Heights University Hospital

All Charges

Charge

Type

Setting

Price

BUR STRY ROUND 3.0MM 275-831

Facility

$573.65

Hospital Charge Code	270601420
Hospital Revenue Code	272
Min. Negotiated Rate	$86.05
Max. Negotiated Rate	$86.05
Rate for Payer: Qualcare PPO/HMO/WC	$86.05

BUR SURG OVAL 4MM DIA 48MML

Facility

$141.25

Hospital Charge Code	270655940
Hospital Revenue Code	271
Min. Negotiated Rate	$21.19
Max. Negotiated Rate	$21.19
Rate for Payer: Qualcare PPO/HMO/WC	$21.19

BUR SURG OVAL 4MM DIA 48MML

Facility

$141.25

Hospital Charge Code	270655940
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$70.62
Rate for Payer: Aetna Commercial	$42.38
Rate for Payer: Aetna Medicare Advantage	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.02
Rate for Payer: Cigna Commercial	$70.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.36
Rate for Payer: Oxford Commercial	$70.62
Rate for Payer: Qualcare PPO/HMO/WC	$21.19
Rate for Payer: UnitedHealthcare Commercial	$70.62

BUR TOOL LEGEND 9CM 7.5MM

Facility

$1,909.50

Hospital Charge Code	270691484
Hospital Revenue Code	272
Min. Negotiated Rate	$286.43
Max. Negotiated Rate	$286.43
Rate for Payer: Qualcare PPO/HMO/WC	$286.43

BUR TOOL LEGEND 9CM 7.5MM

Facility

$1,909.50

Hospital Charge Code	270691484
Hospital Revenue Code	272
Min. Negotiated Rate	$248.24
Max. Negotiated Rate	$954.75
Rate for Payer: Aetna Commercial	$572.85
Rate for Payer: Aetna Medicare Advantage	$572.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.92
Rate for Payer: Cigna Commercial	$954.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.24
Rate for Payer: Oxford Commercial	$954.75
Rate for Payer: Qualcare PPO/HMO/WC	$286.43
Rate for Payer: UnitedHealthcare Commercial	$954.75

BUR ULTPWR WIREPASS 2mm******

Facility

$272.00

Hospital Charge Code	260603867
Hospital Revenue Code	272
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

BUR ULTPWR WIREPASS 2mm******

Facility

$272.00

Hospital Charge Code	260603867
Hospital Revenue Code	272
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$81.60
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.36
Rate for Payer: Oxford Commercial	$136.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$136.00

BUR ULTRAPER RD 5mDx8m 7021328

Facility

$330.60

Hospital Charge Code	270629147
Hospital Revenue Code	272
Min. Negotiated Rate	$42.98
Max. Negotiated Rate	$165.30
Rate for Payer: Aetna Commercial	$99.18
Rate for Payer: Aetna Medicare Advantage	$99.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.30
Rate for Payer: Cigna Commercial	$165.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.98
Rate for Payer: Oxford Commercial	$165.30
Rate for Payer: Qualcare PPO/HMO/WC	$49.59
Rate for Payer: UnitedHealthcare Commercial	$165.30

BUR ULTRAPER RD 5mDx8m 7021328

Facility

$330.60

Hospital Charge Code	270629147
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$49.59
Rate for Payer: Qualcare PPO/HMO/WC	$49.59

BUR ULTRAPOWER DI 4.0m 7021264

Facility

$302.65

Hospital Charge Code	270632491
Hospital Revenue Code	272
Min. Negotiated Rate	$39.34
Max. Negotiated Rate	$151.32
Rate for Payer: Aetna Commercial	$90.80
Rate for Payer: Aetna Medicare Advantage	$90.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.18
Rate for Payer: Cigna Commercial	$151.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.34
Rate for Payer: Oxford Commercial	$151.32
Rate for Payer: Qualcare PPO/HMO/WC	$45.40
Rate for Payer: UnitedHealthcare Commercial	$151.32

BUR ULTRAPOWER DI 4.0m 7021264

Facility

$302.65

Hospital Charge Code	270632491
Hospital Revenue Code	272
Min. Negotiated Rate	$45.40
Max. Negotiated Rate	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$45.40

BUR ULTRAPOWER RD 3.0m 7021226

Facility

$159.65

Hospital Charge Code	270632487
Hospital Revenue Code	272
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$79.83
Rate for Payer: Aetna Commercial	$47.90
Rate for Payer: Aetna Medicare Advantage	$47.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.71
Rate for Payer: Cigna Commercial	$79.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.75
Rate for Payer: Oxford Commercial	$79.83
Rate for Payer: Qualcare PPO/HMO/WC	$23.95
Rate for Payer: UnitedHealthcare Commercial	$79.83

BUR ULTRAPOWER RD 3.0m 7021226

Facility

$159.65

Hospital Charge Code	270632487
Hospital Revenue Code	272
Min. Negotiated Rate	$23.95
Max. Negotiated Rate	$23.95
Rate for Payer: Qualcare PPO/HMO/WC	$23.95

BUR ULTRAPOWER RD 4.0m 7021227

Facility

$172.25

Hospital Charge Code	270632489
Hospital Revenue Code	272
Min. Negotiated Rate	$25.84
Max. Negotiated Rate	$25.84
Rate for Payer: Qualcare PPO/HMO/WC	$25.84

BUR ULTRAPOWER RD 4.0m 7021227

Facility

$172.25

Hospital Charge Code	270632489
Hospital Revenue Code	272
Min. Negotiated Rate	$22.39
Max. Negotiated Rate	$86.12
Rate for Payer: Aetna Commercial	$51.67
Rate for Payer: Aetna Medicare Advantage	$51.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.92
Rate for Payer: Cigna Commercial	$86.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.39
Rate for Payer: Oxford Commercial	$86.12
Rate for Payer: Qualcare PPO/HMO/WC	$25.84
Rate for Payer: UnitedHealthcare Commercial	$86.12

BUR ULTRAPOWER RD 5.0m 7021228

Facility

$339.90

Hospital Charge Code	270632490
Hospital Revenue Code	272
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$50.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98

BUR ULTRAPOWER RD 5.0m 7021228

Facility

$339.90

Hospital Charge Code	270632490
Hospital Revenue Code	272
Min. Negotiated Rate	$44.19
Max. Negotiated Rate	$169.95
Rate for Payer: Aetna Commercial	$101.97
Rate for Payer: Aetna Medicare Advantage	$101.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.67
Rate for Payer: Cigna Commercial	$169.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.19
Rate for Payer: Oxford Commercial	$169.95
Rate for Payer: Qualcare PPO/HMO/WC	$50.98
Rate for Payer: UnitedHealthcare Commercial	$169.95

BUR ULTRAPOWER TAPERED 3MMX36M

Facility

$190.90

Hospital Charge Code	270669745
Hospital Revenue Code	272
Min. Negotiated Rate	$24.82
Max. Negotiated Rate	$95.45
Rate for Payer: Aetna Commercial	$57.27
Rate for Payer: Aetna Medicare Advantage	$57.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.68
Rate for Payer: Cigna Commercial	$95.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.82
Rate for Payer: Oxford Commercial	$95.45
Rate for Payer: Qualcare PPO/HMO/WC	$28.64
Rate for Payer: UnitedHealthcare Commercial	$95.45

BUR ULTRAPOWER TAPERED 3MMX36M

Facility

$190.90

Hospital Charge Code	270669745
Hospital Revenue Code	272
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$28.64
Rate for Payer: Qualcare PPO/HMO/WC	$28.64

BUR UNHOODED ROUND 2.0mm

Facility

$945.00

Hospital Charge Code	270658049
Hospital Revenue Code	270
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$283.50
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: Oxford Commercial	$472.50
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$472.50

BUR UNHOODED ROUND 2.0mm

Facility

$945.00

Hospital Charge Code	270658049
Hospital Revenue Code	270
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

BUR WIRPAS 2/19 DRILL 5091249*

Facility

$109.00

Hospital Charge Code	1604891
Hospital Revenue Code	272
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

BUR WIRPAS 2/19 DRILL 5091249*

Facility

$109.00

Hospital Charge Code	1604891
Hospital Revenue Code	272
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$54.50
Rate for Payer: Aetna Commercial	$32.70
Rate for Payer: Aetna Medicare Advantage	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.80
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.17
Rate for Payer: Oxford Commercial	$54.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$54.50

BUR ZIM LNDMN 31MM 5091-212

Facility

$240.85

Hospital Charge Code	270605619
Hospital Revenue Code	272
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$36.13
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

BUR ZIM LNDMN 31MM 5091-212

Facility

$240.85

Hospital Charge Code	270605619
Hospital Revenue Code	272
Min. Negotiated Rate	$31.31
Max. Negotiated Rate	$120.42
Rate for Payer: Aetna Commercial	$72.25
Rate for Payer: Aetna Medicare Advantage	$72.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.42
Rate for Payer: Cigna Commercial	$120.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.31
Rate for Payer: Oxford Commercial	$120.42
Rate for Payer: Qualcare PPO/HMO/WC	$36.13
Rate for Payer: UnitedHealthcare Commercial	$120.42

Know your out-of-pocket cost for care.

All Charges