Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL CANNULATED MAX VPC 2.4MM

Facility

$1,440.00

Hospital Charge Code	270689418
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

DRILL CANNULATED MICRO ASNIS 2

Facility

$1,170.00

Hospital Charge Code	270681125
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$175.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.50

DRILL CANNULATED MICRO ASNIS 2

Facility

$1,170.00

Hospital Charge Code	270681125
Hospital Revenue Code	272
Min. Negotiated Rate	$33.23
Max. Negotiated Rate	$585.00
Rate for Payer: Aetna Commercial	$444.60
Rate for Payer: Aetna Medicare Advantage	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.35
Rate for Payer: Cigna Commercial	$585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$234.00
Rate for Payer: Qualcare PPO/HMO/WC	$175.50
Rate for Payer: UnitedHealthcare Commercial	$234.00
Rate for Payer: UnitedHealthcare Community & State	$36.97
Rate for Payer: Wellpoint Medicaid Managed Care	$33.23

DRILL CANULATED 4.4

Facility

$1,455.00

Hospital Charge Code	270683637
Hospital Revenue Code	272
Min. Negotiated Rate	$41.32
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$552.90
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.30
Rate for Payer: Oxford Commercial	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: UnitedHealthcare Community & State	$45.98
Rate for Payer: Wellpoint Medicaid Managed Care	$41.32

DRILL CANULATED 4.4

Facility

$1,455.00

Hospital Charge Code	270683637
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$218.25
Rate for Payer: Qualcare PPO/HMO/WC	$218.25

DRILL COUPLING ADAPTER

Facility

$4,850.00

Hospital Charge Code	270700468
Hospital Revenue Code	272
Min. Negotiated Rate	$137.74
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,843.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,261.00
Rate for Payer: Oxford Commercial	$970.00
Rate for Payer: Qualcare PPO/HMO/WC	$727.50
Rate for Payer: UnitedHealthcare Commercial	$970.00
Rate for Payer: UnitedHealthcare Community & State	$153.26
Rate for Payer: Wellpoint Medicaid Managed Care	$137.74

DRILL COUPLING ADAPTER

Facility

$4,850.00

Hospital Charge Code	270700468
Hospital Revenue Code	272
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$727.50
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

DRILL D2.8

Facility

$2,400.00

Hospital Charge Code	270680909
Hospital Revenue Code	272
Min. Negotiated Rate	$68.16
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$75.84
Rate for Payer: Wellpoint Medicaid Managed Care	$68.16

DRILL D2.8

Facility

$2,400.00

Hospital Charge Code	270680909
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

DRILL DEPTH GAUGE FOR LG SCREW

Facility

$2,382.00

Hospital Charge Code	270668379
Hospital Revenue Code	272
Min. Negotiated Rate	$67.65
Max. Negotiated Rate	$1,191.00
Rate for Payer: Aetna Commercial	$905.16
Rate for Payer: Aetna Medicare Advantage	$714.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$607.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$607.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$607.41
Rate for Payer: Cigna Commercial	$1,191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$619.32
Rate for Payer: Oxford Commercial	$476.40
Rate for Payer: Qualcare PPO/HMO/WC	$357.30
Rate for Payer: UnitedHealthcare Commercial	$476.40
Rate for Payer: UnitedHealthcare Community & State	$75.27
Rate for Payer: Wellpoint Medicaid Managed Care	$67.65

DRILL DEPTH GAUGE FOR LG SCREW

Facility

$2,382.00

Hospital Charge Code	270668379
Hospital Revenue Code	272
Min. Negotiated Rate	$357.30
Max. Negotiated Rate	$357.30
Rate for Payer: Qualcare PPO/HMO/WC	$357.30

DRILL DEPTH MARK MINI 1.5x96MM

Facility

$652.45

Hospital Charge Code	270666015
Hospital Revenue Code	272
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

DRILL DEPTH MARK MINI 1.5x96MM

Facility

$652.45

Hospital Charge Code	270666015
Hospital Revenue Code	272
Min. Negotiated Rate	$18.53
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$247.93
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.64
Rate for Payer: Oxford Commercial	$130.49
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$130.49
Rate for Payer: UnitedHealthcare Community & State	$20.62
Rate for Payer: Wellpoint Medicaid Managed Care	$18.53

DRILL DIAMOND 10MM

Facility

$500.00

Hospital Charge Code	270676993
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL DIAMOND 10MM

Facility

$500.00

Hospital Charge Code	270676993
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 DIAMOND 12MM

Facility

$805.00

Hospital Charge Code	270657678
Hospital Revenue Code	272
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$120.75
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

DRILL DIAMOND 12MM

Facility

$805.00

Hospital Charge Code	270657678
Hospital Revenue Code	272
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$402.50
Rate for Payer: Aetna Commercial	$305.90
Rate for Payer: Aetna Medicare Advantage	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.28
Rate for Payer: Cigna Commercial	$402.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.30
Rate for Payer: Oxford Commercial	$161.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.75
Rate for Payer: UnitedHealthcare Commercial	$161.00
Rate for Payer: UnitedHealthcare Community & State	$25.44
Rate for Payer: Wellpoint Medicaid Managed Care	$22.86

DRILL DIAMOND 14MM

Facility

$1,475.00

Hospital Charge Code	270657683
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

DRILL DIAMOND 14MM

Facility

$1,475.00

Hospital Charge Code	270657683
Hospital Revenue Code	272
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$41.89

DRILL DISP QFIX 1.9MM

Facility

$2,430.00

Service Code	HCPCS A4649
Hospital Charge Code	270687541
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

DRILL DISP QFIX 1.9MM

Facility

$2,430.00

Service Code	HCPCS A4649
Hospital Charge Code	270687541
Hospital Revenue Code	272
Min. Negotiated Rate	$69.01
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$923.40
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.80
Rate for Payer: Oxford Commercial	$486.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$486.00
Rate for Payer: UnitedHealthcare Community & State	$76.79
Rate for Payer: Wellpoint Medicaid Managed Care	$69.01

DRILL FENESTRATING

Facility

$1,775.00

Hospital Charge Code	270698470
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 FENESTRATING

Facility

$1,775.00

Hospital Charge Code	270698470
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

DRILL FIXED 12MM

Facility

$1,041.25

Hospital Charge Code	270663785
Hospital Revenue Code	272
Min. Negotiated Rate	$29.57
Max. Negotiated Rate	$520.62
Rate for Payer: Aetna Commercial	$395.68
Rate for Payer: Aetna Medicare Advantage	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.52
Rate for Payer: Cigna Commercial	$520.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.73
Rate for Payer: Oxford Commercial	$208.25
Rate for Payer: Qualcare PPO/HMO/WC	$156.19
Rate for Payer: UnitedHealthcare Commercial	$208.25
Rate for Payer: UnitedHealthcare Community & State	$32.90
Rate for Payer: Wellpoint Medicaid Managed Care	$29.57

DRILL FIXED 12MM

Facility

$1,041.25

Hospital Charge Code	270663785
Hospital Revenue Code	272
Min. Negotiated Rate	$156.19
Max. Negotiated Rate	$156.19
Rate for Payer: Qualcare PPO/HMO/WC	$156.19

Know your out-of-pocket cost for care.

All Charges