Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$43.57
Max. Negotiated Rate	$767.05
Rate for Payer: Aetna Commercial	$582.96
Rate for Payer: Aetna Medicare Advantage	$460.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.20
Rate for Payer: Cigna Commercial	$767.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.87
Rate for Payer: Oxford Commercial	$306.82
Rate for Payer: Qualcare PPO/HMO/WC	$230.12
Rate for Payer: UnitedHealthcare Commercial	$306.82
Rate for Payer: UnitedHealthcare Community & State	$48.48
Rate for Payer: Wellpoint Medicaid Managed Care	$43.57

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$230.12
Max. Negotiated Rate	$230.12
Rate for Payer: Qualcare PPO/HMO/WC	$230.12

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$167.99
Max. Negotiated Rate	$2,957.50
Rate for Payer: Aetna Commercial	$2,247.70
Rate for Payer: Aetna Medicare Advantage	$1,774.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,508.33
Rate for Payer: Cigna Commercial	$2,957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,537.90
Rate for Payer: Oxford Commercial	$1,183.00
Rate for Payer: Qualcare PPO/HMO/WC	$887.25
Rate for Payer: UnitedHealthcare Commercial	$1,183.00
Rate for Payer: UnitedHealthcare Community & State	$186.91
Rate for Payer: Wellpoint Medicaid Managed Care	$167.99

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$887.25
Max. Negotiated Rate	$887.25
Rate for Payer: Qualcare PPO/HMO/WC	$887.25

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$216.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.90

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$41.07
Max. Negotiated Rate	$723.00
Rate for Payer: Aetna Commercial	$549.48
Rate for Payer: Aetna Medicare Advantage	$433.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.73
Rate for Payer: Cigna Commercial	$723.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.96
Rate for Payer: Oxford Commercial	$289.20
Rate for Payer: Qualcare PPO/HMO/WC	$216.90
Rate for Payer: UnitedHealthcare Commercial	$289.20
Rate for Payer: UnitedHealthcare Community & State	$45.69
Rate for Payer: Wellpoint Medicaid Managed Care	$41.07

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$66.46
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$889.20
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.40
Rate for Payer: Oxford Commercial	$468.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$468.00
Rate for Payer: UnitedHealthcare Community & State	$73.94
Rate for Payer: Wellpoint Medicaid Managed Care	$66.46

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$118.19
Max. Negotiated Rate	$118.19
Rate for Payer: Qualcare PPO/HMO/WC	$118.19

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$22.38
Max. Negotiated Rate	$393.98
Rate for Payer: Aetna Commercial	$299.42
Rate for Payer: Aetna Medicare Advantage	$236.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.93
Rate for Payer: Cigna Commercial	$393.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.87
Rate for Payer: Oxford Commercial	$157.59
Rate for Payer: Qualcare PPO/HMO/WC	$118.19
Rate for Payer: UnitedHealthcare Commercial	$157.59
Rate for Payer: UnitedHealthcare Community & State	$24.90
Rate for Payer: Wellpoint Medicaid Managed Care	$22.38

DRILL BIT CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
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 CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
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 CANNULATED 1.7 MM

Facility

$875.00

Hospital Charge Code	270683591
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 CANNULATED 1.7 MM

Facility

$875.00

Hospital Charge Code	270683591
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 CANNULATED 1.7MM

Facility

$875.00

Hospital Charge Code	270670930
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 CANNULATED 1.7MM

Facility

$875.00

Hospital Charge Code	270670930
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 CANNULATED 1.7MM

Facility

$840.00

Hospital Charge Code	270667126
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT CANNULATED 1.7MM

Facility

$840.00

Hospital Charge Code	270667126
Hospital Revenue Code	272
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.40
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.86

DRILL BIT, CANNULATED 1.7MM

Facility

$875.00

Hospital Charge Code	270671792
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, CANNULATED 1.7MM

Facility

$875.00

Hospital Charge Code	270671792
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 CANNULATED 2.0 MM

Facility

$875.00

Hospital Charge Code	270683589
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 CANNULATED 2.0 MM

Facility

$875.00

Hospital Charge Code	270683589
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 CANNULATED 2.0X130MM

Facility

$840.00

Service Code	HCPCS A4649
Hospital Charge Code	270698260
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

Know your out-of-pocket cost for care.

All Charges