Heights University Hospital

All Charges

Charge

Type

Setting

Price

BURR PIN-SHAPED L 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674508
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 PIN-SHAPED M 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674504
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN-SHAPED M 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674504
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 PIN-SHAPED M 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674507
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 PIN-SHAPED M 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674507
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN-SHAPED S 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674503
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 PIN-SHAPED S 1.4MMx6.0MM

Facility

$430.50

Hospital Charge Code	270674503
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR PIN-SHAPED S 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674506
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 PIN-SHAPED S 2.1MMx12MM

Facility

$430.50

Hospital Charge Code	270674506
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR RD LG R STYLE 5.5 505881

Facility

$220.00

Hospital Charge Code	270630489
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

BURR RD LG R STYLE 5.5 505881

Facility

$220.00

Hospital Charge Code	270630489
Hospital Revenue Code	272
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$66.00
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.60
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$110.00

BURR RND DIAMOND LNG 4MM

Facility

$195.65

Hospital Charge Code	270680028
Hospital Revenue Code	272
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$97.83
Rate for Payer: Aetna Commercial	$58.70
Rate for Payer: Aetna Medicare Advantage	$58.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.89
Rate for Payer: Cigna Commercial	$97.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.43
Rate for Payer: Oxford Commercial	$97.83
Rate for Payer: Qualcare PPO/HMO/WC	$29.35
Rate for Payer: UnitedHealthcare Commercial	$97.83

BURR RND DIAMOND LNG 4MM

Facility

$195.65

Hospital Charge Code	270680028
Hospital Revenue Code	272
Min. Negotiated Rate	$29.35
Max. Negotiated Rate	$29.35
Rate for Payer: Qualcare PPO/HMO/WC	$29.35

BURR RND DIAMOND XL 5.5MM

Facility

$865.20

Hospital Charge Code	270679827
Hospital Revenue Code	272
Min. Negotiated Rate	$112.48
Max. Negotiated Rate	$432.60
Rate for Payer: Aetna Commercial	$259.56
Rate for Payer: Aetna Medicare Advantage	$259.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.63
Rate for Payer: Cigna Commercial	$432.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.48
Rate for Payer: Oxford Commercial	$432.60
Rate for Payer: Qualcare PPO/HMO/WC	$129.78
Rate for Payer: UnitedHealthcare Commercial	$432.60

BURR RND DIAMOND XL 5.5MM

Facility

$865.20

Hospital Charge Code	270679827
Hospital Revenue Code	272
Min. Negotiated Rate	$129.78
Max. Negotiated Rate	$129.78
Rate for Payer: Qualcare PPO/HMO/WC	$129.78

BURR ROUND 10 FLUTE 3.0 MM

Facility

$330.00

Hospital Charge Code	270690972
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

BURR ROUND 10 FLUTE 3.0 MM

Facility

$330.00

Hospital Charge Code	270690972
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

BURR ROUND 12-FLUTE 5.5mm

Facility

$190.00

Hospital Charge Code	270601423
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BURR ROUND 12-FLUTE 5.5mm

Facility

$190.00

Hospital Charge Code	270601423
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 ROUND 1.5MM

Facility

$48.40

Hospital Charge Code	270679264
Hospital Revenue Code	272
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$24.20
Rate for Payer: Aetna Commercial	$14.52
Rate for Payer: Aetna Medicare Advantage	$14.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.34
Rate for Payer: Cigna Commercial	$24.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.29
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.26
Rate for Payer: UnitedHealthcare Commercial	$24.20

BURR ROUND 1.5MM

Facility

$48.40

Hospital Charge Code	270679264
Hospital Revenue Code	272
Min. Negotiated Rate	$7.26
Max. Negotiated Rate	$7.26
Rate for Payer: Qualcare PPO/HMO/WC	$7.26

BURR ROUND 3.0x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674540
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 ROUND 3.0x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674540
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR ROUND 3.0x45MM MINI QC

Facility

$381.50

Hospital Charge Code	270674541
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 ROUND 3.0x45MM MINI QC

Facility

$381.50

Hospital Charge Code	270674541
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

Know your out-of-pocket cost for care.

All Charges