Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 2.8MM

Facility

$330.00

Hospital Charge Code	270671064
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

DRILL 2.8MM

Facility

$330.00

Hospital Charge Code	270671064
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

DRILL 2.9/5.0mm 145mmREAMER QC

Facility

$1,878.00

Hospital Charge Code	270662832
Hospital Revenue Code	272
Min. Negotiated Rate	$53.34
Max. Negotiated Rate	$939.00
Rate for Payer: Aetna Commercial	$713.64
Rate for Payer: Aetna Medicare Advantage	$563.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.89
Rate for Payer: Cigna Commercial	$939.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$488.28
Rate for Payer: Oxford Commercial	$375.60
Rate for Payer: Qualcare PPO/HMO/WC	$281.70
Rate for Payer: UnitedHealthcare Commercial	$375.60
Rate for Payer: UnitedHealthcare Community & State	$59.34
Rate for Payer: Wellpoint Medicaid Managed Care	$53.34

DRILL 2.9/5.0mm 145mmREAMER QC

Facility

$1,878.00

Hospital Charge Code	270662832
Hospital Revenue Code	272
Min. Negotiated Rate	$281.70
Max. Negotiated Rate	$281.70
Rate for Payer: Qualcare PPO/HMO/WC	$281.70

DRILL 3.0MM

Facility

$615.00

Hospital Charge Code	270683639
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 3.0MM

Facility

$615.00

Hospital Charge Code	270683639
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.90
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.47

DRILL 3.2

Facility

$840.00

Hospital Charge Code	270684553
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL 3.2

Facility

$840.00

Hospital Charge Code	270684553
Hospital Revenue Code	272
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.40
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.86

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$44.44
Max. Negotiated Rate	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$44.44

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$8.41
Max. Negotiated Rate	$148.12
Rate for Payer: Aetna Commercial	$112.58
Rate for Payer: Aetna Medicare Advantage	$88.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.54
Rate for Payer: Cigna Commercial	$148.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.03
Rate for Payer: Oxford Commercial	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.44
Rate for Payer: UnitedHealthcare Commercial	$59.25
Rate for Payer: UnitedHealthcare Community & State	$9.36
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.90
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.47

DRILL 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$392.85
Max. Negotiated Rate	$392.85
Rate for Payer: Qualcare PPO/HMO/WC	$392.85

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$74.38
Max. Negotiated Rate	$1,309.50
Rate for Payer: Aetna Commercial	$995.22
Rate for Payer: Aetna Medicare Advantage	$785.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.85
Rate for Payer: Cigna Commercial	$1,309.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.94
Rate for Payer: Oxford Commercial	$523.80
Rate for Payer: Qualcare PPO/HMO/WC	$392.85
Rate for Payer: UnitedHealthcare Commercial	$523.80
Rate for Payer: UnitedHealthcare Community & State	$82.76
Rate for Payer: Wellpoint Medicaid Managed Care	$74.38

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$29.20
Rate for Payer: Wellpoint Medicaid Managed Care	$26.24

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$409.50
Rate for Payer: Aetna Commercial	$311.22
Rate for Payer: Aetna Medicare Advantage	$245.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.84
Rate for Payer: Cigna Commercial	$409.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.94
Rate for Payer: Oxford Commercial	$163.80
Rate for Payer: Qualcare PPO/HMO/WC	$122.85
Rate for Payer: UnitedHealthcare Commercial	$163.80
Rate for Payer: UnitedHealthcare Community & State	$25.88
Rate for Payer: Wellpoint Medicaid Managed Care	$23.26

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$122.85
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$27.69
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$30.81
Rate for Payer: Wellpoint Medicaid Managed Care	$27.69

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$191.89
Max. Negotiated Rate	$191.89
Rate for Payer: Qualcare PPO/HMO/WC	$191.89

Know your out-of-pocket cost for care.

All Charges