Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$170.25

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$147.55
Max. Negotiated Rate	$567.50
Rate for Payer: Aetna Commercial	$340.50
Rate for Payer: Aetna Medicare Advantage	$340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.43
Rate for Payer: Cigna Commercial	$567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.55
Rate for Payer: Oxford Commercial	$567.50
Rate for Payer: Qualcare PPO/HMO/WC	$170.25
Rate for Payer: UnitedHealthcare Commercial	$567.50

BUR RND CARB 2.3mm2296-100-423

Facility

$19.50

Hospital Charge Code	270630056
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

BUR RND CARB 2.3mm2296-100-423

Facility

$19.50

Hospital Charge Code	270630056
Hospital Revenue Code	272
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$9.75
Rate for Payer: Aetna Commercial	$5.85
Rate for Payer: Aetna Medicare Advantage	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.97
Rate for Payer: Cigna Commercial	$9.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.54
Rate for Payer: Oxford Commercial	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$9.75

BUR RND CARBIDE 6.5 5093-232

Facility

$142.45

Hospital Charge Code	270647600
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$42.73
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.52
Rate for Payer: Oxford Commercial	$71.22
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Commercial	$71.22

BUR RND CARBIDE 6.5 5093-232

Facility

$142.45

Hospital Charge Code	270647600
Hospital Revenue Code	272
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$21.37
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$44.62
Max. Negotiated Rate	$44.62
Rate for Payer: Qualcare PPO/HMO/WC	$44.62

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$38.67
Max. Negotiated Rate	$148.75
Rate for Payer: Aetna Commercial	$89.25
Rate for Payer: Aetna Medicare Advantage	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.86
Rate for Payer: Cigna Commercial	$148.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.67
Rate for Payer: Oxford Commercial	$148.75
Rate for Payer: Qualcare PPO/HMO/WC	$44.62
Rate for Payer: UnitedHealthcare Commercial	$148.75

BUR RND EX LNG CRBIDE 5093-230

Facility

$142.45

Hospital Charge Code	270652782
Hospital Revenue Code	272
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$21.37
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

BUR RND EX LNG CRBIDE 5093-230

Facility

$142.45

Hospital Charge Code	270652782
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$42.73
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.52
Rate for Payer: Oxford Commercial	$71.22
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Commercial	$71.22

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$54.00
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$90.00

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$14.62
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$33.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.62
Rate for Payer: Oxford Commercial	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$56.25

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$178.75
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.75
Rate for Payer: Oxford Commercial	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$687.50

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$475.50
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$383.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

BURR NEURO L 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674515
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674515
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

BURR NEURO L 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674518
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

BURR NEURO L 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674518
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO M 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674510
Hospital Revenue Code	272
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$147.00
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$245.00

Know your out-of-pocket cost for care.

All Charges