Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 120X1.7MM

Facility

$852.50

Hospital Charge Code	270690540
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 120X1.7MM

Facility

$852.50

Hospital Charge Code	270690540
Hospital Revenue Code	272
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$127.88
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL 12MM SLIM

Facility

$750.00

Hospital Charge Code	270694347
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL 12MM SLIM

Facility

$750.00

Hospital Charge Code	270694347
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 14 MM

Facility

$464.00

Hospital Charge Code	270335935
Hospital Revenue Code	272
Min. Negotiated Rate	$13.18
Max. Negotiated Rate	$232.00
Rate for Payer: Aetna Commercial	$176.32
Rate for Payer: Aetna Medicare Advantage	$139.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.32
Rate for Payer: Cigna Commercial	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.64
Rate for Payer: Oxford Commercial	$92.80
Rate for Payer: Qualcare PPO/HMO/WC	$69.60
Rate for Payer: UnitedHealthcare Commercial	$92.80
Rate for Payer: UnitedHealthcare Community & State	$14.66
Rate for Payer: Wellpoint Medicaid Managed Care	$13.18

DRILL 14 MM

Facility

$464.00

Hospital Charge Code	270335935
Hospital Revenue Code	272
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

DRILL 14MM

Facility

$1,389.65

Hospital Charge Code	270689206
Hospital Revenue Code	272
Min. Negotiated Rate	$39.47
Max. Negotiated Rate	$694.83
Rate for Payer: Aetna Commercial	$528.07
Rate for Payer: Aetna Medicare Advantage	$416.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.36
Rate for Payer: Cigna Commercial	$694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.31
Rate for Payer: Oxford Commercial	$277.93
Rate for Payer: Qualcare PPO/HMO/WC	$208.45
Rate for Payer: UnitedHealthcare Commercial	$277.93
Rate for Payer: UnitedHealthcare Community & State	$43.91
Rate for Payer: Wellpoint Medicaid Managed Care	$39.47

DRILL 14MM

Facility

$1,389.65

Hospital Charge Code	270689206
Hospital Revenue Code	272
Min. Negotiated Rate	$208.45
Max. Negotiated Rate	$208.45
Rate for Payer: Qualcare PPO/HMO/WC	$208.45

DRILL 16MM

Facility

$1,175.00

Hospital Charge Code	270679878
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

DRILL 16MM

Facility

$1,175.00

Hospital Charge Code	270679878
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 1.8MM

Facility

$1,225.00

Hospital Charge Code	270704719
Hospital Revenue Code	279
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

DRILL 1.8MM

Facility

$1,225.00

Hospital Charge Code	270704719
Hospital Revenue Code	279
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$38.71
Rate for Payer: Wellpoint Medicaid Managed Care	$34.79

DRILL 2.0

Facility

$745.00

Hospital Charge Code	270679190
Hospital Revenue Code	272
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$372.50
Rate for Payer: Aetna Commercial	$283.10
Rate for Payer: Aetna Medicare Advantage	$223.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.97
Rate for Payer: Cigna Commercial	$372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.70
Rate for Payer: Oxford Commercial	$149.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.75
Rate for Payer: UnitedHealthcare Commercial	$149.00
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.16

DRILL 2.0

Facility

$745.00

Hospital Charge Code	270679190
Hospital Revenue Code	272
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$111.75
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

DRILL 2.0

Facility

$1,640.00

Hospital Charge Code	270703648
Hospital Revenue Code	279
Min. Negotiated Rate	$246.00
Max. Negotiated Rate	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$246.00

DRILL 2.0

Facility

$598.00

Hospital Charge Code	270686431
Hospital Revenue Code	272
Min. Negotiated Rate	$89.70
Max. Negotiated Rate	$89.70
Rate for Payer: Qualcare PPO/HMO/WC	$89.70

DRILL 2.0

Facility

$598.00

Hospital Charge Code	270686431
Hospital Revenue Code	272
Min. Negotiated Rate	$16.98
Max. Negotiated Rate	$299.00
Rate for Payer: Aetna Commercial	$227.24
Rate for Payer: Aetna Medicare Advantage	$179.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.49
Rate for Payer: Cigna Commercial	$299.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.48
Rate for Payer: Oxford Commercial	$119.60
Rate for Payer: Qualcare PPO/HMO/WC	$89.70
Rate for Payer: UnitedHealthcare Commercial	$119.60
Rate for Payer: UnitedHealthcare Community & State	$18.90
Rate for Payer: Wellpoint Medicaid Managed Care	$16.98

DRILL 2.0

Facility

$1,640.00

Hospital Charge Code	270703648
Hospital Revenue Code	279
Min. Negotiated Rate	$46.58
Max. Negotiated Rate	$820.00
Rate for Payer: Aetna Commercial	$623.20
Rate for Payer: Aetna Medicare Advantage	$492.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$418.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$418.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$418.20
Rate for Payer: Cigna Commercial	$820.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$426.40
Rate for Payer: Oxford Commercial	$328.00
Rate for Payer: Qualcare PPO/HMO/WC	$246.00
Rate for Payer: UnitedHealthcare Commercial	$328.00
Rate for Payer: UnitedHealthcare Community & State	$51.82
Rate for Payer: Wellpoint Medicaid Managed Care	$46.58

DRILL 2.0

Facility

$600.00

Hospital Charge Code	270692680
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

DRILL 2.0

Facility

$600.00

Hospital Charge Code	270692680
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

DRILL 2.0 130 MM SLD AO

Facility

$850.00

Hospital Charge Code	270700699
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 2.0 130 MM SLD AO

Facility

$850.00

Hospital Charge Code	270700699
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

DRILL 2.0 130 MM SLD AO

Facility

$850.00

Hospital Charge Code	700699
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 2.0 130 MM SLD AO

Facility

$850.00

Hospital Charge Code	700699
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

DRILL 2.0MM

Facility

$615.00

Hospital Charge Code	270665923
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

Know your out-of-pocket cost for care.

All Charges