospital Charge Code	270633330
Hospital Revenue Code	272
Min. Negotiated Rate	$65.78
Max. Negotiated Rate	$253.00
Rate for Payer: Aetna Commercial	$151.80
Rate for Payer: Aetna Medicare Advantage	$151.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.03
Rate for Payer: Cigna Commercial	$253.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.78
Rate for Payer: Oxford Commercial	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.90
Rate for Payer: UnitedHealthcare Commercial	$253.00

BURR LINDERMAN MED 66MM 010078

Facility

$327.45

Hospital Charge Code	270633329
Hospital Revenue Code	272
Min. Negotiated Rate	$49.12
Max. Negotiated Rate	$49.12
Rate for Payer: Qualcare PPO/HMO/WC	$49.12

BURR LINDERMAN MED 66MM 010078

Facility

$327.45

Hospital Charge Code	270633329
Hospital Revenue Code	272
Min. Negotiated Rate	$42.57
Max. Negotiated Rate	$163.72
Rate for Payer: Aetna Commercial	$98.23
Rate for Payer: Aetna Medicare Advantage	$98.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.50
Rate for Payer: Cigna Commercial	$163.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.57
Rate for Payer: Oxford Commercial	$163.72
Rate for Payer: Qualcare PPO/HMO/WC	$49.12
Rate for Payer: UnitedHealthcare Commercial	$163.72

BURR LINDERMAN SM 44mm 010079

Facility

$248.00

Hospital Charge Code	270633328
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BURR LINDERMAN SM 44mm 010079

Facility

$248.00

Hospital Charge Code	270633328
Hospital Revenue Code	272
Min. Negotiated Rate	$32.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.40
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$124.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$124.00

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
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 MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$1,197.08
Rate for Payer: Aetna Commercial	$483.00
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

BURR MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$276.56
Max. Negotiated Rate	$276.56
Rate for Payer: Qualcare PPO/HMO/WC	$276.56

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$239.68
Max. Negotiated Rate	$921.85
Rate for Payer: Aetna Commercial	$553.11
Rate for Payer: Aetna Medicare Advantage	$553.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$470.14
Rate for Payer: Cigna Commercial	$921.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.68
Rate for Payer: Oxford Commercial	$921.85
Rate for Payer: Qualcare PPO/HMO/WC	$276.56
Rate for Payer: UnitedHealthcare Commercial	$921.85

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$169.65
Max. Negotiated Rate	$652.50
Rate for Payer: Aetna Commercial	$391.50
Rate for Payer: Aetna Medicare Advantage	$391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.77
Rate for Payer: Cigna Commercial	$652.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.65
Rate for Payer: Oxford Commercial	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$195.75
Rate for Payer: UnitedHealthcare Commercial	$652.50

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$195.75
Max. Negotiated Rate	$195.75
Rate for Payer: Qualcare PPO/HMO/WC	$195.75

Know your out-of-pocket cost for care.

All Charges