Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT JUGGERKNOT SHORT2.9

Facility

$660.00

Hospital Charge Code	270675057
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 KIT 2MM X 3.2MM

Facility

$2,070.00

Hospital Charge Code	270668550
Hospital Revenue Code	272
Min. Negotiated Rate	$310.50
Max. Negotiated Rate	$310.50
Rate for Payer: Qualcare PPO/HMO/WC	$310.50

DRILL BIT KIT 2MM X 3.2MM

Facility

$2,070.00

Hospital Charge Code	270668550
Hospital Revenue Code	272
Min. Negotiated Rate	$58.79
Max. Negotiated Rate	$1,035.00
Rate for Payer: Aetna Commercial	$786.60
Rate for Payer: Aetna Medicare Advantage	$621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$527.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$527.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$527.85
Rate for Payer: Cigna Commercial	$1,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$538.20
Rate for Payer: Oxford Commercial	$414.00
Rate for Payer: Qualcare PPO/HMO/WC	$310.50
Rate for Payer: UnitedHealthcare Commercial	$414.00
Rate for Payer: UnitedHealthcare Community & State	$65.41
Rate for Payer: Wellpoint Medicaid Managed Care	$58.79

DRILL BIT LEG ACORN FLUTD 14CM

Facility

$760.00

Hospital Charge Code	270668231
Hospital Revenue Code	272
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.60
Rate for Payer: Oxford Commercial	$152.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$152.00
Rate for Payer: UnitedHealthcare Community & State	$24.02
Rate for Payer: Wellpoint Medicaid Managed Care	$21.58

DRILL BIT LEG ACORN FLUTD 14CM

Facility

$760.00

Hospital Charge Code	270668231
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

DRILL BIT LEGEND TAPERED 14CM

Facility

$817.00

Hospital Charge Code	270668232
Hospital Revenue Code	272
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$408.50
Rate for Payer: Aetna Commercial	$310.46
Rate for Payer: Aetna Medicare Advantage	$245.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.34
Rate for Payer: Cigna Commercial	$408.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.42
Rate for Payer: Oxford Commercial	$163.40
Rate for Payer: Qualcare PPO/HMO/WC	$122.55
Rate for Payer: UnitedHealthcare Commercial	$163.40
Rate for Payer: UnitedHealthcare Community & State	$25.82
Rate for Payer: Wellpoint Medicaid Managed Care	$23.20

DRILL BIT LEGEND TAPERED 14CM

Facility

$817.00

Hospital Charge Code	270668232
Hospital Revenue Code	272
Min. Negotiated Rate	$122.55
Max. Negotiated Rate	$122.55
Rate for Payer: Qualcare PPO/HMO/WC	$122.55

DRILL BIT LISFANC 2.6MM

Facility

$840.00

Hospital Charge Code	270686264
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 LISFANC 2.6MM

Facility

$840.00

Hospital Charge Code	270686264
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 LOCKNG SHORT 4.3X216

Facility

$1,849.00

Hospital Charge Code	270693030
Hospital Revenue Code	272
Min. Negotiated Rate	$277.35
Max. Negotiated Rate	$277.35
Rate for Payer: Qualcare PPO/HMO/WC	$277.35

DRILL BIT LOCKNG SHORT 4.3X216

Facility

$1,849.00

Hospital Charge Code	270693030
Hospital Revenue Code	272
Min. Negotiated Rate	$52.51
Max. Negotiated Rate	$924.50
Rate for Payer: Aetna Commercial	$702.62
Rate for Payer: Aetna Medicare Advantage	$554.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.50
Rate for Payer: Cigna Commercial	$924.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.74
Rate for Payer: Oxford Commercial	$369.80
Rate for Payer: Qualcare PPO/HMO/WC	$277.35
Rate for Payer: UnitedHealthcare Commercial	$369.80
Rate for Payer: UnitedHealthcare Community & State	$58.43
Rate for Payer: Wellpoint Medicaid Managed Care	$52.51

DRILL BIT LOCK SHORT 3.1X216MM

Facility

$1,848.40

Hospital Charge Code	270692185
Hospital Revenue Code	272
Min. Negotiated Rate	$52.49
Max. Negotiated Rate	$924.20
Rate for Payer: Aetna Commercial	$702.39
Rate for Payer: Aetna Medicare Advantage	$554.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.34
Rate for Payer: Cigna Commercial	$924.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.58
Rate for Payer: Oxford Commercial	$369.68
Rate for Payer: Qualcare PPO/HMO/WC	$277.26
Rate for Payer: UnitedHealthcare Commercial	$369.68
Rate for Payer: UnitedHealthcare Community & State	$58.41
Rate for Payer: Wellpoint Medicaid Managed Care	$52.49

DRILL BIT LOCK SHORT 3.1X216MM

Facility

$1,848.40

Hospital Charge Code	270692185
Hospital Revenue Code	272
Min. Negotiated Rate	$277.26
Max. Negotiated Rate	$277.26
Rate for Payer: Qualcare PPO/HMO/WC	$277.26

DRILL BIT M 1.0MM

Facility

$381.50

Hospital Charge Code	270674520
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.0MM

Facility

$381.50

Hospital Charge Code	270674520
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 1.1MM

Facility

$381.50

Hospital Charge Code	270674522
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 1.1MM

Facility

$381.50

Hospital Charge Code	270674522
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.3MM

Facility

$381.50

Hospital Charge Code	270674524
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 1.3MM

Facility

$381.50

Hospital Charge Code	270674524
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.5MM

Facility

$381.50

Hospital Charge Code	270674526
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 1.5MM

Facility

$381.50

Hospital Charge Code	270674526
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 2.0MM

Facility

$381.50

Hospital Charge Code	270674528
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 2.0MM

Facility

$381.50

Hospital Charge Code	270674528
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 2.5MM

Facility

$381.50

Hospital Charge Code	270674530
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.19
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$12.06
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

DRILL BIT M 2.5MM

Facility

$381.50

Hospital Charge Code	270674530
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

Know your out-of-pocket cost for care.

All Charges