Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.0MM

Facility

$1,585.00

Hospital Charge Code	270676508
Hospital Revenue Code	272
Min. Negotiated Rate	$45.01
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.10
Rate for Payer: Oxford Commercial	$317.00
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Commercial	$317.00
Rate for Payer: UnitedHealthcare Community & State	$50.09
Rate for Payer: Wellpoint Medicaid Managed Care	$45.01

DRILL BIT 2.0MM

Facility

$1,585.00

Hospital Charge Code	270676508
Hospital Revenue Code	272
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$237.75
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

DRILL BIT 2.0MM

Facility

$1,680.00

Hospital Charge Code	270687285
Hospital Revenue Code	272
Min. Negotiated Rate	$47.71
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$638.40
Rate for Payer: Aetna Medicare Advantage	$504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.40
Rate for Payer: Cigna Commercial	$840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.80
Rate for Payer: Oxford Commercial	$336.00
Rate for Payer: Qualcare PPO/HMO/WC	$252.00
Rate for Payer: UnitedHealthcare Commercial	$336.00
Rate for Payer: UnitedHealthcare Community & State	$53.09
Rate for Payer: Wellpoint Medicaid Managed Care	$47.71

DRILL BIT 2.0MM 66 MM

Facility

$366.00

Hospital Charge Code	270686052
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 2.0MM 66 MM

Facility

$366.00

Hospital Charge Code	270686052
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 2.0MM CALIBRTD

Facility

$975.00

Hospital Charge Code	270657724
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 2.0MM CALIBRTD

Facility

$975.00

Hospital Charge Code	270657724
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 2.0MM CANNU DART SCR

Facility

$756.00

Hospital Charge Code	270700828
Hospital Revenue Code	272
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.56
Rate for Payer: Oxford Commercial	$151.20
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Commercial	$151.20
Rate for Payer: UnitedHealthcare Community & State	$23.89
Rate for Payer: Wellpoint Medicaid Managed Care	$21.47

DRILL BIT 2.0MM CANNU DART SCR

Facility

$756.00

Hospital Charge Code	270700828
Hospital Revenue Code	272
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

DRILL BIT 2.0MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674781
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 2.0MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674781
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 2.0MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674782
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 2.0MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674782
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 2.0MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674783
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 2.0MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674783
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 2.0MM QC 140MM

Facility

$789.60

Hospital Charge Code	270691895
Hospital Revenue Code	272
Min. Negotiated Rate	$22.42
Max. Negotiated Rate	$394.80
Rate for Payer: Aetna Commercial	$300.05
Rate for Payer: Aetna Medicare Advantage	$236.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.35
Rate for Payer: Cigna Commercial	$394.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.30
Rate for Payer: Oxford Commercial	$157.92
Rate for Payer: Qualcare PPO/HMO/WC	$118.44
Rate for Payer: UnitedHealthcare Commercial	$157.92
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$22.42

DRILL BIT 2.0MM QC 140MM

Facility

$789.60

Hospital Charge Code	270691895
Hospital Revenue Code	272
Min. Negotiated Rate	$118.44
Max. Negotiated Rate	$118.44
Rate for Payer: Qualcare PPO/HMO/WC	$118.44

DRILL BIT 2.0MM QC 140MM 60MM

Facility

$924.00

Hospital Charge Code	270687282
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL BIT 2.0MM QC 140MM 60MM

Facility

$924.00

Hospital Charge Code	270687282
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

DRILLBIT 2.0 QC CANN 145MM

Facility

$1,817.75

Service Code	HCPCS A4649
Hospital Charge Code	270698219
Hospital Revenue Code	272
Min. Negotiated Rate	$272.66
Max. Negotiated Rate	$272.66
Rate for Payer: Qualcare PPO/HMO/WC	$272.66

DRILLBIT 2.0 QC CANN 145MM

Facility

$1,817.75

Service Code	HCPCS A4649
Hospital Charge Code	270698219
Hospital Revenue Code	272
Min. Negotiated Rate	$51.62
Max. Negotiated Rate	$908.88
Rate for Payer: Aetna Commercial	$690.75
Rate for Payer: Aetna Medicare Advantage	$545.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$463.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$463.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$463.53
Rate for Payer: Cigna Commercial	$908.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$472.62
Rate for Payer: Oxford Commercial	$363.55
Rate for Payer: Qualcare PPO/HMO/WC	$272.66
Rate for Payer: UnitedHealthcare Commercial	$363.55
Rate for Payer: UnitedHealthcare Community & State	$57.44
Rate for Payer: Wellpoint Medicaid Managed Care	$51.62

DRILL BIT 2.1 ASNIC MICRO

Facility

$626.30

Hospital Charge Code	270704926
Hospital Revenue Code	279
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$313.15
Rate for Payer: Aetna Commercial	$237.99
Rate for Payer: Aetna Medicare Advantage	$187.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.71
Rate for Payer: Cigna Commercial	$313.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.84
Rate for Payer: Oxford Commercial	$125.26
Rate for Payer: Qualcare PPO/HMO/WC	$93.94
Rate for Payer: UnitedHealthcare Commercial	$125.26
Rate for Payer: UnitedHealthcare Community & State	$19.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.79

DRILL BIT 2.1 ASNIC MICRO

Facility

$626.30

Hospital Charge Code	270704926
Hospital Revenue Code	279
Min. Negotiated Rate	$93.94
Max. Negotiated Rate	$93.94
Rate for Payer: Qualcare PPO/HMO/WC	$93.94

DRILL BIT 2.2MM

Facility

$635.00

Hospital Charge Code	270672338
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

DRILL BIT 2.2MM

Facility

$840.00

Hospital Charge Code	270663855
Hospital Revenue Code	270
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

Know your out-of-pocket cost for care.

All Charges