Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT FREEHAND 4.2X185MM

Facility

$1,565.50

Hospital Charge Code	270697349
Hospital Revenue Code	272
Min. Negotiated Rate	$234.82
Max. Negotiated Rate	$234.82
Rate for Payer: Qualcare PPO/HMO/WC	$234.82

DRILL BIT FREEHAND 4.2X185MM

Facility

$1,565.50

Hospital Charge Code	270697349
Hospital Revenue Code	272
Min. Negotiated Rate	$44.46
Max. Negotiated Rate	$782.75
Rate for Payer: Aetna Commercial	$594.89
Rate for Payer: Aetna Medicare Advantage	$469.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.20
Rate for Payer: Cigna Commercial	$782.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.03
Rate for Payer: Oxford Commercial	$313.10
Rate for Payer: Qualcare PPO/HMO/WC	$234.82
Rate for Payer: UnitedHealthcare Commercial	$313.10
Rate for Payer: UnitedHealthcare Community & State	$49.47
Rate for Payer: Wellpoint Medicaid Managed Care	$44.46

DRILL BIT HELIX R, 2.5 X 10

Facility

$1,780.00

Hospital Charge Code	270666089
Hospital Revenue Code	272
Min. Negotiated Rate	$267.00
Max. Negotiated Rate	$267.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.00

DRILL BIT HELIX R, 2.5 X 10

Facility

$1,780.00

Hospital Charge Code	270666089
Hospital Revenue Code	272
Min. Negotiated Rate	$50.55
Max. Negotiated Rate	$890.00
Rate for Payer: Aetna Commercial	$676.40
Rate for Payer: Aetna Medicare Advantage	$534.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$453.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$453.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$453.90
Rate for Payer: Cigna Commercial	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.80
Rate for Payer: Oxford Commercial	$356.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.00
Rate for Payer: UnitedHealthcare Commercial	$356.00
Rate for Payer: UnitedHealthcare Community & State	$56.25
Rate for Payer: Wellpoint Medicaid Managed Care	$50.55

DRILL BIT HELIX T 2.5X13MM

Facility

$1,940.00

Hospital Charge Code	270693541
Hospital Revenue Code	272
Min. Negotiated Rate	$55.10
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.40
Rate for Payer: Oxford Commercial	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$388.00
Rate for Payer: UnitedHealthcare Community & State	$61.30
Rate for Payer: Wellpoint Medicaid Managed Care	$55.10

DRILL BIT HELIX T 2.5X13MM

Facility

$1,940.00

Hospital Charge Code	270693541
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

DRILL BIT JACOBS 1.1x45MM

Facility

$290.45

Hospital Charge Code	270604445
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$145.22
Rate for Payer: Aetna Commercial	$110.37
Rate for Payer: Aetna Medicare Advantage	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.06
Rate for Payer: Cigna Commercial	$145.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.52
Rate for Payer: Oxford Commercial	$58.09
Rate for Payer: Qualcare PPO/HMO/WC	$43.57
Rate for Payer: UnitedHealthcare Commercial	$58.09
Rate for Payer: UnitedHealthcare Community & State	$9.18
Rate for Payer: Wellpoint Medicaid Managed Care	$8.25

DRILL BIT JACOBS 1.1x45MM

Facility

$290.45

Hospital Charge Code	270604445
Hospital Revenue Code	272
Min. Negotiated Rate	$43.57
Max. Negotiated Rate	$43.57
Rate for Payer: Qualcare PPO/HMO/WC	$43.57

DRILL BIT JACOBS 2.0x85MM

Facility

$307.45

Hospital Charge Code	270604448
Hospital Revenue Code	272
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

DRILL BIT JACOBS 2.0x85MM

Facility

$307.45

Hospital Charge Code	270604448
Hospital Revenue Code	272
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$116.83
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.94
Rate for Payer: Oxford Commercial	$61.49
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$61.49
Rate for Payer: UnitedHealthcare Community & State	$9.72
Rate for Payer: Wellpoint Medicaid Managed Care	$8.73

DRILL BIT JACOBS 2.7x85MM

Facility

$307.45

Hospital Charge Code	270604451
Hospital Revenue Code	272
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$116.83
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.94
Rate for Payer: Oxford Commercial	$61.49
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$61.49
Rate for Payer: UnitedHealthcare Community & State	$9.72
Rate for Payer: Wellpoint Medicaid Managed Care	$8.73

DRILL BIT JACOBS 2.7x85MM

Facility

$307.45

Hospital Charge Code	270604451
Hospital Revenue Code	272
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

DRILL BIT JACOBS 3.5x95MM

Facility

$316.65

Hospital Charge Code	270604453
Hospital Revenue Code	272
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$158.32
Rate for Payer: Aetna Commercial	$120.33
Rate for Payer: Aetna Medicare Advantage	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.75
Rate for Payer: Cigna Commercial	$158.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.33
Rate for Payer: Oxford Commercial	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$47.50
Rate for Payer: UnitedHealthcare Commercial	$63.33
Rate for Payer: UnitedHealthcare Community & State	$10.01
Rate for Payer: Wellpoint Medicaid Managed Care	$8.99

DRILL BIT JACOBS 3.5x95MM

Facility

$316.65

Hospital Charge Code	270604453
Hospital Revenue Code	272
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.50

DRILL BIT JACOBS GOLD 2.5x95MM

Facility

$417.15

Hospital Charge Code	270604455
Hospital Revenue Code	272
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$158.52
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.46
Rate for Payer: Oxford Commercial	$83.43
Rate for Payer: Qualcare PPO/HMO/WC	$62.57
Rate for Payer: UnitedHealthcare Commercial	$83.43
Rate for Payer: UnitedHealthcare Community & State	$13.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.85

DRILL BIT JACOBS GOLD 2.5x95MM

Facility

$417.15

Hospital Charge Code	270604455
Hospital Revenue Code	272
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$62.57
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

DRILL BIT J-LATCH 1.1x75MM

Facility

$306.00

Hospital Charge Code	270675731
Hospital Revenue Code	272
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

DRILL BIT J-LATCH 1.1x75MM

Facility

$306.00

Hospital Charge Code	270675731
Hospital Revenue Code	272
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$153.00
Rate for Payer: Aetna Commercial	$116.28
Rate for Payer: Aetna Medicare Advantage	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.03
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$61.20
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

DRILL BIT J-LATCH 1.5x75MM

Facility

$306.00

Hospital Charge Code	270675732
Hospital Revenue Code	272
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

DRILL BIT J-LATCH 1.5x75MM

Facility

$306.00

Hospital Charge Code	270675732
Hospital Revenue Code	272
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$153.00
Rate for Payer: Aetna Commercial	$116.28
Rate for Payer: Aetna Medicare Advantage	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.03
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$61.20
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

DRILL BIT J-LATCH 2.4x90MM

Facility

$298.50

Hospital Charge Code	270675737
Hospital Revenue Code	272
Min. Negotiated Rate	$44.77
Max. Negotiated Rate	$44.77
Rate for Payer: Qualcare PPO/HMO/WC	$44.77

DRILL BIT J-LATCH 2.4x90MM

Facility

$298.50

Hospital Charge Code	270675737
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$149.25
Rate for Payer: Aetna Commercial	$113.43
Rate for Payer: Aetna Medicare Advantage	$89.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.12
Rate for Payer: Cigna Commercial	$149.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.61
Rate for Payer: Oxford Commercial	$59.70
Rate for Payer: Qualcare PPO/HMO/WC	$44.77
Rate for Payer: UnitedHealthcare Commercial	$59.70
Rate for Payer: UnitedHealthcare Community & State	$9.43
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

DRILL BIT J-LATCH 2x75MM

Facility

$306.00

Hospital Charge Code	270675733
Hospital Revenue Code	272
Min. Negotiated Rate	$8.69
Max. Negotiated Rate	$153.00
Rate for Payer: Aetna Commercial	$116.28
Rate for Payer: Aetna Medicare Advantage	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.03
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$61.20
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

DRILL BIT J-LATCH 2x75MM

Facility

$306.00

Hospital Charge Code	270675733
Hospital Revenue Code	272
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

DRILL BIT JUGGERKNOT SHORT2.9

Facility

$660.00

Hospital Charge Code	270675057
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

Know your out-of-pocket cost for care.

All Charges