Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$65.44
Max. Negotiated Rate	$1,152.12
Rate for Payer: Aetna Commercial	$875.62
Rate for Payer: Aetna Medicare Advantage	$691.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$587.58
Rate for Payer: Cigna Commercial	$1,152.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$599.11
Rate for Payer: Oxford Commercial	$460.85
Rate for Payer: Qualcare PPO/HMO/WC	$345.64
Rate for Payer: UnitedHealthcare Commercial	$460.85
Rate for Payer: UnitedHealthcare Community & State	$72.81
Rate for Payer: Wellpoint Medicaid Managed Care	$65.44

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$211.50
Rate for Payer: Aetna Commercial	$160.74
Rate for Payer: Aetna Medicare Advantage	$126.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.86
Rate for Payer: Cigna Commercial	$211.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.98
Rate for Payer: Oxford Commercial	$84.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.45
Rate for Payer: UnitedHealthcare Commercial	$84.60
Rate for Payer: UnitedHealthcare Community & State	$13.37
Rate for Payer: Wellpoint Medicaid Managed Care	$12.01

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$63.45
Max. Negotiated Rate	$63.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.45

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$367.63
Max. Negotiated Rate	$367.63
Rate for Payer: Qualcare PPO/HMO/WC	$367.63

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$1,225.42
Rate for Payer: Aetna Commercial	$931.32
Rate for Payer: Aetna Medicare Advantage	$735.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.97
Rate for Payer: Cigna Commercial	$1,225.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.22
Rate for Payer: Oxford Commercial	$490.17
Rate for Payer: Qualcare PPO/HMO/WC	$367.63
Rate for Payer: UnitedHealthcare Commercial	$490.17
Rate for Payer: UnitedHealthcare Community & State	$77.45
Rate for Payer: Wellpoint Medicaid Managed Care	$69.60

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$177.50
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,625.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$177.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$56.09
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$62.41
Rate for Payer: Wellpoint Medicaid Managed Care	$56.09

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$17.26
Max. Negotiated Rate	$303.95
Rate for Payer: Aetna Commercial	$231.00
Rate for Payer: Aetna Medicare Advantage	$182.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.01
Rate for Payer: Cigna Commercial	$303.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.05
Rate for Payer: Oxford Commercial	$121.58
Rate for Payer: Qualcare PPO/HMO/WC	$91.19
Rate for Payer: UnitedHealthcare Commercial	$121.58
Rate for Payer: UnitedHealthcare Community & State	$19.21
Rate for Payer: Wellpoint Medicaid Managed Care	$17.26

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$91.19
Max. Negotiated Rate	$91.19
Rate for Payer: Qualcare PPO/HMO/WC	$91.19

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$45.33
Max. Negotiated Rate	$798.00
Rate for Payer: Aetna Commercial	$606.48
Rate for Payer: Aetna Medicare Advantage	$478.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.98
Rate for Payer: Cigna Commercial	$798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.96
Rate for Payer: Oxford Commercial	$319.20
Rate for Payer: Qualcare PPO/HMO/WC	$239.40
Rate for Payer: UnitedHealthcare Commercial	$319.20
Rate for Payer: UnitedHealthcare Community & State	$50.43
Rate for Payer: Wellpoint Medicaid Managed Care	$45.33

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$239.40
Max. Negotiated Rate	$239.40
Rate for Payer: Qualcare PPO/HMO/WC	$239.40

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$234.84
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: Qualcare PPO/HMO/WC	$92.70
Rate for Payer: UnitedHealthcare Community & State	$19.53
Rate for Payer: Wellpoint Medicaid Managed Care	$17.55

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$29.39
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.10
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.39

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$587.10
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.70
Rate for Payer: Oxford Commercial	$309.00
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Commercial	$309.00
Rate for Payer: UnitedHealthcare Community & State	$48.82
Rate for Payer: Wellpoint Medicaid Managed Care	$43.88

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

DRILL HIGH SPEED 2.5MM

Facility

$989.85

Hospital Charge Code	270681646
Hospital Revenue Code	272
Min. Negotiated Rate	$148.48
Max. Negotiated Rate	$148.48
Rate for Payer: Qualcare PPO/HMO/WC	$148.48

DRILL HIGH SPEED 2.5MM

Facility

$989.85

Hospital Charge Code	270681646
Hospital Revenue Code	272
Min. Negotiated Rate	$28.11
Max. Negotiated Rate	$494.93
Rate for Payer: Aetna Commercial	$376.14
Rate for Payer: Aetna Medicare Advantage	$296.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.41
Rate for Payer: Cigna Commercial	$494.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.36
Rate for Payer: Oxford Commercial	$197.97
Rate for Payer: Qualcare PPO/HMO/WC	$148.48
Rate for Payer: UnitedHealthcare Commercial	$197.97
Rate for Payer: UnitedHealthcare Community & State	$31.28
Rate for Payer: Wellpoint Medicaid Managed Care	$28.11

Know your out-of-pocket cost for care.

All Charges