Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CALIB 2.0X110MM

Facility

$646.25

Hospital Charge Code	270691082
Hospital Revenue Code	272
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$323.12
Rate for Payer: Aetna Commercial	$245.57
Rate for Payer: Aetna Medicare Advantage	$193.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.79
Rate for Payer: Cigna Commercial	$323.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.03
Rate for Payer: Oxford Commercial	$129.25
Rate for Payer: Qualcare PPO/HMO/WC	$96.94
Rate for Payer: UnitedHealthcare Commercial	$129.25
Rate for Payer: UnitedHealthcare Community & State	$20.42
Rate for Payer: Wellpoint Medicaid Managed Care	$18.35

DRILL BIT CALIB 2.0X110MM

Facility

$646.25

Hospital Charge Code	270691082
Hospital Revenue Code	272
Min. Negotiated Rate	$96.94
Max. Negotiated Rate	$96.94
Rate for Payer: Qualcare PPO/HMO/WC	$96.94

DRILL BIT CALIB 4.2MM XL

Facility

$3,625.00

Service Code	HCPCS A4649
Hospital Charge Code	270697681
Hospital Revenue Code	272
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$543.75
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

DRILL BIT CALIB 4.2MM XL

Facility

$3,625.00

Service Code	HCPCS A4649
Hospital Charge Code	270697681
Hospital Revenue Code	272
Min. Negotiated Rate	$102.95
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,377.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$942.50
Rate for Payer: Oxford Commercial	$725.00
Rate for Payer: Qualcare PPO/HMO/WC	$543.75
Rate for Payer: UnitedHealthcare Commercial	$725.00
Rate for Payer: UnitedHealthcare Community & State	$114.55
Rate for Payer: Wellpoint Medicaid Managed Care	$102.95

DRILL BIT CALIBRATED 2.5MM

Facility

$501.00

Hospital Charge Code	270671106
Hospital Revenue Code	272
Min. Negotiated Rate	$14.23
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$190.38
Rate for Payer: Aetna Medicare Advantage	$150.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.75
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.26
Rate for Payer: Oxford Commercial	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$100.20
Rate for Payer: UnitedHealthcare Community & State	$15.83
Rate for Payer: Wellpoint Medicaid Managed Care	$14.23

DRILL BIT CALIBRATED 2.5MM

Facility

$501.00

Hospital Charge Code	270671106
Hospital Revenue Code	272
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

DRILL BIT CALIBRATED 2.9MM

Facility

$935.00

Hospital Charge Code	270661695
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

DRILL BIT CALIBRATED 2.9MM

Facility

$935.00

Hospital Charge Code	270661695
Hospital Revenue Code	272
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.10
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$29.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

DRILL BIT CALIBRTD 4.8mm 27550

Facility

$1,380.00

Hospital Charge Code	270648677
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

DRILL BIT CALIBRTD 4.8mm 27550

Facility

$1,380.00

Hospital Charge Code	270648677
Hospital Revenue Code	272
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.80
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$276.00
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.19

DRILL BIT CAN AO/QC 3.0MM

Facility

$1,125.00

Hospital Charge Code	270697017
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

DRILL BIT CAN AO/QC 3.0MM

Facility

$1,125.00

Hospital Charge Code	270697017
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
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	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

DRILL BIT CANN 11.0mm X 280mm

Facility

$2,095.00

Hospital Charge Code	270633852
Hospital Revenue Code	272
Min. Negotiated Rate	$59.50
Max. Negotiated Rate	$1,047.50
Rate for Payer: Aetna Commercial	$796.10
Rate for Payer: Aetna Medicare Advantage	$628.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$534.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$534.23
Rate for Payer: Cigna Commercial	$1,047.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.70
Rate for Payer: Oxford Commercial	$419.00
Rate for Payer: Qualcare PPO/HMO/WC	$314.25
Rate for Payer: UnitedHealthcare Commercial	$419.00
Rate for Payer: UnitedHealthcare Community & State	$66.20
Rate for Payer: Wellpoint Medicaid Managed Care	$59.50

DRILL BIT CANN 11.0mm X 280mm

Facility

$2,095.00

Hospital Charge Code	270633852
Hospital Revenue Code	272
Min. Negotiated Rate	$314.25
Max. Negotiated Rate	$314.25
Rate for Payer: Qualcare PPO/HMO/WC	$314.25

DRILL BIT CANN 15x280mm QC

Facility

$2,119.75

Hospital Charge Code	270645689
Hospital Revenue Code	272
Min. Negotiated Rate	$317.96
Max. Negotiated Rate	$317.96
Rate for Payer: Qualcare PPO/HMO/WC	$317.96

DRILL BIT CANN 15x280mm QC

Facility

$2,119.75

Hospital Charge Code	270645689
Hospital Revenue Code	272
Min. Negotiated Rate	$60.20
Max. Negotiated Rate	$1,059.88
Rate for Payer: Aetna Commercial	$805.50
Rate for Payer: Aetna Medicare Advantage	$635.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.54
Rate for Payer: Cigna Commercial	$1,059.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.13
Rate for Payer: Oxford Commercial	$423.95
Rate for Payer: Qualcare PPO/HMO/WC	$317.96
Rate for Payer: UnitedHealthcare Commercial	$423.95
Rate for Payer: UnitedHealthcare Community & State	$66.98
Rate for Payer: Wellpoint Medicaid Managed Care	$60.20

DRILL BIT CANN 1.7x100MM

Facility

$1,928.15

Hospital Charge Code	270634211
Hospital Revenue Code	272
Min. Negotiated Rate	$54.76
Max. Negotiated Rate	$964.08
Rate for Payer: Aetna Commercial	$732.70
Rate for Payer: Aetna Medicare Advantage	$578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.68
Rate for Payer: Cigna Commercial	$964.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.32
Rate for Payer: Oxford Commercial	$385.63
Rate for Payer: Qualcare PPO/HMO/WC	$289.22
Rate for Payer: UnitedHealthcare Commercial	$385.63
Rate for Payer: UnitedHealthcare Community & State	$60.93
Rate for Payer: Wellpoint Medicaid Managed Care	$54.76

DRILL BIT CANN 1.7x100MM

Facility

$1,928.15

Hospital Charge Code	270634211
Hospital Revenue Code	272
Min. Negotiated Rate	$289.22
Max. Negotiated Rate	$289.22
Rate for Payer: Qualcare PPO/HMO/WC	$289.22

DRILL BIT CANN 2.0

Facility

$875.00

Hospital Charge Code	270683395
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL BIT CANN 2.0

Facility

$875.00

Hospital Charge Code	270683395
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

DRILL BIT CANN 3.0MM

Facility

$875.00

Hospital Charge Code	270685917
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

DRILL BIT CANN 3.0MM

Facility

$875.00

Hospital Charge Code	270685917
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL BIT CANN 3.5x160MM

Facility

$1,944.65

Hospital Charge Code	270646925
Hospital Revenue Code	272
Min. Negotiated Rate	$55.23
Max. Negotiated Rate	$972.33
Rate for Payer: Aetna Commercial	$738.97
Rate for Payer: Aetna Medicare Advantage	$583.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.89
Rate for Payer: Cigna Commercial	$972.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$505.61
Rate for Payer: Oxford Commercial	$388.93
Rate for Payer: Qualcare PPO/HMO/WC	$291.70
Rate for Payer: UnitedHealthcare Commercial	$388.93
Rate for Payer: UnitedHealthcare Community & State	$61.45
Rate for Payer: Wellpoint Medicaid Managed Care	$55.23

DRILL BIT CANN 3.5x160MM

Facility

$1,944.65

Hospital Charge Code	270646925
Hospital Revenue Code	272
Min. Negotiated Rate	$291.70
Max. Negotiated Rate	$291.70
Rate for Payer: Qualcare PPO/HMO/WC	$291.70

DRILL BIT CANN 4.3 MM

Facility

$875.00

Hospital Charge Code	270685918
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

Know your out-of-pocket cost for care.

All Charges