Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 1.1MM/MINI QC/45MM

Facility

$350.00

Hospital Charge Code	270674778
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 12 MM

Facility

$1,250.00

Hospital Charge Code	270691931
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT 12 MM

Facility

$1,250.00

Hospital Charge Code	270691931
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 12MM

Facility

$1,175.00

Hospital Charge Code	270687814
Hospital Revenue Code	272
Min. Negotiated Rate	$176.25
Max. Negotiated Rate	$176.25
Rate for Payer: Qualcare PPO/HMO/WC	$176.25

DRILL BIT 12MM

Facility

$1,500.00

Hospital Charge Code	270667753
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

DRILL BIT 12MM

Facility

$1,737.50

Hospital Charge Code	270693818
Hospital Revenue Code	272
Min. Negotiated Rate	$49.34
Max. Negotiated Rate	$868.75
Rate for Payer: Aetna Commercial	$660.25
Rate for Payer: Aetna Medicare Advantage	$521.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.06
Rate for Payer: Cigna Commercial	$868.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.75
Rate for Payer: Oxford Commercial	$347.50
Rate for Payer: Qualcare PPO/HMO/WC	$260.62
Rate for Payer: UnitedHealthcare Commercial	$347.50
Rate for Payer: UnitedHealthcare Community & State	$54.91
Rate for Payer: Wellpoint Medicaid Managed Care	$49.34

DRILL BIT 12MM

Facility

$1,737.50

Hospital Charge Code	270693818
Hospital Revenue Code	272
Min. Negotiated Rate	$260.62
Max. Negotiated Rate	$260.62
Rate for Payer: Qualcare PPO/HMO/WC	$260.62

DRILL BIT 12MM

Facility

$1,175.00

Hospital Charge Code	270687814
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 BIT 12MM

Facility

$1,500.00

Hospital Charge Code	270667753
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

DRILL BIT 1.30

Facility

$2,798.10

Hospital Charge Code	270693268
Hospital Revenue Code	272
Min. Negotiated Rate	$79.47
Max. Negotiated Rate	$1,399.05
Rate for Payer: Aetna Commercial	$1,063.28
Rate for Payer: Aetna Medicare Advantage	$839.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.52
Rate for Payer: Cigna Commercial	$1,399.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.51
Rate for Payer: Oxford Commercial	$559.62
Rate for Payer: Qualcare PPO/HMO/WC	$419.71
Rate for Payer: UnitedHealthcare Commercial	$559.62
Rate for Payer: UnitedHealthcare Community & State	$88.42
Rate for Payer: Wellpoint Medicaid Managed Care	$79.47

DRILL BIT 1.30

Facility

$2,798.10

Hospital Charge Code	270693268
Hospital Revenue Code	272
Min. Negotiated Rate	$419.71
Max. Negotiated Rate	$419.71
Rate for Payer: Qualcare PPO/HMO/WC	$419.71

DRILL BIT 1.3B MM

Facility

$366.00

Hospital Charge Code	270681690
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 1.3B MM

Facility

$366.00

Hospital Charge Code	270681690
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 14MM

Facility

$1,375.00

Hospital Charge Code	270692537
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

DRILL BIT 14MM

Facility

$1,375.00

Hospital Charge Code	270692537
Hospital Revenue Code	272
Min. Negotiated Rate	$39.05
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$43.45
Rate for Payer: Wellpoint Medicaid Managed Care	$39.05

DRILL BIT 1.5 MM

Facility

$366.00

Hospital Charge Code	270686488
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 1.5 MM

Facility

$366.00

Hospital Charge Code	270686488
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 1.5MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674779
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 1.5MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674779
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 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
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 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
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 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL BIT 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.85

DRILL BIT 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$569.17
Max. Negotiated Rate	$569.17
Rate for Payer: Qualcare PPO/HMO/WC	$569.17

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$774.00
Max. Negotiated Rate	$1,248.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: Qualcare PPO/HMO/WC	$774.00

Know your out-of-pocket cost for care.

All Charges