Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL PIN BUTTON 3.7MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270687595
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

DRILL PIN BUTTON 3.7MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270687595
Hospital Revenue Code	278
Min. Negotiated Rate	$18.46
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Community & State	$20.54
Rate for Payer: Wellpoint Medicaid Managed Care	$18.46

DRILL PIN LONG LARGE

Facility

$660.00

Hospital Charge Code	270698465
Hospital Revenue Code	272
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.60
Rate for Payer: Oxford Commercial	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$132.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

DRILL PIN LONG LARGE

Facility

$660.00

Hospital Charge Code	270698465
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

DRILL PIN LONG SMALL

Facility

$660.00

Hospital Charge Code	270698457
Hospital Revenue Code	272
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

DRILL PIN LONG SMALL

Facility

$660.00

Hospital Charge Code	270698457
Hospital Revenue Code	272
Min. Negotiated Rate	$18.74
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.60
Rate for Payer: Oxford Commercial	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Commercial	$132.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: Wellpoint Medicaid Managed Care	$18.74

DRILL/PIN SET SMOOTH

Facility

$500.00

Hospital Charge Code	270672663
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL/PIN SET SMOOTH

Facility

$500.00

Hospital Charge Code	270672663
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 PROFILE

Facility

$750.00

Hospital Charge Code	270681076
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL PROFILE

Facility

$750.00

Hospital Charge Code	270681076
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

DRILL PROFILE CANNULATED 3.4 M

Facility

$1,440.00

Hospital Charge Code	270689419
Hospital Revenue Code	272
Min. Negotiated Rate	$40.90
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$374.40
Rate for Payer: Oxford Commercial	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$288.00
Rate for Payer: UnitedHealthcare Community & State	$45.50
Rate for Payer: Wellpoint Medicaid Managed Care	$40.90

DRILL PROFILE CANNULATED 3.4 M

Facility

$1,440.00

Hospital Charge Code	270689419
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

DRILL PROFILE MINI CMP FT

Facility

$750.00

Hospital Charge Code	270677991
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL PROFILE MINI CMP FT

Facility

$750.00

Hospital Charge Code	270677991
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

DRILL PROXIMAL CORTEX

Facility

$1,300.00

Hospital Charge Code	270677527
Hospital Revenue Code	272
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Commercial	$260.00
Rate for Payer: UnitedHealthcare Community & State	$41.08
Rate for Payer: Wellpoint Medicaid Managed Care	$36.92

DRILL PROXIMAL CORTEX

Facility

$1,300.00

Hospital Charge Code	270677527
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

DRILL PROXIMAL CORTEX 2.9MM

Facility

$1,175.00

Hospital Charge Code	270673754
Hospital Revenue Code	272
Min. Negotiated Rate	$33.37
Max. Negotiated Rate	$587.50
Rate for Payer: Aetna Commercial	$446.50
Rate for Payer: Aetna Medicare Advantage	$352.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.62
Rate for Payer: Cigna Commercial	$587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.50
Rate for Payer: Oxford Commercial	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$176.25
Rate for Payer: UnitedHealthcare Commercial	$235.00
Rate for Payer: UnitedHealthcare Community & State	$37.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.37

DRILL PROXIMAL CORTEX 2.9MM

Facility

$1,175.00

Hospital Charge Code	270673754
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

DRILL QC GOLD 2.5x111MM STER

Facility

$531.55

Hospital Charge Code	270669681
Hospital Revenue Code	272
Min. Negotiated Rate	$15.10
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.20
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$15.10

DRILL QC GOLD 2.5x111MM STER

Facility

$531.55

Hospital Charge Code	270669681
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$79.73
Rate for Payer: Qualcare PPO/HMO/WC	$79.73

DRILL QC TWIST 3.5X196MM STERI

Facility

$537.00

Hospital Charge Code	270669682
Hospital Revenue Code	272
Min. Negotiated Rate	$15.25
Max. Negotiated Rate	$268.50
Rate for Payer: Aetna Commercial	$204.06
Rate for Payer: Aetna Medicare Advantage	$161.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.94
Rate for Payer: Cigna Commercial	$268.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.62
Rate for Payer: Oxford Commercial	$107.40
Rate for Payer: Qualcare PPO/HMO/WC	$80.55
Rate for Payer: UnitedHealthcare Commercial	$107.40
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: Wellpoint Medicaid Managed Care	$15.25

DRILL QC TWIST 3.5X196MM STERI

Facility

$537.00

Hospital Charge Code	270669682
Hospital Revenue Code	272
Min. Negotiated Rate	$80.55
Max. Negotiated Rate	$80.55
Rate for Payer: Qualcare PPO/HMO/WC	$80.55

DRILL REAMER 2.9MM/5.0MM

Facility

$2,022.00

Hospital Charge Code	270662839
Hospital Revenue Code	272
Min. Negotiated Rate	$57.42
Max. Negotiated Rate	$1,011.00
Rate for Payer: Aetna Commercial	$768.36
Rate for Payer: Aetna Medicare Advantage	$606.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.61
Rate for Payer: Cigna Commercial	$1,011.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.72
Rate for Payer: Oxford Commercial	$404.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.30
Rate for Payer: UnitedHealthcare Commercial	$404.40
Rate for Payer: UnitedHealthcare Community & State	$63.90
Rate for Payer: Wellpoint Medicaid Managed Care	$57.42

DRILL REAMER 2.9MM/5.0MM

Facility

$2,022.00

Hospital Charge Code	270662839
Hospital Revenue Code	272
Min. Negotiated Rate	$303.30
Max. Negotiated Rate	$303.30
Rate for Payer: Qualcare PPO/HMO/WC	$303.30

DRILL SHAVE 2.9MM

Facility

$500.00

Hospital Charge Code	270703391
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

Know your out-of-pocket cost for care.

All Charges