Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL STOP 12mm

Facility

$10.60

Hospital Charge Code	270657657
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

DRILL STOP 12mm

Facility

$10.60

Hospital Charge Code	270657657
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$5.30
Rate for Payer: Aetna Commercial	$4.03
Rate for Payer: Aetna Medicare Advantage	$3.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.70
Rate for Payer: Cigna Commercial	$5.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$2.12
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692342
Hospital Revenue Code	272
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692246
Hospital Revenue Code	272
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692342
Hospital Revenue Code	272
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$334.40
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.80
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$176.00
Rate for Payer: UnitedHealthcare Community & State	$27.81
Rate for Payer: Wellpoint Medicaid Managed Care	$24.99

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692246
Hospital Revenue Code	272
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$334.40
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.80
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$176.00
Rate for Payer: UnitedHealthcare Community & State	$27.81
Rate for Payer: Wellpoint Medicaid Managed Care	$24.99

DRILL SUBCHONDRAL 1.5mm

Facility

$190.00

Hospital Charge Code	270621558
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.40
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$6.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

DRILL SUBCHONDRAL 1.5mm

Facility

$190.00

Hospital Charge Code	270621558
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

DRILL SURG 4.5MM OD ST 3.0MM

Facility

$741.30

Hospital Charge Code	270697894
Hospital Revenue Code	272
Min. Negotiated Rate	$111.19
Max. Negotiated Rate	$111.19
Rate for Payer: Qualcare PPO/HMO/WC	$111.19

DRILL SURG 4.5MM OD ST 3.0MM

Facility

$741.30

Hospital Charge Code	270697894
Hospital Revenue Code	272
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$370.65
Rate for Payer: Aetna Commercial	$281.69
Rate for Payer: Aetna Medicare Advantage	$222.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.03
Rate for Payer: Cigna Commercial	$370.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.74
Rate for Payer: Oxford Commercial	$148.26
Rate for Payer: Qualcare PPO/HMO/WC	$111.19
Rate for Payer: UnitedHealthcare Commercial	$148.26
Rate for Payer: UnitedHealthcare Community & State	$23.43
Rate for Payer: Wellpoint Medicaid Managed Care	$21.05

DRILL TIBIAL 4.8MM

Facility

$1,170.00

Hospital Charge Code	270676977
Hospital Revenue Code	272
Min. Negotiated Rate	$33.23
Max. Negotiated Rate	$585.00
Rate for Payer: Aetna Commercial	$444.60
Rate for Payer: Aetna Medicare Advantage	$351.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.35
Rate for Payer: Cigna Commercial	$585.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$234.00
Rate for Payer: Qualcare PPO/HMO/WC	$175.50
Rate for Payer: UnitedHealthcare Commercial	$234.00
Rate for Payer: UnitedHealthcare Community & State	$36.97
Rate for Payer: Wellpoint Medicaid Managed Care	$33.23

DRILL TIBIAL 4.8MM

Facility

$1,170.00

Hospital Charge Code	270676977
Hospital Revenue Code	272
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$175.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.50

DRILL TIP 2.5 GUIDEWIRE 12mm

Facility

$308.75

Hospital Charge Code	270685404
Hospital Revenue Code	272
Min. Negotiated Rate	$46.31
Max. Negotiated Rate	$46.31
Rate for Payer: Qualcare PPO/HMO/WC	$46.31

DRILL TIP 2.5 GUIDEWIRE 12mm

Facility

$308.75

Hospital Charge Code	270685404
Hospital Revenue Code	272
Min. Negotiated Rate	$8.77
Max. Negotiated Rate	$154.38
Rate for Payer: Aetna Commercial	$117.33
Rate for Payer: Aetna Medicare Advantage	$92.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.73
Rate for Payer: Cigna Commercial	$154.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.28
Rate for Payer: Oxford Commercial	$61.75
Rate for Payer: Qualcare PPO/HMO/WC	$46.31
Rate for Payer: UnitedHealthcare Commercial	$61.75
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$8.77

DRILL TIP SPADE 3.9MM

Facility

$525.00

Hospital Charge Code	270687860
Hospital Revenue Code	272
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

DRILL TIP SPADE 3.9MM

Facility

$525.00

Hospital Charge Code	270687860
Hospital Revenue Code	272
Min. Negotiated Rate	$14.91
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Commercial	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.59
Rate for Payer: Wellpoint Medicaid Managed Care	$14.91

DRILL TRI FLAT

Facility

$1,030.00

Hospital Charge Code	270670470
Hospital Revenue Code	272
Min. Negotiated Rate	$154.50
Max. Negotiated Rate	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$154.50

DRILL TRI FLAT

Facility

$1,030.00

Hospital Charge Code	270670470
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$515.00
Rate for Payer: Aetna Commercial	$391.40
Rate for Payer: Aetna Medicare Advantage	$309.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.65
Rate for Payer: Cigna Commercial	$515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.80
Rate for Payer: Oxford Commercial	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$154.50
Rate for Payer: UnitedHealthcare Commercial	$206.00
Rate for Payer: UnitedHealthcare Community & State	$32.55
Rate for Payer: Wellpoint Medicaid Managed Care	$29.25

DRILL TRIM 2 MM X100 MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690431
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

DRILL TRIM 2 MM X100 MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270690431
Hospital Revenue Code	278
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

DRILL TWIST 1/8

Facility

$207.00

Hospital Charge Code	270335218
Hospital Revenue Code	272
Min. Negotiated Rate	$5.88
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$78.66
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.82
Rate for Payer: Oxford Commercial	$41.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$41.40
Rate for Payer: UnitedHealthcare Community & State	$6.54
Rate for Payer: Wellpoint Medicaid Managed Care	$5.88

DRILL TWIST 1/8

Facility

$207.00

Hospital Charge Code	270335218
Hospital Revenue Code	272
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

DRILL TWIST 4.0 MM 70 MM PT

Facility

$495.00

Hospital Charge Code	270684002
Hospital Revenue Code	272
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14.06

DRILL TWIST 4.0 MM 70 MM PT

Facility

$495.00

Hospital Charge Code	270684002
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

DRILL TWIST CANNULATED 6.5MM

Facility

$3,455.00

Hospital Charge Code	270661525
Hospital Revenue Code	272
Min. Negotiated Rate	$518.25
Max. Negotiated Rate	$518.25
Rate for Payer: Qualcare PPO/HMO/WC	$518.25

Know your out-of-pocket cost for care.

All Charges