Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$146.54
Max. Negotiated Rate	$2,580.00
Rate for Payer: Aetna Commercial	$1,960.80
Rate for Payer: Aetna Medicare Advantage	$1,548.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,315.80
Rate for Payer: Cigna Commercial	$2,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: Qualcare PPO/HMO/WC	$774.00
Rate for Payer: UnitedHealthcare Community & State	$163.06
Rate for Payer: Wellpoint Medicaid Managed Care	$146.54

DRILL BIT 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$107.76
Max. Negotiated Rate	$1,897.25
Rate for Payer: Aetna Commercial	$1,441.91
Rate for Payer: Aetna Medicare Advantage	$1,138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.60
Rate for Payer: Cigna Commercial	$1,897.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$986.57
Rate for Payer: Oxford Commercial	$758.90
Rate for Payer: Qualcare PPO/HMO/WC	$569.17
Rate for Payer: UnitedHealthcare Commercial	$758.90
Rate for Payer: UnitedHealthcare Community & State	$119.91
Rate for Payer: Wellpoint Medicaid Managed Care	$107.76

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$26.84
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.70
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$189.00
Rate for Payer: UnitedHealthcare Community & State	$29.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

DRILL BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
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 BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
Hospital Revenue Code	272
Min. Negotiated Rate	$208.45
Max. Negotiated Rate	$208.45
Rate for Payer: Qualcare PPO/HMO/WC	$208.45

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$126.86
Max. Negotiated Rate	$2,233.40
Rate for Payer: Aetna Commercial	$1,697.38
Rate for Payer: Aetna Medicare Advantage	$1,340.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.03
Rate for Payer: Cigna Commercial	$2,233.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.37
Rate for Payer: Oxford Commercial	$893.36
Rate for Payer: Qualcare PPO/HMO/WC	$670.02
Rate for Payer: UnitedHealthcare Commercial	$893.36
Rate for Payer: UnitedHealthcare Community & State	$141.15
Rate for Payer: Wellpoint Medicaid Managed Care	$126.86

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$670.02
Max. Negotiated Rate	$670.02
Rate for Payer: Qualcare PPO/HMO/WC	$670.02

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$219.05
Max. Negotiated Rate	$219.05
Rate for Payer: Qualcare PPO/HMO/WC	$219.05

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$41.47
Max. Negotiated Rate	$730.17
Rate for Payer: Aetna Commercial	$554.93
Rate for Payer: Aetna Medicare Advantage	$438.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.39
Rate for Payer: Cigna Commercial	$730.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.69
Rate for Payer: Oxford Commercial	$292.07
Rate for Payer: Qualcare PPO/HMO/WC	$219.05
Rate for Payer: UnitedHealthcare Commercial	$292.07
Rate for Payer: UnitedHealthcare Community & State	$46.15
Rate for Payer: Wellpoint Medicaid Managed Care	$41.47

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$544.50
Max. Negotiated Rate	$878.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: Qualcare PPO/HMO/WC	$544.50

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$103.09
Max. Negotiated Rate	$1,815.00
Rate for Payer: Aetna Commercial	$1,379.40
Rate for Payer: Aetna Medicare Advantage	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.65
Rate for Payer: Cigna Commercial	$1,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: Qualcare PPO/HMO/WC	$544.50
Rate for Payer: UnitedHealthcare Community & State	$114.71
Rate for Payer: Wellpoint Medicaid Managed Care	$103.09

DRILL BIT 1.9MM AO SHAFT END

Facility

$656.40

Hospital Charge Code	270657998
Hospital Revenue Code	272
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

DRILL BIT 1.9MM AO SHAFT END

Facility

$656.40

Hospital Charge Code	270657998
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.20
Rate for Payer: Aetna Commercial	$249.43
Rate for Payer: Aetna Medicare Advantage	$196.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.38
Rate for Payer: Cigna Commercial	$328.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.66
Rate for Payer: Oxford Commercial	$131.28
Rate for Payer: Qualcare PPO/HMO/WC	$98.46
Rate for Payer: UnitedHealthcare Commercial	$131.28
Rate for Payer: UnitedHealthcare Community & State	$20.74
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

DRILL BIT 2.0

Facility

$2,580.00

Hospital Charge Code	270701421
Hospital Revenue Code	272
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$387.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

DRILL BIT 2.0

Facility

$395.00

Hospital Charge Code	270687189
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

DRILL BIT 2.0

Facility

$395.00

Hospital Charge Code	270687189
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT 2.0

Facility

$855.00

Hospital Charge Code	270660358
Hospital Revenue Code	270
Min. Negotiated Rate	$24.28
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna Commercial	$324.90
Rate for Payer: Aetna Medicare Advantage	$256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.03
Rate for Payer: Cigna Commercial	$427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.30
Rate for Payer: Oxford Commercial	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.25
Rate for Payer: UnitedHealthcare Commercial	$171.00
Rate for Payer: UnitedHealthcare Community & State	$27.02
Rate for Payer: Wellpoint Medicaid Managed Care	$24.28

DRILL BIT 2.0

Facility

$855.00

Hospital Charge Code	270660358
Hospital Revenue Code	270
Min. Negotiated Rate	$128.25
Max. Negotiated Rate	$128.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.25

DRILL BIT 2.0

Facility

$2,580.00

Hospital Charge Code	270701421
Hospital Revenue Code	272
Min. Negotiated Rate	$73.27
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$980.40
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$670.80
Rate for Payer: Oxford Commercial	$516.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00
Rate for Payer: UnitedHealthcare Commercial	$516.00
Rate for Payer: UnitedHealthcare Community & State	$81.53
Rate for Payer: Wellpoint Medicaid Managed Care	$73.27

DRILL BIT 2.0 MM

Facility

$395.00

Hospital Charge Code	270689811
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT 2.0 MM

Facility

$395.00

Hospital Charge Code	270689811
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

DRILL BIT 2.0MM

Facility

$1,680.00

Hospital Charge Code	270687285
Hospital Revenue Code	272
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

Know your out-of-pocket cost for care.

All Charges