Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT STR CANN 2.7MM

Facility

$975.00

Hospital Charge Code	270672350
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

DRILL BIT STR CANN 2.7MM

Facility

$975.00

Hospital Charge Code	270672350
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL BIT TM RAIL HOLE 5MM

Facility

$1,350.00

Hospital Charge Code	270697186
Hospital Revenue Code	272
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$202.50
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

DRILL BIT TM RAIL HOLE 5MM

Facility

$1,350.00

Hospital Charge Code	270697186
Hospital Revenue Code	272
Min. Negotiated Rate	$38.34
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.00
Rate for Payer: Oxford Commercial	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Commercial	$270.00
Rate for Payer: UnitedHealthcare Community & State	$42.66
Rate for Payer: Wellpoint Medicaid Managed Care	$38.34

DRILL BIT TORNIER

Facility

$425.00

Hospital Charge Code	270339524
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

DRILL BIT TORNIER

Facility

$425.00

Hospital Charge Code	270339524
Hospital Revenue Code	278
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

DRILL BIT TWIST CROWE POINT 4.

Facility

$975.00

Hospital Charge Code	270662017
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL BIT TWIST CROWE POINT 4.

Facility

$975.00

Hospital Charge Code	270662017
Hospital Revenue Code	272
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

DRILL BIT TWIST LAQ 2.6X61MM

Facility

$905.45

Service Code	HCPCS A4649
Hospital Charge Code	270699554
Hospital Revenue Code	272
Min. Negotiated Rate	$25.71
Max. Negotiated Rate	$452.73
Rate for Payer: Aetna Commercial	$344.07
Rate for Payer: Aetna Medicare Advantage	$271.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.89
Rate for Payer: Cigna Commercial	$452.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.42
Rate for Payer: Oxford Commercial	$181.09
Rate for Payer: Qualcare PPO/HMO/WC	$135.82
Rate for Payer: UnitedHealthcare Commercial	$181.09
Rate for Payer: UnitedHealthcare Community & State	$28.61
Rate for Payer: Wellpoint Medicaid Managed Care	$25.71

DRILL BIT TWIST LAQ 2.6X61MM

Facility

$905.45

Service Code	HCPCS A4649
Hospital Charge Code	270699554
Hospital Revenue Code	272
Min. Negotiated Rate	$135.82
Max. Negotiated Rate	$135.82
Rate for Payer: Qualcare PPO/HMO/WC	$135.82

DRILL BIT VALOR LONG 4.3X120MM

Facility

$2,245.00

Hospital Charge Code	270694900
Hospital Revenue Code	272
Min. Negotiated Rate	$336.75
Max. Negotiated Rate	$336.75
Rate for Payer: Qualcare PPO/HMO/WC	$336.75

DRILL BIT VALOR LONG 4.3X120MM

Facility

$2,245.00

Hospital Charge Code	270694900
Hospital Revenue Code	272
Min. Negotiated Rate	$63.76
Max. Negotiated Rate	$1,122.50
Rate for Payer: Aetna Commercial	$853.10
Rate for Payer: Aetna Medicare Advantage	$673.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$572.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$572.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$572.48
Rate for Payer: Cigna Commercial	$1,122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.70
Rate for Payer: Oxford Commercial	$449.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.75
Rate for Payer: UnitedHealthcare Commercial	$449.00
Rate for Payer: UnitedHealthcare Community & State	$70.94
Rate for Payer: Wellpoint Medicaid Managed Care	$63.76

DRILL BIT VALOR SHORT 4.3MM

Facility

$2,245.00

Hospital Charge Code	270694901
Hospital Revenue Code	272
Min. Negotiated Rate	$63.76
Max. Negotiated Rate	$1,122.50
Rate for Payer: Aetna Commercial	$853.10
Rate for Payer: Aetna Medicare Advantage	$673.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$572.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$572.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$572.48
Rate for Payer: Cigna Commercial	$1,122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.70
Rate for Payer: Oxford Commercial	$449.00
Rate for Payer: Qualcare PPO/HMO/WC	$336.75
Rate for Payer: UnitedHealthcare Commercial	$449.00
Rate for Payer: UnitedHealthcare Community & State	$70.94
Rate for Payer: Wellpoint Medicaid Managed Care	$63.76

DRILL BIT VALOR SHORT 4.3MM

Facility

$2,245.00

Hospital Charge Code	270694901
Hospital Revenue Code	272
Min. Negotiated Rate	$336.75
Max. Negotiated Rate	$336.75
Rate for Payer: Qualcare PPO/HMO/WC	$336.75

DRILL BIT W STOP 2.25X12MM

Facility

$500.00

Hospital Charge Code	270696271
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL BIT W STOP 2.25X12MM

Facility

$500.00

Hospital Charge Code	270696271
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

DRILL BMT 3.2 20MM 424509

Facility

$720.00

Hospital Charge Code	270612168
Hospital Revenue Code	272
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$144.00
Rate for Payer: UnitedHealthcare Community & State	$22.75
Rate for Payer: Wellpoint Medicaid Managed Care	$20.45

DRILL BMT 3.2 20MM 424509

Facility

$720.00

Hospital Charge Code	270612168
Hospital Revenue Code	272
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.80
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$276.00
Rate for Payer: UnitedHealthcare Community & State	$43.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.19

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$8.36
Max. Negotiated Rate	$147.18
Rate for Payer: Aetna Commercial	$111.85
Rate for Payer: Aetna Medicare Advantage	$88.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.06
Rate for Payer: Cigna Commercial	$147.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.53
Rate for Payer: Oxford Commercial	$58.87
Rate for Payer: Qualcare PPO/HMO/WC	$44.15
Rate for Payer: UnitedHealthcare Commercial	$58.87
Rate for Payer: UnitedHealthcare Community & State	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$8.36

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$44.15
Max. Negotiated Rate	$44.15
Rate for Payer: Qualcare PPO/HMO/WC	$44.15

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$145.97
Rate for Payer: Aetna Commercial	$110.94
Rate for Payer: Aetna Medicare Advantage	$87.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.44
Rate for Payer: Cigna Commercial	$145.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.90
Rate for Payer: Oxford Commercial	$58.39
Rate for Payer: Qualcare PPO/HMO/WC	$43.79
Rate for Payer: UnitedHealthcare Commercial	$58.39
Rate for Payer: UnitedHealthcare Community & State	$9.23
Rate for Payer: Wellpoint Medicaid Managed Care	$8.29

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$43.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.79

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

Know your out-of-pocket cost for care.

All Charges