Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT

Facility

$260.00

Hospital Charge Code	270689641
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

DRILL BIT

Facility

$3,780.00

Hospital Charge Code	270703902
Hospital Revenue Code	272
Min. Negotiated Rate	$107.35
Max. Negotiated Rate	$1,890.00
Rate for Payer: Aetna Commercial	$1,436.40
Rate for Payer: Aetna Medicare Advantage	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.90
Rate for Payer: Cigna Commercial	$1,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$982.80
Rate for Payer: Oxford Commercial	$756.00
Rate for Payer: Qualcare PPO/HMO/WC	$567.00
Rate for Payer: UnitedHealthcare Commercial	$756.00
Rate for Payer: UnitedHealthcare Community & State	$119.45
Rate for Payer: Wellpoint Medicaid Managed Care	$107.35

DRILL BIT

Facility

$3,780.00

Hospital Charge Code	270703902
Hospital Revenue Code	272
Min. Negotiated Rate	$567.00
Max. Negotiated Rate	$567.00
Rate for Payer: Qualcare PPO/HMO/WC	$567.00

DRILL BIT

Facility

$825.00

Hospital Charge Code	270625803
Hospital Revenue Code	272
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$23.43

DRILL BIT

Facility

$825.00

Hospital Charge Code	270625803
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

DRILL BIT

Facility

$682.50

Hospital Charge Code	270683743
Hospital Revenue Code	272
Min. Negotiated Rate	$102.38
Max. Negotiated Rate	$102.38
Rate for Payer: Qualcare PPO/HMO/WC	$102.38

DRILL BIT

Facility

$682.50

Hospital Charge Code	270683743
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$341.25
Rate for Payer: Aetna Commercial	$259.35
Rate for Payer: Aetna Medicare Advantage	$204.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.04
Rate for Payer: Cigna Commercial	$341.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.45
Rate for Payer: Oxford Commercial	$136.50
Rate for Payer: Qualcare PPO/HMO/WC	$102.38
Rate for Payer: UnitedHealthcare Commercial	$136.50
Rate for Payer: UnitedHealthcare Community & State	$21.57
Rate for Payer: Wellpoint Medicaid Managed Care	$19.38

DRILL BIT

Facility

$1,070.00

Hospital Charge Code	270677455
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

DRILL BIT

Facility

$260.00

Hospital Charge Code	270689641
Hospital Revenue Code	272
Min. Negotiated Rate	$7.38
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.60
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$52.00
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: Wellpoint Medicaid Managed Care	$7.38

DRILL BIT

Facility

$975.00

Hospital Charge Code	270677990
Hospital Revenue Code	272
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 BIT .059 IN

Facility

$800.00

Hospital Charge Code	270689944
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

DRILL BIT .059 IN

Facility

$800.00

Hospital Charge Code	270689944
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT 1.0 MM

Facility

$366.00

Hospital Charge Code	270681689
Hospital Revenue Code	272
Min. Negotiated Rate	$54.90
Max. Negotiated Rate	$54.90
Rate for Payer: Qualcare PPO/HMO/WC	$54.90

DRILL BIT 1.0 MM

Facility

$366.00

Hospital Charge Code	270681689
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 1.1 MM

Facility

$366.00

Hospital Charge Code	270681688
Hospital Revenue Code	272
Min. Negotiated Rate	$54.90
Max. Negotiated Rate	$54.90
Rate for Payer: Qualcare PPO/HMO/WC	$54.90

DRILL BIT 1.1 MM

Facility

$366.00

Hospital Charge Code	270681688
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 11MM

Facility

$1,670.00

Hospital Charge Code	270691791
Hospital Revenue Code	272
Min. Negotiated Rate	$250.50
Max. Negotiated Rate	$250.50
Rate for Payer: Qualcare PPO/HMO/WC	$250.50

DRILL BIT 11MM

Facility

$1,670.00

Hospital Charge Code	270691791
Hospital Revenue Code	272
Min. Negotiated Rate	$47.43
Max. Negotiated Rate	$835.00
Rate for Payer: Aetna Commercial	$634.60
Rate for Payer: Aetna Medicare Advantage	$501.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.85
Rate for Payer: Cigna Commercial	$835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.20
Rate for Payer: Oxford Commercial	$334.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.50
Rate for Payer: UnitedHealthcare Commercial	$334.00
Rate for Payer: UnitedHealthcare Community & State	$52.77
Rate for Payer: Wellpoint Medicaid Managed Care	$47.43

DRILL BIT, 11MM

Facility

$21.40

Hospital Charge Code	270665049
Hospital Revenue Code	270
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.56
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

DRILL BIT, 11MM

Facility

$21.40

Hospital Charge Code	270665049
Hospital Revenue Code	270
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

DRILL BIT 1.1MM

Facility

$107.80

Hospital Charge Code	270664050
Hospital Revenue Code	270
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$53.90
Rate for Payer: Aetna Commercial	$40.96
Rate for Payer: Aetna Medicare Advantage	$32.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.49
Rate for Payer: Cigna Commercial	$53.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.03
Rate for Payer: Oxford Commercial	$21.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.17
Rate for Payer: UnitedHealthcare Commercial	$21.56
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.06

DRILL BIT 1.1MM

Facility

$107.80

Hospital Charge Code	270664050
Hospital Revenue Code	270
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$16.17

DRILL BIT 1.1MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674777
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

DRILL BIT 1.1MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674777
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

DRILL BIT 1.1MM/MINI QC/45MM

Facility

$350.00

Hospital Charge Code	270674778
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

Know your out-of-pocket cost for care.

All Charges