Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$25.42
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$340.10
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.70
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$179.00
Rate for Payer: UnitedHealthcare Community & State	$28.28
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

DRILL BIT CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

DRILL BIT CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.00
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$440.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$62.48
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.00
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$440.00
Rate for Payer: UnitedHealthcare Community & State	$69.52
Rate for Payer: Wellpoint Medicaid Managed Care	$62.48

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$336.38
Max. Negotiated Rate	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$336.38

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$63.69
Max. Negotiated Rate	$1,121.25
Rate for Payer: Aetna Commercial	$852.15
Rate for Payer: Aetna Medicare Advantage	$672.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.84
Rate for Payer: Cigna Commercial	$1,121.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.05
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$336.38
Rate for Payer: UnitedHealthcare Commercial	$448.50
Rate for Payer: UnitedHealthcare Community & State	$70.86
Rate for Payer: Wellpoint Medicaid Managed Care	$63.69

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$47.44
Max. Negotiated Rate	$835.20
Rate for Payer: Aetna Commercial	$634.75
Rate for Payer: Aetna Medicare Advantage	$501.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.95
Rate for Payer: Cigna Commercial	$835.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.30
Rate for Payer: Oxford Commercial	$334.08
Rate for Payer: Qualcare PPO/HMO/WC	$250.56
Rate for Payer: UnitedHealthcare Commercial	$334.08
Rate for Payer: UnitedHealthcare Community & State	$52.78
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$250.56
Max. Negotiated Rate	$250.56
Rate for Payer: Qualcare PPO/HMO/WC	$250.56

DRILL BIT CARBHU4MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695328
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

DRILL BIT CARBHU4MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695328
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT CARBHU5MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695329
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

DRILL BIT CARBHU5MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695329
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT CARBHU6MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695330
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

DRILL BIT CARBHU6MM SINGLE USE

Facility

$1,250.00

Hospital Charge Code	270695330
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT CARTIVA MTP COUNTER

Facility

$1,062.45

Hospital Charge Code	270679216
Hospital Revenue Code	272
Min. Negotiated Rate	$159.37
Max. Negotiated Rate	$159.37
Rate for Payer: Qualcare PPO/HMO/WC	$159.37

DRILL BIT CARTIVA MTP COUNTER

Facility

$1,062.45

Hospital Charge Code	270679216
Hospital Revenue Code	272
Min. Negotiated Rate	$30.17
Max. Negotiated Rate	$531.23
Rate for Payer: Aetna Commercial	$403.73
Rate for Payer: Aetna Medicare Advantage	$318.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.92
Rate for Payer: Cigna Commercial	$531.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.24
Rate for Payer: Oxford Commercial	$212.49
Rate for Payer: Qualcare PPO/HMO/WC	$159.37
Rate for Payer: UnitedHealthcare Commercial	$212.49
Rate for Payer: UnitedHealthcare Community & State	$33.57
Rate for Payer: Wellpoint Medicaid Managed Care	$30.17

DRILL BIT CENTRAL 3.2MM

Facility

$660.00

Hospital Charge Code	270669246
Hospital Revenue Code	272
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.60
Rate for Payer: Oxford Commercial	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$132.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

DRILL BIT CENTRAL 3.2MM

Facility

$660.00

Hospital Charge Code	270669246
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

DRILL BIT CERES 12MM

Facility

$750.00

Hospital Charge Code	270692544
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL BIT CERES 12MM

Facility

$750.00

Hospital Charge Code	270692544
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

DRILL BIT CERES 14MM

Facility

$1,375.00

Hospital Charge Code	270692488
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

Know your out-of-pocket cost for care.

All Charges