Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANN 4.3 MM

Facility

$875.00

Hospital Charge Code	270685918
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 4.5x170MM

Facility

$1,854.00

Hospital Charge Code	270604931
Hospital Revenue Code	272
Min. Negotiated Rate	$278.10
Max. Negotiated Rate	$278.10
Rate for Payer: Qualcare PPO/HMO/WC	$278.10

DRILL BIT CANN 4.5x170MM

Facility

$1,854.00

Hospital Charge Code	270604931
Hospital Revenue Code	272
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$927.00
Rate for Payer: Aetna Commercial	$704.52
Rate for Payer: Aetna Medicare Advantage	$556.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$472.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$472.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$472.77
Rate for Payer: Cigna Commercial	$927.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.04
Rate for Payer: Oxford Commercial	$370.80
Rate for Payer: Qualcare PPO/HMO/WC	$278.10
Rate for Payer: UnitedHealthcare Commercial	$370.80
Rate for Payer: UnitedHealthcare Community & State	$58.59
Rate for Payer: Wellpoint Medicaid Managed Care	$52.65

DRILL BIT CANN 4.5x233MM

Facility

$1,909.60

Hospital Charge Code	270605008
Hospital Revenue Code	272
Min. Negotiated Rate	$286.44
Max. Negotiated Rate	$286.44
Rate for Payer: Qualcare PPO/HMO/WC	$286.44

DRILL BIT CANN 4.5x233MM

Facility

$1,909.60

Hospital Charge Code	270605008
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$954.80
Rate for Payer: Aetna Commercial	$725.65
Rate for Payer: Aetna Medicare Advantage	$572.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.95
Rate for Payer: Cigna Commercial	$954.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.50
Rate for Payer: Oxford Commercial	$381.92
Rate for Payer: Qualcare PPO/HMO/WC	$286.44
Rate for Payer: UnitedHealthcare Commercial	$381.92
Rate for Payer: UnitedHealthcare Community & State	$60.34
Rate for Payer: Wellpoint Medicaid Managed Care	$54.23

DRILL BIT CANN 7.3X300MM

Facility

$1,836.00

Hospital Charge Code	270670831
Hospital Revenue Code	272
Min. Negotiated Rate	$275.40
Max. Negotiated Rate	$275.40
Rate for Payer: Qualcare PPO/HMO/WC	$275.40

DRILL BIT CANN 7.3X300MM

Facility

$1,836.00

Hospital Charge Code	270670831
Hospital Revenue Code	272
Min. Negotiated Rate	$52.14
Max. Negotiated Rate	$918.00
Rate for Payer: Aetna Commercial	$697.68
Rate for Payer: Aetna Medicare Advantage	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.18
Rate for Payer: Cigna Commercial	$918.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.36
Rate for Payer: Oxford Commercial	$367.20
Rate for Payer: Qualcare PPO/HMO/WC	$275.40
Rate for Payer: UnitedHealthcare Commercial	$367.20
Rate for Payer: UnitedHealthcare Community & State	$58.02
Rate for Payer: Wellpoint Medicaid Managed Care	$52.14

DRILL BIT CANN AO 2.0X65MM

Facility

$600.00

Hospital Charge Code	270692685
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

DRILL BIT CANN AO 2.0X65MM

Facility

$600.00

Hospital Charge Code	270692685
Hospital Revenue Code	278
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

DRILLBIT CANN AO COUP 2.1MM

Facility

$2,020.00

Service Code	HCPCS A4649
Hospital Charge Code	270673480
Hospital Revenue Code	272
Min. Negotiated Rate	$57.37
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$767.60
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.20
Rate for Payer: Oxford Commercial	$404.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Commercial	$404.00
Rate for Payer: UnitedHealthcare Community & State	$63.83
Rate for Payer: Wellpoint Medicaid Managed Care	$57.37

DRILLBIT CANN AO COUP 2.1MM

Facility

$2,020.00

Service Code	HCPCS A4649
Hospital Charge Code	270673480
Hospital Revenue Code	272
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

DRILL BIT CANN LG QC 12.8MM

Facility

$3,132.55

Service Code	HCPCS A4649
Hospital Charge Code	270692420
Hospital Revenue Code	272
Min. Negotiated Rate	$469.88
Max. Negotiated Rate	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$469.88

DRILL BIT CANN LG QC 12.8MM

Facility

$3,132.55

Service Code	HCPCS A4649
Hospital Charge Code	270692420
Hospital Revenue Code	272
Min. Negotiated Rate	$88.96
Max. Negotiated Rate	$1,566.28
Rate for Payer: Aetna Commercial	$1,190.37
Rate for Payer: Aetna Medicare Advantage	$939.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.80
Rate for Payer: Cigna Commercial	$1,566.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$814.46
Rate for Payer: Oxford Commercial	$626.51
Rate for Payer: Qualcare PPO/HMO/WC	$469.88
Rate for Payer: UnitedHealthcare Commercial	$626.51
Rate for Payer: UnitedHealthcare Community & State	$98.99
Rate for Payer: Wellpoint Medicaid Managed Care	$88.96

DRILL BIT CANN LG QC 12x190MM

Facility

$2,175.00

Hospital Charge Code	270674887
Hospital Revenue Code	272
Min. Negotiated Rate	$61.77
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.50
Rate for Payer: Oxford Commercial	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$435.00
Rate for Payer: UnitedHealthcare Community & State	$68.73
Rate for Payer: Wellpoint Medicaid Managed Care	$61.77

DRILL BIT CANN LG QC 12x190MM

Facility

$2,175.00

Hospital Charge Code	270674887
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$1,066.20
Rate for Payer: Aetna Commercial	$810.31
Rate for Payer: Aetna Medicare Advantage	$639.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.76
Rate for Payer: Cigna Commercial	$1,066.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.42
Rate for Payer: Oxford Commercial	$426.48
Rate for Payer: Qualcare PPO/HMO/WC	$319.86
Rate for Payer: UnitedHealthcare Commercial	$426.48
Rate for Payer: UnitedHealthcare Community & State	$67.38
Rate for Payer: Wellpoint Medicaid Managed Care	$60.56

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$319.86
Max. Negotiated Rate	$319.86
Rate for Payer: Qualcare PPO/HMO/WC	$319.86

DRILL BIT CANN QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
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 QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
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 QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$367.12
Max. Negotiated Rate	$367.12
Rate for Payer: Qualcare PPO/HMO/WC	$367.12

DRILL BIT CANN QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$69.51
Max. Negotiated Rate	$1,223.75
Rate for Payer: Aetna Commercial	$930.05
Rate for Payer: Aetna Medicare Advantage	$734.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.11
Rate for Payer: Cigna Commercial	$1,223.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.35
Rate for Payer: Oxford Commercial	$489.50
Rate for Payer: Qualcare PPO/HMO/WC	$367.12
Rate for Payer: UnitedHealthcare Commercial	$489.50
Rate for Payer: UnitedHealthcare Community & State	$77.34
Rate for Payer: Wellpoint Medicaid Managed Care	$69.51

DRILL BIT CANN QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
Hospital Revenue Code	272
Min. Negotiated Rate	$286.44
Max. Negotiated Rate	$286.44
Rate for Payer: Qualcare PPO/HMO/WC	$286.44

DRILL BIT CANN QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$954.80
Rate for Payer: Aetna Commercial	$725.65
Rate for Payer: Aetna Medicare Advantage	$572.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.95
Rate for Payer: Cigna Commercial	$954.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.50
Rate for Payer: Oxford Commercial	$381.92
Rate for Payer: Qualcare PPO/HMO/WC	$286.44
Rate for Payer: UnitedHealthcare Commercial	$381.92
Rate for Payer: UnitedHealthcare Community & State	$60.34
Rate for Payer: Wellpoint Medicaid Managed Care	$54.23

DRILL BIT CANN QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$61.28
Max. Negotiated Rate	$1,078.92
Rate for Payer: Aetna Commercial	$819.98
Rate for Payer: Aetna Medicare Advantage	$647.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.25
Rate for Payer: Cigna Commercial	$1,078.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.04
Rate for Payer: Oxford Commercial	$431.57
Rate for Payer: Qualcare PPO/HMO/WC	$323.68
Rate for Payer: UnitedHealthcare Commercial	$431.57
Rate for Payer: UnitedHealthcare Community & State	$68.19
Rate for Payer: Wellpoint Medicaid Managed Care	$61.28

DRILL BIT CANN QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$323.68
Max. Negotiated Rate	$323.68
Rate for Payer: Qualcare PPO/HMO/WC	$323.68

Know your out-of-pocket cost for care.

All Charges