Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL MAZOR LONG 3.0X30MM

Facility

$1,075.00

Hospital Charge Code	270698621
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

DRILL MAZOR SHORT 3.0X30MM

Facility

$850.00

Hospital Charge Code	270698622
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

DRILL MAZOR SHORT 3.0X30MM

Facility

$850.00

Hospital Charge Code	270698622
Hospital Revenue Code	272
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$26.86
Rate for Payer: Wellpoint Medicaid Managed Care	$24.14

DRILL MAZOR XLONG 3.0X80MM

Facility

$1,075.00

Hospital Charge Code	270698626
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

DRILL MAZOR XLONG 3.0X80MM

Facility

$1,075.00

Hospital Charge Code	270698626
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

DRILL MAZOR XLONG 4X80MM

Facility

$1,075.00

Hospital Charge Code	270698625
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

DRILL MAZOR XLONG 4X80MM

Facility

$1,075.00

Hospital Charge Code	270698625
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

DRILL NANOTACK FLEX 1.4 MM

Facility

$795.00

Hospital Charge Code	270680574
Hospital Revenue Code	272
Min. Negotiated Rate	$119.25
Max. Negotiated Rate	$119.25
Rate for Payer: Qualcare PPO/HMO/WC	$119.25

DRILL NANOTACK FLEX 1.4 MM

Facility

$795.00

Hospital Charge Code	270680574
Hospital Revenue Code	272
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$397.50
Rate for Payer: Aetna Commercial	$302.10
Rate for Payer: Aetna Medicare Advantage	$238.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.72
Rate for Payer: Cigna Commercial	$397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.70
Rate for Payer: Oxford Commercial	$159.00
Rate for Payer: Qualcare PPO/HMO/WC	$119.25
Rate for Payer: UnitedHealthcare Commercial	$159.00
Rate for Payer: UnitedHealthcare Community & State	$25.12
Rate for Payer: Wellpoint Medicaid Managed Care	$22.58

DRILL NEURO 3.0 MM

Facility

$392.85

Hospital Charge Code	270703078
Hospital Revenue Code	270
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$58.93
Rate for Payer: Qualcare PPO/HMO/WC	$58.93

DRILL NEURO 3.0 MM

Facility

$392.85

Hospital Charge Code	270703078
Hospital Revenue Code	270
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$196.43
Rate for Payer: Aetna Commercial	$149.28
Rate for Payer: Aetna Medicare Advantage	$117.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.18
Rate for Payer: Cigna Commercial	$196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.14
Rate for Payer: Oxford Commercial	$78.57
Rate for Payer: Qualcare PPO/HMO/WC	$58.93
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

DRILL NEURO 3.0X3.8MM

Facility

$757.55

Hospital Charge Code	270692062
Hospital Revenue Code	272
Min. Negotiated Rate	$113.63
Max. Negotiated Rate	$113.63
Rate for Payer: Qualcare PPO/HMO/WC	$113.63

DRILL NEURO 3.0X3.8MM

Facility

$757.55

Hospital Charge Code	270692062
Hospital Revenue Code	272
Min. Negotiated Rate	$21.51
Max. Negotiated Rate	$378.77
Rate for Payer: Aetna Commercial	$287.87
Rate for Payer: Aetna Medicare Advantage	$227.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.18
Rate for Payer: Cigna Commercial	$378.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.96
Rate for Payer: Oxford Commercial	$151.51
Rate for Payer: Qualcare PPO/HMO/WC	$113.63
Rate for Payer: UnitedHealthcare Commercial	$151.51
Rate for Payer: UnitedHealthcare Community & State	$23.94
Rate for Payer: Wellpoint Medicaid Managed Care	$21.51

DRILL NEURO SPIRAL (BLADE)

Facility

$484.00

Hospital Charge Code	270335146
Hospital Revenue Code	272
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

DRILL NEURO SPIRAL (BLADE)

Facility

$484.00

Hospital Charge Code	270335146
Hospital Revenue Code	272
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$183.92
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Oxford Commercial	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$72.60
Rate for Payer: UnitedHealthcare Commercial	$96.80
Rate for Payer: UnitedHealthcare Community & State	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

DRILL OBLIQUE 4.2X250MM

Facility

$1,505.00

Hospital Charge Code	270670456
Hospital Revenue Code	272
Min. Negotiated Rate	$42.74
Max. Negotiated Rate	$752.50
Rate for Payer: Aetna Commercial	$571.90
Rate for Payer: Aetna Medicare Advantage	$451.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.77
Rate for Payer: Cigna Commercial	$752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.30
Rate for Payer: Oxford Commercial	$301.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.75
Rate for Payer: UnitedHealthcare Commercial	$301.00
Rate for Payer: UnitedHealthcare Community & State	$47.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.74

DRILL OBLIQUE 4.2X250MM

Facility

$1,505.00

Hospital Charge Code	270670456
Hospital Revenue Code	272
Min. Negotiated Rate	$225.75
Max. Negotiated Rate	$225.75
Rate for Payer: Qualcare PPO/HMO/WC	$225.75

DRILL PEG INBONE TALAR 4MM

Facility

$455.00

Hospital Charge Code	270676976
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$68.25
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

DRILL PEG INBONE TALAR 4MM

Facility

$455.00

Hospital Charge Code	270676976
Hospital Revenue Code	272
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$172.90
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.30
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Commercial	$91.00
Rate for Payer: UnitedHealthcare Community & State	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$12.92

DRILL PILOT 1.7MM

Facility

$1,650.00

Hospital Charge Code	270673753
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

DRILL PILOT 1.7MM

Facility

$1,650.00

Hospital Charge Code	270673753
Hospital Revenue Code	272
Min. Negotiated Rate	$46.86
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$52.14
Rate for Payer: Wellpoint Medicaid Managed Care	$46.86

DRILL PIN 2.0X125MM

Facility

$595.00

Hospital Charge Code	270698534
Hospital Revenue Code	272
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$89.25
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

DRILL PIN 2.0X125MM

Facility

$595.00

Hospital Charge Code	270698534
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.50
Rate for Payer: Aetna Commercial	$226.10
Rate for Payer: Aetna Medicare Advantage	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.72
Rate for Payer: Cigna Commercial	$297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.70
Rate for Payer: Oxford Commercial	$119.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.25
Rate for Payer: UnitedHealthcare Commercial	$119.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

DRILL PIN 2.0X200MM

Facility

$595.00

Hospital Charge Code	270698535
Hospital Revenue Code	272
Min. Negotiated Rate	$16.90
Max. Negotiated Rate	$297.50
Rate for Payer: Aetna Commercial	$226.10
Rate for Payer: Aetna Medicare Advantage	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.72
Rate for Payer: Cigna Commercial	$297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.70
Rate for Payer: Oxford Commercial	$119.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.25
Rate for Payer: UnitedHealthcare Commercial	$119.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

DRILL PIN 2.0X200MM

Facility

$595.00

Hospital Charge Code	270698535
Hospital Revenue Code	272
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$89.25
Rate for Payer: Qualcare PPO/HMO/WC	$89.25

Know your out-of-pocket cost for care.

All Charges