Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL SHORT 4.3

Facility

$1,052.60

Hospital Charge Code	270673790
Hospital Revenue Code	272
Min. Negotiated Rate	$157.89
Max. Negotiated Rate	$157.89
Rate for Payer: Qualcare PPO/HMO/WC	$157.89

DRILL SHORT 4.3

Facility

$1,052.60

Hospital Charge Code	270673790
Hospital Revenue Code	272
Min. Negotiated Rate	$29.89
Max. Negotiated Rate	$526.30
Rate for Payer: Aetna Commercial	$399.99
Rate for Payer: Aetna Medicare Advantage	$315.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.41
Rate for Payer: Cigna Commercial	$526.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.68
Rate for Payer: Oxford Commercial	$210.52
Rate for Payer: Qualcare PPO/HMO/WC	$157.89
Rate for Payer: UnitedHealthcare Commercial	$210.52
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$29.89

DRILL SHORT MEASURING 4.3MM

Facility

$1,600.00

Hospital Charge Code	270694082
Hospital Revenue Code	272
Min. Negotiated Rate	$45.44
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.00
Rate for Payer: Oxford Commercial	$320.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$320.00
Rate for Payer: UnitedHealthcare Community & State	$50.56
Rate for Payer: Wellpoint Medicaid Managed Care	$45.44

DRILL SHORT MEASURING 4.3MM

Facility

$1,600.00

Hospital Charge Code	270694082
Hospital Revenue Code	272
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

DRILL SKULL FOR IMPLANTATION

Facility

$2,647.00

Service Code	HCPCS 61107
Hospital Charge Code	1600000644
Hospital Revenue Code	360
Min. Negotiated Rate	$75.17
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$1,005.86
Rate for Payer: Aetna Medicare Advantage	$794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$674.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$674.99
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	$674.99
Rate for Payer: Cigna Commercial	$1,323.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$688.22
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.05
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$83.65
Rate for Payer: Wellpoint Medicaid Managed Care	$75.17

DRILL SKULL FOR IMPLANTATION

Facility

$2,647.00

Service Code	HCPCS 61107
Hospital Charge Code	1600000644
Hospital Revenue Code	360
Min. Negotiated Rate	$397.05
Max. Negotiated Rate	$397.05
Rate for Payer: Qualcare PPO/HMO/WC	$397.05

DRILL SLEEVE DBL 2.7/1.25MM

Facility

$1,713.00

Hospital Charge Code	270676251
Hospital Revenue Code	272
Min. Negotiated Rate	$256.95
Max. Negotiated Rate	$256.95
Rate for Payer: Qualcare PPO/HMO/WC	$256.95

DRILL SLEEVE DBL 2.7/1.25MM

Facility

$1,713.00

Hospital Charge Code	270676251
Hospital Revenue Code	272
Min. Negotiated Rate	$48.65
Max. Negotiated Rate	$856.50
Rate for Payer: Aetna Commercial	$650.94
Rate for Payer: Aetna Medicare Advantage	$513.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.81
Rate for Payer: Cigna Commercial	$856.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.38
Rate for Payer: Oxford Commercial	$342.60
Rate for Payer: Qualcare PPO/HMO/WC	$256.95
Rate for Payer: UnitedHealthcare Commercial	$342.60
Rate for Payer: UnitedHealthcare Community & State	$54.13
Rate for Payer: Wellpoint Medicaid Managed Care	$48.65

DRILL SLEEVE DOUBLE 4.5/3.2MM

Facility

$1,395.00

Hospital Charge Code	270671822
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

DRILL SLEEVE DOUBLE 4.5/3.2MM

Facility

$1,395.00

Hospital Charge Code	270671822
Hospital Revenue Code	272
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$530.10
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.70
Rate for Payer: Oxford Commercial	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.08
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

DRILL SLEEVE SHORT 6.0/5.0MM

Facility

$565.45

Hospital Charge Code	270641668
Hospital Revenue Code	272
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$84.82
Rate for Payer: Qualcare PPO/HMO/WC	$84.82

DRILL SLEEVE SHORT 6.0/5.0MM

Facility

$565.45

Hospital Charge Code	270641668
Hospital Revenue Code	272
Min. Negotiated Rate	$16.06
Max. Negotiated Rate	$282.73
Rate for Payer: Aetna Commercial	$214.87
Rate for Payer: Aetna Medicare Advantage	$169.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.19
Rate for Payer: Cigna Commercial	$282.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.02
Rate for Payer: Oxford Commercial	$113.09
Rate for Payer: Qualcare PPO/HMO/WC	$84.82
Rate for Payer: UnitedHealthcare Commercial	$113.09
Rate for Payer: UnitedHealthcare Community & State	$17.87
Rate for Payer: Wellpoint Medicaid Managed Care	$16.06

DRILL SOLID SIDE CUT 2.5x40MM

Facility

$493.00

Hospital Charge Code	270661786
Hospital Revenue Code	272
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$246.50
Rate for Payer: Aetna Commercial	$187.34
Rate for Payer: Aetna Medicare Advantage	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.72
Rate for Payer: Cigna Commercial	$246.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Oxford Commercial	$98.60
Rate for Payer: Qualcare PPO/HMO/WC	$73.95
Rate for Payer: UnitedHealthcare Commercial	$98.60
Rate for Payer: UnitedHealthcare Community & State	$15.58
Rate for Payer: Wellpoint Medicaid Managed Care	$14.00

DRILL SOLID SIDE CUT 2.5x40MM

Facility

$493.00

Hospital Charge Code	270661786
Hospital Revenue Code	272
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$73.95
Rate for Payer: Qualcare PPO/HMO/WC	$73.95

DRILL SOLID SIDE CUT 2x40MM

Facility

$493.00

Hospital Charge Code	270661785
Hospital Revenue Code	272
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$73.95
Rate for Payer: Qualcare PPO/HMO/WC	$73.95

DRILL SOLID SIDE CUT 2x40MM

Facility

$493.00

Hospital Charge Code	270661785
Hospital Revenue Code	272
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$246.50
Rate for Payer: Aetna Commercial	$187.34
Rate for Payer: Aetna Medicare Advantage	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.72
Rate for Payer: Cigna Commercial	$246.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.18
Rate for Payer: Oxford Commercial	$98.60
Rate for Payer: Qualcare PPO/HMO/WC	$73.95
Rate for Payer: UnitedHealthcare Commercial	$98.60
Rate for Payer: UnitedHealthcare Community & State	$15.58
Rate for Payer: Wellpoint Medicaid Managed Care	$14.00

DRILL SPEEDGUIDE 2X30MM

Facility

$1,585.70

Hospital Charge Code	270700523
Hospital Revenue Code	272
Min. Negotiated Rate	$237.85
Max. Negotiated Rate	$237.85
Rate for Payer: Qualcare PPO/HMO/WC	$237.85

DRILL SPEEDGUIDE 2X30MM

Facility

$1,585.70

Hospital Charge Code	270700523
Hospital Revenue Code	272
Min. Negotiated Rate	$45.03
Max. Negotiated Rate	$792.85
Rate for Payer: Aetna Commercial	$602.57
Rate for Payer: Aetna Medicare Advantage	$475.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.35
Rate for Payer: Cigna Commercial	$792.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.28
Rate for Payer: Oxford Commercial	$317.14
Rate for Payer: Qualcare PPO/HMO/WC	$237.85
Rate for Payer: UnitedHealthcare Commercial	$317.14
Rate for Payer: UnitedHealthcare Community & State	$50.11
Rate for Payer: Wellpoint Medicaid Managed Care	$45.03

DRILL STANDARD 2.0MM

Facility

$1,080.00

Hospital Charge Code	270661357
Hospital Revenue Code	272
Min. Negotiated Rate	$30.67
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$410.40
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.80
Rate for Payer: Oxford Commercial	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$216.00
Rate for Payer: UnitedHealthcare Community & State	$34.13
Rate for Payer: Wellpoint Medicaid Managed Care	$30.67

DRILL STANDARD 2.0MM

Facility

$1,080.00

Hospital Charge Code	270661357
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

DRILL STAPEG STAINLESS STEEL

Facility

$790.00

Hospital Charge Code	270666786
Hospital Revenue Code	272
Min. Negotiated Rate	$22.44
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.40
Rate for Payer: Oxford Commercial	$158.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Commercial	$158.00
Rate for Payer: UnitedHealthcare Community & State	$24.96
Rate for Payer: Wellpoint Medicaid Managed Care	$22.44

DRILL STAPEG STAINLESS STEEL

Facility

$790.00

Hospital Charge Code	270666786
Hospital Revenue Code	272
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$118.50
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL STEP 6.0/5.0MM

Facility

$2,190.00

Hospital Charge Code	270674308
Hospital Revenue Code	272
Min. Negotiated Rate	$62.20
Max. Negotiated Rate	$1,095.00
Rate for Payer: Aetna Commercial	$832.20
Rate for Payer: Aetna Medicare Advantage	$657.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$558.45
Rate for Payer: Cigna Commercial	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$569.40
Rate for Payer: Oxford Commercial	$438.00
Rate for Payer: Qualcare PPO/HMO/WC	$328.50
Rate for Payer: UnitedHealthcare Commercial	$438.00
Rate for Payer: UnitedHealthcare Community & State	$69.20
Rate for Payer: Wellpoint Medicaid Managed Care	$62.20

DRILL STEP 6.0/5.0MM

Facility

$2,190.00

Hospital Charge Code	270674308
Hospital Revenue Code	272
Min. Negotiated Rate	$328.50
Max. Negotiated Rate	$328.50
Rate for Payer: Qualcare PPO/HMO/WC	$328.50

Know your out-of-pocket cost for care.

All Charges