Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CERES 14MM

Facility

$1,375.00

Hospital Charge Code	270692488
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

DRILL BIT CERVICAL 14MM

Facility

$2,750.00

Hospital Charge Code	270697546
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

DRILL BIT CERVICAL 14MM

Facility

$2,750.00

Hospital Charge Code	270697546
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL BIT CINCHLOCK FLEX

Facility

$1,250.00

Hospital Charge Code	270677419
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 CINCHLOCK FLEX

Facility

$1,250.00

Hospital Charge Code	270677419
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 CINCHLOCK SS

Facility

$945.00

Hospital Charge Code	270670493
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

DRILL BIT CINCHLOCK SS

Facility

$945.00

Hospital Charge Code	270670493
Hospital Revenue Code	272
Min. Negotiated Rate	$26.84
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.70
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$189.00
Rate for Payer: UnitedHealthcare Community & State	$29.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

DRILL BIT CMPR FT 7.0MM

Facility

$1,000.00

Hospital Charge Code	270693860
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 CMPR FT 7.0MM

Facility

$1,000.00

Hospital Charge Code	270693860
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 COMP FT 2.2MM

Facility

$1,056.25

Hospital Charge Code	270699861
Hospital Revenue Code	272
Min. Negotiated Rate	$158.44
Max. Negotiated Rate	$158.44
Rate for Payer: Qualcare PPO/HMO/WC	$158.44

DRILL BIT COMP FT 2.2MM

Facility

$1,056.25

Hospital Charge Code	270699861
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$528.12
Rate for Payer: Aetna Commercial	$401.38
Rate for Payer: Aetna Medicare Advantage	$316.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.34
Rate for Payer: Cigna Commercial	$528.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.62
Rate for Payer: Oxford Commercial	$211.25
Rate for Payer: Qualcare PPO/HMO/WC	$158.44
Rate for Payer: UnitedHealthcare Commercial	$211.25
Rate for Payer: UnitedHealthcare Community & State	$33.38
Rate for Payer: Wellpoint Medicaid Managed Care	$30.00

DRILL BIT DARCO 2.8MM

Facility

$695.00

Hospital Charge Code	270686744
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

DRILL BIT DARCO 2.8MM

Facility

$695.00

Hospital Charge Code	270686744
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$264.10
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.70
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$139.00
Rate for Payer: UnitedHealthcare Community & State	$21.96
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

DRILL BIT DEPTH MARK QC 140MM

Facility

$652.45

Hospital Charge Code	270642552
Hospital Revenue Code	272
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

DRILL BIT DEPTH MARK QC 140MM

Facility

$652.45

Hospital Charge Code	270642552
Hospital Revenue Code	272
Min. Negotiated Rate	$18.53
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$247.93
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.64
Rate for Payer: Oxford Commercial	$130.49
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$130.49
Rate for Payer: UnitedHealthcare Community & State	$20.62
Rate for Payer: Wellpoint Medicaid Managed Care	$18.53

DRILL BIT DHS/DCS 8MM

Facility

$2,326.75

Hospital Charge Code	270618530
Hospital Revenue Code	272
Min. Negotiated Rate	$66.08
Max. Negotiated Rate	$1,163.38
Rate for Payer: Aetna Commercial	$884.16
Rate for Payer: Aetna Medicare Advantage	$698.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.32
Rate for Payer: Cigna Commercial	$1,163.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.96
Rate for Payer: Oxford Commercial	$465.35
Rate for Payer: Qualcare PPO/HMO/WC	$349.01
Rate for Payer: UnitedHealthcare Commercial	$465.35
Rate for Payer: UnitedHealthcare Community & State	$73.53
Rate for Payer: Wellpoint Medicaid Managed Care	$66.08

DRILL BIT DHS/DCS 8MM

Facility

$2,326.75

Hospital Charge Code	270618530
Hospital Revenue Code	272
Min. Negotiated Rate	$349.01
Max. Negotiated Rate	$349.01
Rate for Payer: Qualcare PPO/HMO/WC	$349.01

DRILL BIT DPT MARK QC 2x110MM

Facility

$429.00

Hospital Charge Code	270675730
Hospital Revenue Code	272
Min. Negotiated Rate	$12.18
Max. Negotiated Rate	$214.50
Rate for Payer: Aetna Commercial	$163.02
Rate for Payer: Aetna Medicare Advantage	$128.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.39
Rate for Payer: Cigna Commercial	$214.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.54
Rate for Payer: Oxford Commercial	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$64.35
Rate for Payer: UnitedHealthcare Commercial	$85.80
Rate for Payer: UnitedHealthcare Community & State	$13.56
Rate for Payer: Wellpoint Medicaid Managed Care	$12.18

DRILL BIT DPT MARK QC 2x110MM

Facility

$429.00

Hospital Charge Code	270675730
Hospital Revenue Code	272
Min. Negotiated Rate	$64.35
Max. Negotiated Rate	$64.35
Rate for Payer: Qualcare PPO/HMO/WC	$64.35

DRILL BIT FLUTED 3.8MMX6INCH

Facility

$675.00

Hospital Charge Code	270694693
Hospital Revenue Code	272
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

DRILL BIT FLUTED 3.8MMX6INCH

Facility

$675.00

Hospital Charge Code	270694693
Hospital Revenue Code	272
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$19.17

DRILL BIT FLUTELESS 1.5MM

Facility

$1,750.00

Hospital Charge Code	270694699
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

DRILL BIT FLUTELESS 1.5MM

Facility

$1,750.00

Hospital Charge Code	270694699
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

DRILL BIT FORMULI NAILED 10.0M

Facility

$1,236.10

Hospital Charge Code	270688273
Hospital Revenue Code	272
Min. Negotiated Rate	$35.11
Max. Negotiated Rate	$618.05
Rate for Payer: Aetna Commercial	$469.72
Rate for Payer: Aetna Medicare Advantage	$370.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.21
Rate for Payer: Cigna Commercial	$618.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.39
Rate for Payer: Oxford Commercial	$247.22
Rate for Payer: Qualcare PPO/HMO/WC	$185.41
Rate for Payer: UnitedHealthcare Commercial	$247.22
Rate for Payer: UnitedHealthcare Community & State	$39.06
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

DRILL BIT FORMULI NAILED 10.0M

Facility

$1,236.10

Hospital Charge Code	270688273
Hospital Revenue Code	272
Min. Negotiated Rate	$185.41
Max. Negotiated Rate	$185.41
Rate for Payer: Qualcare PPO/HMO/WC	$185.41

Know your out-of-pocket cost for care.

All Charges