Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT MAXTORQUE 2.7MM

Facility

$820.00

Hospital Charge Code	270700660
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

DRILL BIT MAXTORQUE 2.7MM

Facility

$820.00

Hospital Charge Code	270700660
Hospital Revenue Code	272
Min. Negotiated Rate	$23.29
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.20
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$164.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$23.29

DRILL BIT MEMOFIX 2.7MM

Facility

$1,738.00

Hospital Charge Code	270674854
Hospital Revenue Code	272
Min. Negotiated Rate	$49.36
Max. Negotiated Rate	$869.00
Rate for Payer: Aetna Commercial	$660.44
Rate for Payer: Aetna Medicare Advantage	$521.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.19
Rate for Payer: Cigna Commercial	$869.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.88
Rate for Payer: Oxford Commercial	$347.60
Rate for Payer: Qualcare PPO/HMO/WC	$260.70
Rate for Payer: UnitedHealthcare Commercial	$347.60
Rate for Payer: UnitedHealthcare Community & State	$54.92
Rate for Payer: Wellpoint Medicaid Managed Care	$49.36

DRILL BIT MEMOFIX 2.7MM

Facility

$1,738.00

Hospital Charge Code	270674854
Hospital Revenue Code	272
Min. Negotiated Rate	$260.70
Max. Negotiated Rate	$260.70
Rate for Payer: Qualcare PPO/HMO/WC	$260.70

DRILL BIT MINI AO 1.2 MM CALIB

Facility

$800.00

Hospital Charge Code	270689943
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT MINI AO 1.2 MM CALIB

Facility

$800.00

Hospital Charge Code	270689943
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

DRILL BIT MINI AO 1.4MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699857
Hospital Revenue Code	272
Min. Negotiated Rate	$24.64
Max. Negotiated Rate	$433.88
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.28
Rate for Payer: Cigna Commercial	$433.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.62
Rate for Payer: Oxford Commercial	$173.55
Rate for Payer: Qualcare PPO/HMO/WC	$130.16
Rate for Payer: UnitedHealthcare Commercial	$173.55
Rate for Payer: UnitedHealthcare Community & State	$27.42
Rate for Payer: Wellpoint Medicaid Managed Care	$24.64

DRILL BIT MINI AO 1.4MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699857
Hospital Revenue Code	272
Min. Negotiated Rate	$130.16
Max. Negotiated Rate	$130.16
Rate for Payer: Qualcare PPO/HMO/WC	$130.16

DRILL BIT MINI AO 1.6MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699864
Hospital Revenue Code	272
Min. Negotiated Rate	$24.64
Max. Negotiated Rate	$433.88
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.28
Rate for Payer: Cigna Commercial	$433.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.62
Rate for Payer: Oxford Commercial	$173.55
Rate for Payer: Qualcare PPO/HMO/WC	$130.16
Rate for Payer: UnitedHealthcare Commercial	$173.55
Rate for Payer: UnitedHealthcare Community & State	$27.42
Rate for Payer: Wellpoint Medicaid Managed Care	$24.64

DRILL BIT MINI AO 1.6MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699864
Hospital Revenue Code	272
Min. Negotiated Rate	$130.16
Max. Negotiated Rate	$130.16
Rate for Payer: Qualcare PPO/HMO/WC	$130.16

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$123.37
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.41
Rate for Payer: Oxford Commercial	$64.93
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$64.93
Rate for Payer: UnitedHealthcare Community & State	$10.26
Rate for Payer: Wellpoint Medicaid Managed Care	$9.22

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$123.37
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.41
Rate for Payer: Oxford Commercial	$64.93
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$64.93
Rate for Payer: UnitedHealthcare Community & State	$10.26
Rate for Payer: Wellpoint Medicaid Managed Care	$9.22

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$144.07
Max. Negotiated Rate	$144.07
Rate for Payer: Qualcare PPO/HMO/WC	$144.07

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$27.28
Max. Negotiated Rate	$480.25
Rate for Payer: Aetna Commercial	$364.99
Rate for Payer: Aetna Medicare Advantage	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.93
Rate for Payer: Cigna Commercial	$480.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.73
Rate for Payer: Oxford Commercial	$192.10
Rate for Payer: Qualcare PPO/HMO/WC	$144.07
Rate for Payer: UnitedHealthcare Commercial	$192.10
Rate for Payer: UnitedHealthcare Community & State	$30.35
Rate for Payer: Wellpoint Medicaid Managed Care	$27.28

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$27.52
Max. Negotiated Rate	$484.50
Rate for Payer: Aetna Commercial	$368.22
Rate for Payer: Aetna Medicare Advantage	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.09
Rate for Payer: Cigna Commercial	$484.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.94
Rate for Payer: Oxford Commercial	$193.80
Rate for Payer: Qualcare PPO/HMO/WC	$145.35
Rate for Payer: UnitedHealthcare Commercial	$193.80
Rate for Payer: UnitedHealthcare Community & State	$30.62
Rate for Payer: Wellpoint Medicaid Managed Care	$27.52

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$145.35
Max. Negotiated Rate	$145.35
Rate for Payer: Qualcare PPO/HMO/WC	$145.35

DRILL BIT OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
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 OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
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 PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$96.56
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,292.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$884.00
Rate for Payer: Oxford Commercial	$680.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00
Rate for Payer: UnitedHealthcare Commercial	$680.00
Rate for Payer: UnitedHealthcare Community & State	$107.44
Rate for Payer: Wellpoint Medicaid Managed Care	$96.56

DRILL BIT PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$180.34
Max. Negotiated Rate	$3,175.00
Rate for Payer: Aetna Commercial	$2,413.00
Rate for Payer: Aetna Medicare Advantage	$1,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,619.25
Rate for Payer: Cigna Commercial	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.00
Rate for Payer: Oxford Commercial	$1,270.00
Rate for Payer: Qualcare PPO/HMO/WC	$952.50
Rate for Payer: UnitedHealthcare Commercial	$1,270.00
Rate for Payer: UnitedHealthcare Community & State	$200.66
Rate for Payer: Wellpoint Medicaid Managed Care	$180.34

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

Know your out-of-pocket cost for care.

All Charges