Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$36.33
Max. Negotiated Rate	$639.62
Rate for Payer: Aetna Commercial	$486.12
Rate for Payer: Aetna Medicare Advantage	$383.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.21
Rate for Payer: Cigna Commercial	$639.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.61
Rate for Payer: Oxford Commercial	$255.85
Rate for Payer: Qualcare PPO/HMO/WC	$191.89
Rate for Payer: UnitedHealthcare Commercial	$255.85
Rate for Payer: UnitedHealthcare Community & State	$40.42
Rate for Payer: Wellpoint Medicaid Managed Care	$36.33

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$1,039.50
Rate for Payer: Aetna Commercial	$790.02
Rate for Payer: Aetna Medicare Advantage	$623.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.14
Rate for Payer: Cigna Commercial	$1,039.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.54
Rate for Payer: Oxford Commercial	$415.80
Rate for Payer: Qualcare PPO/HMO/WC	$311.85
Rate for Payer: UnitedHealthcare Commercial	$415.80
Rate for Payer: UnitedHealthcare Community & State	$65.70
Rate for Payer: Wellpoint Medicaid Managed Care	$59.04

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$311.85
Rate for Payer: Qualcare PPO/HMO/WC	$311.85

DRILL 8 MM ANCHOR

Facility

$979.95

Hospital Charge Code	270690397
Hospital Revenue Code	272
Min. Negotiated Rate	$146.99
Max. Negotiated Rate	$146.99
Rate for Payer: Qualcare PPO/HMO/WC	$146.99

DRILL 8 MM ANCHOR

Facility

$979.95

Hospital Charge Code	270690397
Hospital Revenue Code	272
Min. Negotiated Rate	$27.83
Max. Negotiated Rate	$489.98
Rate for Payer: Aetna Commercial	$372.38
Rate for Payer: Aetna Medicare Advantage	$293.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.89
Rate for Payer: Cigna Commercial	$489.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.79
Rate for Payer: Oxford Commercial	$195.99
Rate for Payer: Qualcare PPO/HMO/WC	$146.99
Rate for Payer: UnitedHealthcare Commercial	$195.99
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$27.83

DRILL ACORN 10MM

Facility

$1,360.00

Hospital Charge Code	270637722
Hospital Revenue Code	272
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.60
Rate for Payer: Oxford Commercial	$272.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Commercial	$272.00
Rate for Payer: UnitedHealthcare Community & State	$42.98
Rate for Payer: Wellpoint Medicaid Managed Care	$38.62

DRILL ACORN 10MM

Facility

$1,360.00

Hospital Charge Code	270637722
Hospital Revenue Code	272
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

DRILL ACP 11MM

Facility

$2,750.00

Hospital Charge Code	270693940
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL ACP 11MM

Facility

$2,750.00

Hospital Charge Code	270693940
Hospital Revenue Code	272
Min. Negotiated Rate	$78.10
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$86.90
Rate for Payer: Wellpoint Medicaid Managed Care	$78.10

DRILL AO 2.4X160MM SOLID LG

Facility

$852.50

Hospital Charge Code	270701408
Hospital Revenue Code	278
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$206.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.31
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL AO 2.4X160MM SOLID LG

Facility

$852.50

Hospital Charge Code	270701408
Hospital Revenue Code	278
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) NJ Health	$170.50
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	$206.31
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Community & State	$26.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.21

DRILL AO LONG 2.6x220MM

Facility

$1,370.00

Hospital Charge Code	270673667
Hospital Revenue Code	272
Min. Negotiated Rate	$38.91
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.20
Rate for Payer: Oxford Commercial	$274.00
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Commercial	$274.00
Rate for Payer: UnitedHealthcare Community & State	$43.29
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

DRILL AO LONG 2.6x220MM

Facility

$1,370.00

Hospital Charge Code	270673667
Hospital Revenue Code	272
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

DRILL AO SCALED 1.6 X 96MM

Facility

$1,232.20

Service Code	HCPCS C1713
Hospital Charge Code	270700512
Hospital Revenue Code	278
Min. Negotiated Rate	$184.83
Max. Negotiated Rate	$298.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.19
Rate for Payer: Qualcare PPO/HMO/WC	$184.83

DRILL AO SCALED 1.6 X 96MM

Facility

$1,232.20

Service Code	HCPCS C1713
Hospital Charge Code	270700512
Hospital Revenue Code	278
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$616.10
Rate for Payer: Aetna Commercial	$468.24
Rate for Payer: Aetna Medicare Advantage	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.21
Rate for Payer: Cigna Commercial	$616.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.19
Rate for Payer: Qualcare PPO/HMO/WC	$184.83
Rate for Payer: UnitedHealthcare Community & State	$38.94
Rate for Payer: Wellpoint Medicaid Managed Care	$34.99

DRILL AO STERILE

Facility

$5,862.10

Hospital Charge Code	270648815
Hospital Revenue Code	272
Min. Negotiated Rate	$166.48
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,524.15
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$185.24
Rate for Payer: Wellpoint Medicaid Managed Care	$166.48

DRILL AO STERILE

Facility

$5,862.10

Hospital Charge Code	270648815
Hospital Revenue Code	272
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

DRILL AO STERILE 4.2X230MM

Facility

$1,465.00

Hospital Charge Code	270668728
Hospital Revenue Code	272
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.90
Rate for Payer: Oxford Commercial	$293.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Commercial	$293.00
Rate for Payer: UnitedHealthcare Community & State	$46.29
Rate for Payer: Wellpoint Medicaid Managed Care	$41.61

DRILL AO STERILE 4.2X230MM

Facility

$1,465.00

Hospital Charge Code	270668728
Hospital Revenue Code	272
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$219.75
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

DRILL AWL 2.0X10MM

Facility

$1,250.00

Hospital Charge Code	270693364
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL AWL 2.0X10MM

Facility

$1,250.00

Hospital Charge Code	270693364
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

DRILL BIT

Facility

$1,070.00

Hospital Charge Code	270677455
Hospital Revenue Code	272
Min. Negotiated Rate	$30.39
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.20
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.39

DRILL BIT

Facility

$366.00

Hospital Charge Code	270685257
Hospital Revenue Code	272
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$183.00
Rate for Payer: Aetna Commercial	$139.08
Rate for Payer: Aetna Medicare Advantage	$109.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.33
Rate for Payer: Cigna Commercial	$183.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.16
Rate for Payer: Oxford Commercial	$73.20
Rate for Payer: Qualcare PPO/HMO/WC	$54.90
Rate for Payer: UnitedHealthcare Commercial	$73.20
Rate for Payer: UnitedHealthcare Community & State	$11.57
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

DRILL BIT

Facility

$975.00

Hospital Charge Code	270677990
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL BIT

Facility

$366.00

Hospital Charge Code	270685257
Hospital Revenue Code	272
Min. Negotiated Rate	$54.90
Max. Negotiated Rate	$54.90
Rate for Payer: Qualcare PPO/HMO/WC	$54.90

Know your out-of-pocket cost for care.

All Charges