Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
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 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$663.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00

DRILL BIT PANTA2 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$125.53
Max. Negotiated Rate	$2,210.00
Rate for Payer: Aetna Commercial	$1,679.60
Rate for Payer: Aetna Medicare Advantage	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,127.10
Rate for Payer: Cigna Commercial	$2,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.20
Rate for Payer: Oxford Commercial	$884.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00
Rate for Payer: UnitedHealthcare Commercial	$884.00
Rate for Payer: UnitedHealthcare Community & State	$139.67
Rate for Payer: Wellpoint Medicaid Managed Care	$125.53

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.62

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$21.51
Max. Negotiated Rate	$378.73
Rate for Payer: Aetna Commercial	$287.83
Rate for Payer: Aetna Medicare Advantage	$227.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.15
Rate for Payer: Cigna Commercial	$378.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.94
Rate for Payer: Oxford Commercial	$151.49
Rate for Payer: Qualcare PPO/HMO/WC	$113.62
Rate for Payer: UnitedHealthcare Commercial	$151.49
Rate for Payer: UnitedHealthcare Community & State	$23.94
Rate for Payer: Wellpoint Medicaid Managed Care	$21.51

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$119.58
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$22.64
Max. Negotiated Rate	$398.60
Rate for Payer: Aetna Commercial	$302.94
Rate for Payer: Aetna Medicare Advantage	$239.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.29
Rate for Payer: Cigna Commercial	$398.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.27
Rate for Payer: Oxford Commercial	$159.44
Rate for Payer: Qualcare PPO/HMO/WC	$119.58
Rate for Payer: UnitedHealthcare Commercial	$159.44
Rate for Payer: UnitedHealthcare Community & State	$25.19
Rate for Payer: Wellpoint Medicaid Managed Care	$22.64

DRILL BIT PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
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 PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
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 PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$48.71
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.90
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$54.19
Rate for Payer: Wellpoint Medicaid Managed Care	$48.71

DRILL BIT PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$25.99
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$347.70
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.90
Rate for Payer: Oxford Commercial	$183.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$183.00
Rate for Payer: UnitedHealthcare Community & State	$28.91
Rate for Payer: Wellpoint Medicaid Managed Care	$25.99

DRILL BIT QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
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 QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
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 QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$16.18
Max. Negotiated Rate	$284.85
Rate for Payer: Aetna Commercial	$216.49
Rate for Payer: Aetna Medicare Advantage	$170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.27
Rate for Payer: Cigna Commercial	$284.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.12
Rate for Payer: Oxford Commercial	$113.94
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$113.94
Rate for Payer: UnitedHealthcare Community & State	$18.00
Rate for Payer: Wellpoint Medicaid Managed Care	$16.18

DRILL BIT QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

DRILL BIT QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
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 QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
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 QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$15.10
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.20
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$15.10

DRILL BIT QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$79.73
Rate for Payer: Qualcare PPO/HMO/WC	$79.73

DRILL BIT QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
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 QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
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 QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$399.50
Rate for Payer: Aetna Commercial	$303.62
Rate for Payer: Aetna Medicare Advantage	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.75
Rate for Payer: Cigna Commercial	$399.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.74
Rate for Payer: Oxford Commercial	$159.80
Rate for Payer: Qualcare PPO/HMO/WC	$119.85
Rate for Payer: UnitedHealthcare Commercial	$159.80
Rate for Payer: UnitedHealthcare Community & State	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$22.69

DRILL BIT QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$119.85

Know your out-of-pocket cost for care.

All Charges