Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT AO 1.7MM

Facility

$800.00

Hospital Charge Code	270693606
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT AO 2.0X110MM

Facility

$852.50

Hospital Charge Code	270700280
Hospital Revenue Code	272
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$127.88
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL BIT AO 2.0X110MM

Facility

$852.50

Hospital Charge Code	270700280
Hospital Revenue Code	272
Min. Negotiated Rate	$24.21
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$323.95
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.65
Rate for Payer: Oxford Commercial	$170.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Commercial	$170.50
Rate for Payer: UnitedHealthcare Community & State	$26.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.21

DRILL BIT AO 2.1X120MM

Facility

$852.50

Hospital Charge Code	270700591
Hospital Revenue Code	272
Min. Negotiated Rate	$24.21
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$323.95
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.65
Rate for Payer: Oxford Commercial	$170.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Commercial	$170.50
Rate for Payer: UnitedHealthcare Community & State	$26.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.21

DRILL BIT AO 2.1X120MM

Facility

$852.50

Hospital Charge Code	270700591
Hospital Revenue Code	272
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$127.88
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL BIT AO CANN 1.7X32MM

Facility

$1,550.35

Service Code	HCPCS A4649
Hospital Charge Code	270699830
Hospital Revenue Code	272
Min. Negotiated Rate	$44.03
Max. Negotiated Rate	$775.17
Rate for Payer: Aetna Commercial	$589.13
Rate for Payer: Aetna Medicare Advantage	$465.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.34
Rate for Payer: Cigna Commercial	$775.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.09
Rate for Payer: Oxford Commercial	$310.07
Rate for Payer: Qualcare PPO/HMO/WC	$232.55
Rate for Payer: UnitedHealthcare Commercial	$310.07
Rate for Payer: UnitedHealthcare Community & State	$48.99
Rate for Payer: Wellpoint Medicaid Managed Care	$44.03

DRILL BIT AO CANN 1.7X32MM

Facility

$1,550.35

Service Code	HCPCS A4649
Hospital Charge Code	270699830
Hospital Revenue Code	272
Min. Negotiated Rate	$232.55
Max. Negotiated Rate	$232.55
Rate for Payer: Qualcare PPO/HMO/WC	$232.55

DRILL BIT AO DIA 2.6X135MM

Facility

$1,160.70

Hospital Charge Code	270692183
Hospital Revenue Code	272
Min. Negotiated Rate	$32.96
Max. Negotiated Rate	$580.35
Rate for Payer: Aetna Commercial	$441.07
Rate for Payer: Aetna Medicare Advantage	$348.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.98
Rate for Payer: Cigna Commercial	$580.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.78
Rate for Payer: Oxford Commercial	$232.14
Rate for Payer: Qualcare PPO/HMO/WC	$174.10
Rate for Payer: UnitedHealthcare Commercial	$232.14
Rate for Payer: UnitedHealthcare Community & State	$36.68
Rate for Payer: Wellpoint Medicaid Managed Care	$32.96

DRILL BIT AO DIA 2.6X135MM

Facility

$1,160.70

Hospital Charge Code	270692183
Hospital Revenue Code	272
Min. Negotiated Rate	$174.10
Max. Negotiated Rate	$174.10
Rate for Payer: Qualcare PPO/HMO/WC	$174.10

DRILL BIT AO SCALED 2.0X105MM

Facility

$1,232.20

Service Code	HCPCS A4649
Hospital Charge Code	270699831
Hospital Revenue Code	272
Min. Negotiated Rate	$184.83
Max. Negotiated Rate	$184.83
Rate for Payer: Qualcare PPO/HMO/WC	$184.83

DRILL BIT AO SCALED 2.0X105MM

Facility

$1,232.20

Service Code	HCPCS A4649
Hospital Charge Code	270699831
Hospital Revenue Code	272
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$616.10
Rate for Payer: Aetna Commercial	$468.24
Rate for Payer: Aetna Medicare Advantage	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.21
Rate for Payer: Cigna Commercial	$616.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.37
Rate for Payer: Oxford Commercial	$246.44
Rate for Payer: Qualcare PPO/HMO/WC	$184.83
Rate for Payer: UnitedHealthcare Commercial	$246.44
Rate for Payer: UnitedHealthcare Community & State	$38.94
Rate for Payer: Wellpoint Medicaid Managed Care	$34.99

DRILL BIT AO SCALED 2.0X135MM

Facility

$1,232.20

Hospital Charge Code	270703690
Hospital Revenue Code	272
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$616.10
Rate for Payer: Aetna Commercial	$468.24
Rate for Payer: Aetna Medicare Advantage	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.21
Rate for Payer: Cigna Commercial	$616.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.37
Rate for Payer: Oxford Commercial	$246.44
Rate for Payer: Qualcare PPO/HMO/WC	$184.83
Rate for Payer: UnitedHealthcare Commercial	$246.44
Rate for Payer: UnitedHealthcare Community & State	$38.94
Rate for Payer: Wellpoint Medicaid Managed Care	$34.99

DRILL BIT AO SCALED 2.0X135MM

Facility

$1,232.20

Hospital Charge Code	270703690
Hospital Revenue Code	272
Min. Negotiated Rate	$184.83
Max. Negotiated Rate	$184.83
Rate for Payer: Qualcare PPO/HMO/WC	$184.83

DRILL BIT AO SCALED 2X135MM

Facility

$1,795.00

Hospital Charge Code	270699702
Hospital Revenue Code	272
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$897.50
Rate for Payer: Aetna Commercial	$682.10
Rate for Payer: Aetna Medicare Advantage	$538.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$457.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$457.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$457.73
Rate for Payer: Cigna Commercial	$897.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.70
Rate for Payer: Oxford Commercial	$359.00
Rate for Payer: Qualcare PPO/HMO/WC	$269.25
Rate for Payer: UnitedHealthcare Commercial	$359.00
Rate for Payer: UnitedHealthcare Community & State	$56.72
Rate for Payer: Wellpoint Medicaid Managed Care	$50.98

DRILL BIT AO SCALED 2X135MM

Facility

$1,795.00

Hospital Charge Code	270699702
Hospital Revenue Code	272
Min. Negotiated Rate	$269.25
Max. Negotiated Rate	$269.25
Rate for Payer: Qualcare PPO/HMO/WC	$269.25

DRILL BIT AO STERILE 4.2x340m

Facility

$985.50

Hospital Charge Code	270645792
Hospital Revenue Code	272
Min. Negotiated Rate	$27.99
Max. Negotiated Rate	$492.75
Rate for Payer: Aetna Commercial	$374.49
Rate for Payer: Aetna Medicare Advantage	$295.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.30
Rate for Payer: Cigna Commercial	$492.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.23
Rate for Payer: Oxford Commercial	$197.10
Rate for Payer: Qualcare PPO/HMO/WC	$147.82
Rate for Payer: UnitedHealthcare Commercial	$197.10
Rate for Payer: UnitedHealthcare Community & State	$31.14
Rate for Payer: Wellpoint Medicaid Managed Care	$27.99

DRILL BIT AO STERILE 4.2x340m

Facility

$985.50

Hospital Charge Code	270645792
Hospital Revenue Code	272
Min. Negotiated Rate	$147.82
Max. Negotiated Rate	$147.82
Rate for Payer: Qualcare PPO/HMO/WC	$147.82

DRILL BIT ASNIS 2.1MM

Facility

$2,135.85

Hospital Charge Code	270704925
Hospital Revenue Code	279
Min. Negotiated Rate	$60.66
Max. Negotiated Rate	$1,067.92
Rate for Payer: Aetna Commercial	$811.62
Rate for Payer: Aetna Medicare Advantage	$640.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$544.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$544.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$544.64
Rate for Payer: Cigna Commercial	$1,067.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$555.32
Rate for Payer: Oxford Commercial	$427.17
Rate for Payer: Qualcare PPO/HMO/WC	$320.38
Rate for Payer: UnitedHealthcare Commercial	$427.17
Rate for Payer: UnitedHealthcare Community & State	$67.49
Rate for Payer: Wellpoint Medicaid Managed Care	$60.66

DRILL BIT ASNIS 2.1MM

Facility

$2,135.85

Hospital Charge Code	270704925
Hospital Revenue Code	279
Min. Negotiated Rate	$320.38
Max. Negotiated Rate	$320.38
Rate for Payer: Qualcare PPO/HMO/WC	$320.38

DRILL BIT BUD 11MM

Facility

$1,650.00

Hospital Charge Code	270671063
Hospital Revenue Code	272
Min. Negotiated Rate	$46.86
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$52.14
Rate for Payer: Wellpoint Medicaid Managed Care	$46.86

DRILL BIT BUD 11MM

Facility

$1,650.00

Hospital Charge Code	270671063
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

DRILL BIT BUSHING 4.3MM

Facility

$1,675.00

Hospital Charge Code	270700120
Hospital Revenue Code	272
Min. Negotiated Rate	$47.57
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$636.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.50
Rate for Payer: Oxford Commercial	$335.00
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$335.00
Rate for Payer: UnitedHealthcare Community & State	$52.93
Rate for Payer: Wellpoint Medicaid Managed Care	$47.57

DRILL BIT BUSHING 4.3MM

Facility

$1,675.00

Hospital Charge Code	270700120
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

DRILL BIT CALI 4.2 EXTRA LONG

Facility

$1,175.00

Hospital Charge Code	270692384
Hospital Revenue Code	272
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.50
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$235.00
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

DRILL BIT CALI 4.2 EXTRA LONG

Facility

$1,175.00

Hospital Charge Code	270692384
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

Know your out-of-pocket cost for care.

All Charges