Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$410.40
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.80
Rate for Payer: Oxford Commercial	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$216.00
Rate for Payer: UnitedHealthcare Community & State	$34.13
Rate for Payer: Wellpoint Medicaid Managed Care	$30.67

DRILL CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
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 CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$34.15
Max. Negotiated Rate	$601.25
Rate for Payer: Aetna Commercial	$456.95
Rate for Payer: Aetna Medicare Advantage	$360.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.64
Rate for Payer: Cigna Commercial	$601.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.65
Rate for Payer: Oxford Commercial	$240.50
Rate for Payer: Qualcare PPO/HMO/WC	$180.38
Rate for Payer: UnitedHealthcare Commercial	$240.50
Rate for Payer: UnitedHealthcare Community & State	$38.00
Rate for Payer: Wellpoint Medicaid Managed Care	$34.15

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$180.38
Max. Negotiated Rate	$180.38
Rate for Payer: Qualcare PPO/HMO/WC	$180.38

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.20
Rate for Payer: Oxford Commercial	$224.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$224.00
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$31.81

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$43.03
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.90
Rate for Payer: Oxford Commercial	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Commercial	$303.00
Rate for Payer: UnitedHealthcare Community & State	$47.87
Rate for Payer: Wellpoint Medicaid Managed Care	$43.03

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

DRILL CANNLUATED DIAMETER 9MM

Facility

$1,058.75

Hospital Charge Code	270666237
Hospital Revenue Code	272
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$529.38
Rate for Payer: Aetna Commercial	$402.32
Rate for Payer: Aetna Medicare Advantage	$317.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.98
Rate for Payer: Cigna Commercial	$529.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.27
Rate for Payer: Oxford Commercial	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$158.81
Rate for Payer: UnitedHealthcare Commercial	$211.75
Rate for Payer: UnitedHealthcare Community & State	$33.46
Rate for Payer: Wellpoint Medicaid Managed Care	$30.07

DRILL CANNLUATED DIAMETER 9MM

Facility

$1,058.75

Hospital Charge Code	270666237
Hospital Revenue Code	272
Min. Negotiated Rate	$158.81
Max. Negotiated Rate	$158.81
Rate for Payer: Qualcare PPO/HMO/WC	$158.81

DRILL CANN TWIST 1.8 L87MM

Facility

$2,340.00

Hospital Charge Code	270675316
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

DRILL CANN TWIST 1.8 L87MM

Facility

$2,340.00

Hospital Charge Code	270675316
Hospital Revenue Code	272
Min. Negotiated Rate	$66.46
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$889.20
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.40
Rate for Payer: Oxford Commercial	$468.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$468.00
Rate for Payer: UnitedHealthcare Community & State	$73.94
Rate for Payer: Wellpoint Medicaid Managed Care	$66.46

DRILL CANNULA 12 MM 270 MM

Facility

$2,256.00

Hospital Charge Code	270688272
Hospital Revenue Code	272
Min. Negotiated Rate	$338.40
Max. Negotiated Rate	$338.40
Rate for Payer: Qualcare PPO/HMO/WC	$338.40

DRILL CANNULA 12 MM 270 MM

Facility

$2,256.00

Hospital Charge Code	270688272
Hospital Revenue Code	272
Min. Negotiated Rate	$64.07
Max. Negotiated Rate	$1,128.00
Rate for Payer: Aetna Commercial	$857.28
Rate for Payer: Aetna Medicare Advantage	$676.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$575.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$575.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$575.28
Rate for Payer: Cigna Commercial	$1,128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.56
Rate for Payer: Oxford Commercial	$451.20
Rate for Payer: Qualcare PPO/HMO/WC	$338.40
Rate for Payer: UnitedHealthcare Commercial	$451.20
Rate for Payer: UnitedHealthcare Community & State	$71.29
Rate for Payer: Wellpoint Medicaid Managed Care	$64.07

DRILL CANNULATED 10 MM

Facility

$975.00

Hospital Charge Code	270688625
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 CANNULATED 10 MM

Facility

$975.00

Hospital Charge Code	270688625
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL CANNULATED 1.7MM

Facility

$1,775.00

Hospital Charge Code	270662574
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

DRILL CANNULATED 1.7MM

Facility

$1,775.00

Hospital Charge Code	270662574
Hospital Revenue Code	272
Min. Negotiated Rate	$50.41
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.50
Rate for Payer: Oxford Commercial	$355.00
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Commercial	$355.00
Rate for Payer: UnitedHealthcare Community & State	$56.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.41

DRILL CANNULATED 1.7MM LONG

Facility

$1,675.00

Hospital Charge Code	270677348
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

DRILL CANNULATED 1.7MM LONG

Facility

$1,675.00

Hospital Charge Code	270677348
Hospital Revenue Code	272
Min. Negotiated Rate	$47.57
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$636.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.50
Rate for Payer: Oxford Commercial	$335.00
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$335.00
Rate for Payer: UnitedHealthcare Community & State	$52.93
Rate for Payer: Wellpoint Medicaid Managed Care	$47.57

DRILL CANNULATED 2.3MM

Facility

$695.00

Hospital Charge Code	270674310
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 CANNULATED 2.3MM

Facility

$695.00

Hospital Charge Code	270674310
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

Know your out-of-pocket cost for care.

All Charges