Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL FLEX 1.6MM w/SHARP OBTUR

Facility

$525.00

Hospital Charge Code	270683556
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

DRILL FLEX 1.6MM w/SHARP OBTUR

Facility

$525.00

Hospital Charge Code	270683556
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

DRILL FLUTED 10MM

Facility

$1,360.00

Hospital Charge Code	270637721
Hospital Revenue Code	272
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.60
Rate for Payer: Oxford Commercial	$272.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Commercial	$272.00
Rate for Payer: UnitedHealthcare Community & State	$42.98
Rate for Payer: Wellpoint Medicaid Managed Care	$38.62

DRILL FLUTED 10MM

Facility

$1,360.00

Hospital Charge Code	270637721
Hospital Revenue Code	272
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

DRILL FOR 2.9MM PUSHLOCK

Facility

$475.00

Hospital Charge Code	270656511
Hospital Revenue Code	271
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL FOR 2.9MM PUSHLOCK

Facility

$475.00

Hospital Charge Code	270656511
Hospital Revenue Code	271
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

DRILL FOR CALCANEM SCREW 4.3MM

Facility

$924.00

Hospital Charge Code	270666232
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL FOR CALCANEM SCREW 4.3MM

Facility

$924.00

Hospital Charge Code	270666232
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

DRILL GRADUATED 4.3 MM

Facility

$984.00

Hospital Charge Code	270682504
Hospital Revenue Code	272
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$492.00
Rate for Payer: Aetna Commercial	$373.92
Rate for Payer: Aetna Medicare Advantage	$295.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.92
Rate for Payer: Cigna Commercial	$492.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.84
Rate for Payer: Oxford Commercial	$196.80
Rate for Payer: Qualcare PPO/HMO/WC	$147.60
Rate for Payer: UnitedHealthcare Commercial	$196.80
Rate for Payer: UnitedHealthcare Community & State	$31.09
Rate for Payer: Wellpoint Medicaid Managed Care	$27.95

DRILL GRADUATED 4.3 MM

Facility

$984.00

Hospital Charge Code	270682504
Hospital Revenue Code	272
Min. Negotiated Rate	$147.60
Max. Negotiated Rate	$147.60
Rate for Payer: Qualcare PPO/HMO/WC	$147.60

DRILL GUIDE

Facility

$2,404.05

Hospital Charge Code	270688226
Hospital Revenue Code	272
Min. Negotiated Rate	$360.61
Max. Negotiated Rate	$360.61
Rate for Payer: Qualcare PPO/HMO/WC	$360.61

DRILL GUIDE

Facility

$2,404.05

Hospital Charge Code	270688226
Hospital Revenue Code	272
Min. Negotiated Rate	$68.28
Max. Negotiated Rate	$1,202.03
Rate for Payer: Aetna Commercial	$913.54
Rate for Payer: Aetna Medicare Advantage	$721.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.03
Rate for Payer: Cigna Commercial	$1,202.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.05
Rate for Payer: Oxford Commercial	$480.81
Rate for Payer: Qualcare PPO/HMO/WC	$360.61
Rate for Payer: UnitedHealthcare Commercial	$480.81
Rate for Payer: UnitedHealthcare Community & State	$75.97
Rate for Payer: Wellpoint Medicaid Managed Care	$68.28

DRILL GUIDE

Facility

$1,500.00

Hospital Charge Code	270681072
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

DRILL GUIDE

Facility

$1,500.00

Hospital Charge Code	270681072
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

DRILL GUIDE

Facility

$2,142.00

Hospital Charge Code	270671713
Hospital Revenue Code	272
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$1,071.00
Rate for Payer: Aetna Commercial	$813.96
Rate for Payer: Aetna Medicare Advantage	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.21
Rate for Payer: Cigna Commercial	$1,071.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.92
Rate for Payer: Oxford Commercial	$428.40
Rate for Payer: Qualcare PPO/HMO/WC	$321.30
Rate for Payer: UnitedHealthcare Commercial	$428.40
Rate for Payer: UnitedHealthcare Community & State	$67.69
Rate for Payer: Wellpoint Medicaid Managed Care	$60.83

DRILL GUIDE

Facility

$2,142.00

Hospital Charge Code	270671713
Hospital Revenue Code	272
Min. Negotiated Rate	$321.30
Max. Negotiated Rate	$321.30
Rate for Payer: Qualcare PPO/HMO/WC	$321.30

DRILL GUIDE 1.8MM THREADED

Facility

$500.55

Hospital Charge Code	270688231
Hospital Revenue Code	272
Min. Negotiated Rate	$14.22
Max. Negotiated Rate	$250.28
Rate for Payer: Aetna Commercial	$190.21
Rate for Payer: Aetna Medicare Advantage	$150.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.64
Rate for Payer: Cigna Commercial	$250.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.14
Rate for Payer: Oxford Commercial	$100.11
Rate for Payer: Qualcare PPO/HMO/WC	$75.08
Rate for Payer: UnitedHealthcare Commercial	$100.11
Rate for Payer: UnitedHealthcare Community & State	$15.82
Rate for Payer: Wellpoint Medicaid Managed Care	$14.22

DRILL GUIDE 1.8MM THREADED

Facility

$500.55

Hospital Charge Code	270688231
Hospital Revenue Code	272
Min. Negotiated Rate	$75.08
Max. Negotiated Rate	$75.08
Rate for Payer: Qualcare PPO/HMO/WC	$75.08

DRILL GUIDE 1.8mm W/MEASURING

Facility

$1,887.00

Hospital Charge Code	270645646
Hospital Revenue Code	272
Min. Negotiated Rate	$53.59
Max. Negotiated Rate	$943.50
Rate for Payer: Aetna Commercial	$717.06
Rate for Payer: Aetna Medicare Advantage	$566.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.19
Rate for Payer: Cigna Commercial	$943.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.62
Rate for Payer: Oxford Commercial	$377.40
Rate for Payer: Qualcare PPO/HMO/WC	$283.05
Rate for Payer: UnitedHealthcare Commercial	$377.40
Rate for Payer: UnitedHealthcare Community & State	$59.63
Rate for Payer: Wellpoint Medicaid Managed Care	$53.59

DRILL GUIDE 1.8mm W/MEASURING

Facility

$1,887.00

Hospital Charge Code	270645646
Hospital Revenue Code	272
Min. Negotiated Rate	$283.05
Max. Negotiated Rate	$283.05
Rate for Payer: Qualcare PPO/HMO/WC	$283.05

DRILL GUIDE 2.0 UNIV VA LCKG

Facility

$2,666.65

Hospital Charge Code	270677659
Hospital Revenue Code	272
Min. Negotiated Rate	$75.73
Max. Negotiated Rate	$1,333.33
Rate for Payer: Aetna Commercial	$1,013.33
Rate for Payer: Aetna Medicare Advantage	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$680.00
Rate for Payer: Cigna Commercial	$1,333.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$693.33
Rate for Payer: Oxford Commercial	$533.33
Rate for Payer: Qualcare PPO/HMO/WC	$400.00
Rate for Payer: UnitedHealthcare Commercial	$533.33
Rate for Payer: UnitedHealthcare Community & State	$84.27
Rate for Payer: Wellpoint Medicaid Managed Care	$75.73

DRILL GUIDE 2.0 UNIV VA LCKG

Facility

$2,666.65

Hospital Charge Code	270677659
Hospital Revenue Code	272
Min. Negotiated Rate	$400.00
Max. Negotiated Rate	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$400.00

DRILL GUIDE 2.8MM VA W/CONE

Facility

$2,450.35

Hospital Charge Code	270677606
Hospital Revenue Code	272
Min. Negotiated Rate	$69.59
Max. Negotiated Rate	$1,225.17
Rate for Payer: Aetna Commercial	$931.13
Rate for Payer: Aetna Medicare Advantage	$735.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.84
Rate for Payer: Cigna Commercial	$1,225.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.09
Rate for Payer: Oxford Commercial	$490.07
Rate for Payer: Qualcare PPO/HMO/WC	$367.55
Rate for Payer: UnitedHealthcare Commercial	$490.07
Rate for Payer: UnitedHealthcare Community & State	$77.43
Rate for Payer: Wellpoint Medicaid Managed Care	$69.59

DRILL GUIDE 2.8MM VA W/CONE

Facility

$2,450.35

Hospital Charge Code	270677606
Hospital Revenue Code	272
Min. Negotiated Rate	$367.55
Max. Negotiated Rate	$367.55
Rate for Payer: Qualcare PPO/HMO/WC	$367.55

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$345.64
Max. Negotiated Rate	$345.64
Rate for Payer: Qualcare PPO/HMO/WC	$345.64

Know your out-of-pocket cost for care.

All Charges