Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL ,HIP PL, SHORT HB,2.9MM

Facility

$775.00

Hospital Charge Code	270681508
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

DRILL ,HIP PL, SHORT HB,2.9MM

Facility

$775.00

Hospital Charge Code	270681508
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

DRILL HOLE IMPLT VENTRIC DEVIC

Facility

$61,616.39

Service Code	HCPCS 61107
Hospital Charge Code	411061107
Hospital Revenue Code	360
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

DRILL HOLE IMPLT VENTRIC DEVIC

Facility

$61,616.39

Service Code	HCPCS 61107
Hospital Charge Code	411061107
Hospital Revenue Code	360
Min. Negotiated Rate	$1,749.91
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,020.26
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,947.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1,749.91

DRILL HOLE WITNESS

Facility

$1,090.00

Hospital Charge Code	270671066
Hospital Revenue Code	272
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$163.50
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

DRILL HOLE WITNESS

Facility

$1,090.00

Hospital Charge Code	270671066
Hospital Revenue Code	272
Min. Negotiated Rate	$30.96
Max. Negotiated Rate	$545.00
Rate for Payer: Aetna Commercial	$414.20
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.40
Rate for Payer: Oxford Commercial	$218.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.50
Rate for Payer: UnitedHealthcare Commercial	$218.00
Rate for Payer: UnitedHealthcare Community & State	$34.44
Rate for Payer: Wellpoint Medicaid Managed Care	$30.96

DRILL ICONIX 2.3MM DISP

Facility

$1,005.70

Hospital Charge Code	270676525
Hospital Revenue Code	272
Min. Negotiated Rate	$28.56
Max. Negotiated Rate	$502.85
Rate for Payer: Aetna Commercial	$382.17
Rate for Payer: Aetna Medicare Advantage	$301.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.45
Rate for Payer: Cigna Commercial	$502.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.48
Rate for Payer: Oxford Commercial	$201.14
Rate for Payer: Qualcare PPO/HMO/WC	$150.85
Rate for Payer: UnitedHealthcare Commercial	$201.14
Rate for Payer: UnitedHealthcare Community & State	$31.78
Rate for Payer: Wellpoint Medicaid Managed Care	$28.56

DRILL ICONIX 2.3MM DISP

Facility

$1,005.70

Hospital Charge Code	270676525
Hospital Revenue Code	272
Min. Negotiated Rate	$150.85
Max. Negotiated Rate	$150.85
Rate for Payer: Qualcare PPO/HMO/WC	$150.85

DRILL ICONIX DISP 1.4MM

Facility

$1,005.70

Hospital Charge Code	270681343
Hospital Revenue Code	272
Min. Negotiated Rate	$28.56
Max. Negotiated Rate	$502.85
Rate for Payer: Aetna Commercial	$382.17
Rate for Payer: Aetna Medicare Advantage	$301.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.45
Rate for Payer: Cigna Commercial	$502.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.48
Rate for Payer: Oxford Commercial	$201.14
Rate for Payer: Qualcare PPO/HMO/WC	$150.85
Rate for Payer: UnitedHealthcare Commercial	$201.14
Rate for Payer: UnitedHealthcare Community & State	$31.78
Rate for Payer: Wellpoint Medicaid Managed Care	$28.56

DRILL ICONIX DISP 1.4MM

Facility

$1,005.70

Hospital Charge Code	270681343
Hospital Revenue Code	272
Min. Negotiated Rate	$150.85
Max. Negotiated Rate	$150.85
Rate for Payer: Qualcare PPO/HMO/WC	$150.85

DRILLING GUIDE 3.1MM

Facility

$552.00

Hospital Charge Code	270676248
Hospital Revenue Code	272
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$209.76
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.52
Rate for Payer: Oxford Commercial	$110.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$110.40
Rate for Payer: UnitedHealthcare Community & State	$17.44
Rate for Payer: Wellpoint Medicaid Managed Care	$15.68

DRILLING GUIDE 3.1MM

Facility

$552.00

Hospital Charge Code	270676248
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

DRILLING SCREW 4x12MM

Facility

$2,750.00

Hospital Charge Code	270675883
Hospital Revenue Code	278
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

DRILLING SCREW 4x12MM

Facility

$2,750.00

Hospital Charge Code	270675883
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL KIT BIT 2.0MM

Facility

$1,406.60

Hospital Charge Code	270691075
Hospital Revenue Code	272
Min. Negotiated Rate	$210.99
Max. Negotiated Rate	$210.99
Rate for Payer: Qualcare PPO/HMO/WC	$210.99

DRILL KIT BIT 2.0MM

Facility

$1,406.60

Hospital Charge Code	270691075
Hospital Revenue Code	272
Min. Negotiated Rate	$39.95
Max. Negotiated Rate	$703.30
Rate for Payer: Aetna Commercial	$534.51
Rate for Payer: Aetna Medicare Advantage	$421.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.68
Rate for Payer: Cigna Commercial	$703.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$365.72
Rate for Payer: Oxford Commercial	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$210.99
Rate for Payer: UnitedHealthcare Commercial	$281.32
Rate for Payer: UnitedHealthcare Community & State	$44.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.95

DRILL KIT ELITE COMPRESS 3.0MM

Facility

$1,485.00

Hospital Charge Code	270681555
Hospital Revenue Code	278
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$564.30
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Community & State	$46.93
Rate for Payer: Wellpoint Medicaid Managed Care	$42.17

DRILL KIT ELITE COMPRESS 3.0MM

Facility

$1,485.00

Hospital Charge Code	270681555
Hospital Revenue Code	278
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$359.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

DRILL KIT FOR CONTINUOUS COMPR

Facility

$1,250.00

Hospital Charge Code	270659686
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

DRILL KIT FOR CONTINUOUS COMPR

Facility

$1,250.00

Hospital Charge Code	270659686
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL LONG

Facility

$1,070.00

Hospital Charge Code	270677456
Hospital Revenue Code	272
Min. Negotiated Rate	$30.39
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.20
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.39

DRILL LONG

Facility

$1,070.00

Hospital Charge Code	270677456
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

DRILL LONG 4.3

Facility

$1,164.35

Hospital Charge Code	270673792
Hospital Revenue Code	272
Min. Negotiated Rate	$174.65
Max. Negotiated Rate	$174.65
Rate for Payer: Qualcare PPO/HMO/WC	$174.65

DRILL LONG 4.3

Facility

$1,164.35

Hospital Charge Code	270673792
Hospital Revenue Code	272
Min. Negotiated Rate	$33.07
Max. Negotiated Rate	$582.17
Rate for Payer: Aetna Commercial	$442.45
Rate for Payer: Aetna Medicare Advantage	$349.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.91
Rate for Payer: Cigna Commercial	$582.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.73
Rate for Payer: Oxford Commercial	$232.87
Rate for Payer: Qualcare PPO/HMO/WC	$174.65
Rate for Payer: UnitedHealthcare Commercial	$232.87
Rate for Payer: UnitedHealthcare Community & State	$36.79
Rate for Payer: Wellpoint Medicaid Managed Care	$33.07

DRILL MAZOR LONG 3.0X30MM

Facility

$1,075.00

Hospital Charge Code	270698621
Hospital Revenue Code	272
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

Know your out-of-pocket cost for care.

All Charges