Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL TWIST CANNULATED 6.5MM

Facility

$3,455.00

Hospital Charge Code	270661525
Hospital Revenue Code	272
Min. Negotiated Rate	$98.12
Max. Negotiated Rate	$1,727.50
Rate for Payer: Aetna Commercial	$1,312.90
Rate for Payer: Aetna Medicare Advantage	$1,036.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.02
Rate for Payer: Cigna Commercial	$1,727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$898.30
Rate for Payer: Oxford Commercial	$691.00
Rate for Payer: Qualcare PPO/HMO/WC	$518.25
Rate for Payer: UnitedHealthcare Commercial	$691.00
Rate for Payer: UnitedHealthcare Community & State	$109.18
Rate for Payer: Wellpoint Medicaid Managed Care	$98.12

DRILL VOER AQ 3.5 X 13CM

Facility

$852.50

Hospital Charge Code	270701954
Hospital Revenue Code	272
Min. Negotiated Rate	$24.21
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$323.95
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.65
Rate for Payer: Oxford Commercial	$170.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Commercial	$170.50
Rate for Payer: UnitedHealthcare Community & State	$26.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.21

DRILL VOER AQ 3.5 X 13CM

Facility

$852.50

Hospital Charge Code	270701954
Hospital Revenue Code	272
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$127.88
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL W AO2.0MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270692675
Hospital Revenue Code	278
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$37.92
Rate for Payer: Wellpoint Medicaid Managed Care	$34.08

DRILL W AO2.0MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270692675
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

DRIVE ADAPTOR QC FOR 5.0mm

Facility

$809.60

Hospital Charge Code	270646032
Hospital Revenue Code	272
Min. Negotiated Rate	$121.44
Max. Negotiated Rate	$121.44
Rate for Payer: Qualcare PPO/HMO/WC	$121.44

DRIVE ADAPTOR QC FOR 5.0mm

Facility

$809.60

Hospital Charge Code	270646032
Hospital Revenue Code	272
Min. Negotiated Rate	$22.99
Max. Negotiated Rate	$404.80
Rate for Payer: Aetna Commercial	$307.65
Rate for Payer: Aetna Medicare Advantage	$242.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.45
Rate for Payer: Cigna Commercial	$404.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.50
Rate for Payer: Oxford Commercial	$161.92
Rate for Payer: Qualcare PPO/HMO/WC	$121.44
Rate for Payer: UnitedHealthcare Commercial	$161.92
Rate for Payer: UnitedHealthcare Community & State	$25.58
Rate for Payer: Wellpoint Medicaid Managed Care	$22.99

DRIVER

Facility

$600.00

Hospital Charge Code	270701559
Hospital Revenue Code	272
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

DRIVER

Facility

$780.00

Hospital Charge Code	270688225
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

DRIVER

Facility

$780.00

Hospital Charge Code	270688225
Hospital Revenue Code	272
Min. Negotiated Rate	$22.15
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$24.65
Rate for Payer: Wellpoint Medicaid Managed Care	$22.15

DRIVER

Facility

$600.00

Hospital Charge Code	270701559
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

DRIVER 2.5MM CANN STD QK REL

Facility

$1,565.00

Service Code	HCPCS A4649
Hospital Charge Code	270696677
Hospital Revenue Code	272
Min. Negotiated Rate	$44.45
Max. Negotiated Rate	$782.50
Rate for Payer: Aetna Commercial	$594.70
Rate for Payer: Aetna Medicare Advantage	$469.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.07
Rate for Payer: Cigna Commercial	$782.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.90
Rate for Payer: Oxford Commercial	$313.00
Rate for Payer: Qualcare PPO/HMO/WC	$234.75
Rate for Payer: UnitedHealthcare Commercial	$313.00
Rate for Payer: UnitedHealthcare Community & State	$49.45
Rate for Payer: Wellpoint Medicaid Managed Care	$44.45

DRIVER 2.5MM CANN STD QK REL

Facility

$1,565.00

Service Code	HCPCS A4649
Hospital Charge Code	270696677
Hospital Revenue Code	272
Min. Negotiated Rate	$234.75
Max. Negotiated Rate	$234.75
Rate for Payer: Qualcare PPO/HMO/WC	$234.75

DRIVER 2.6x30MM

Facility

$1,026.00

Hospital Charge Code	270672686
Hospital Revenue Code	272
Min. Negotiated Rate	$153.90
Max. Negotiated Rate	$153.90
Rate for Payer: Qualcare PPO/HMO/WC	$153.90

DRIVER 2.6x30MM

Facility

$1,026.00

Hospital Charge Code	270672686
Hospital Revenue Code	272
Min. Negotiated Rate	$29.14
Max. Negotiated Rate	$513.00
Rate for Payer: Aetna Commercial	$389.88
Rate for Payer: Aetna Medicare Advantage	$307.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.63
Rate for Payer: Cigna Commercial	$513.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.76
Rate for Payer: Oxford Commercial	$205.20
Rate for Payer: Qualcare PPO/HMO/WC	$153.90
Rate for Payer: UnitedHealthcare Commercial	$205.20
Rate for Payer: UnitedHealthcare Community & State	$32.42
Rate for Payer: Wellpoint Medicaid Managed Care	$29.14

DRIVER AO CONNECT SQ TIP 2MM

Facility

$670.00

Hospital Charge Code	270661788
Hospital Revenue Code	272
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

DRIVER AO CONNECT SQ TIP 2MM

Facility

$670.00

Hospital Charge Code	270661788
Hospital Revenue Code	272
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.20
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Commercial	$134.00
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

DRIVER HEX 2.5 STER MICA SCRW

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702613
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$21.09

DRIVER HEX 2.5 STER MICA SCRW

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702613
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

DRIVER MSP T6

Facility

$1,395.00

Hospital Charge Code	270696760
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

DRIVER MSP T6

Facility

$1,395.00

Hospital Charge Code	270696760
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

DRIVER QUICK CONNECT 20MM

Facility

$2,500.00

Hospital Charge Code	270684773
Hospital Revenue Code	272
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

DRIVER QUICK CONNECT 20MM

Facility

$2,500.00

Hospital Charge Code	270684773
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

DRIVER SHAFT T7 HEXALOBE

Facility

$1,425.00

Hospital Charge Code	270690957
Hospital Revenue Code	272
Min. Negotiated Rate	$40.47
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.03
Rate for Payer: Wellpoint Medicaid Managed Care	$40.47

DRIVER SHAFT T7 HEXALOBE

Facility

$1,425.00

Hospital Charge Code	270690957
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

Know your out-of-pocket cost for care.

All Charges