Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.2MM

Facility

$840.00

Hospital Charge Code	270663855
Hospital Revenue Code	270
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT 2.2MM

Facility

$635.00

Hospital Charge Code	270672338
Hospital Revenue Code	272
Min. Negotiated Rate	$18.03
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.10
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$20.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18.03

DRILL BIT 2.2MM 8MM STP

Facility

$1,300.00

Hospital Charge Code	270684919
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

DRILL BIT 2.2MM 8MM STP

Facility

$1,300.00

Hospital Charge Code	270684919
Hospital Revenue Code	272
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Commercial	$260.00
Rate for Payer: UnitedHealthcare Community & State	$41.08
Rate for Payer: Wellpoint Medicaid Managed Care	$36.92

DRILL BIT 2.2MM NS

Facility

$390.00

Hospital Charge Code	270681161
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DRILL BIT 2.2MM NS

Facility

$390.00

Hospital Charge Code	270681161
Hospital Revenue Code	272
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

DRILL BIT 2.2MMX60MM MICA CANN

Facility

$2,240.50

Hospital Charge Code	270703024
Hospital Revenue Code	272
Min. Negotiated Rate	$63.63
Max. Negotiated Rate	$1,120.25
Rate for Payer: Aetna Commercial	$851.39
Rate for Payer: Aetna Medicare Advantage	$672.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.33
Rate for Payer: Cigna Commercial	$1,120.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.53
Rate for Payer: Oxford Commercial	$448.10
Rate for Payer: Qualcare PPO/HMO/WC	$336.07
Rate for Payer: UnitedHealthcare Commercial	$448.10
Rate for Payer: UnitedHealthcare Community & State	$70.80
Rate for Payer: Wellpoint Medicaid Managed Care	$63.63

DRILL BIT 2.2MMX60MM MICA CANN

Facility

$2,240.50

Hospital Charge Code	270703024
Hospital Revenue Code	272
Min. Negotiated Rate	$336.07
Max. Negotiated Rate	$336.07
Rate for Payer: Qualcare PPO/HMO/WC	$336.07

DRILL BIT 2.35X33.5MM

Facility

$1,535.00

Hospital Charge Code	270693164
Hospital Revenue Code	272
Min. Negotiated Rate	$43.59
Max. Negotiated Rate	$767.50
Rate for Payer: Aetna Commercial	$583.30
Rate for Payer: Aetna Medicare Advantage	$460.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.43
Rate for Payer: Cigna Commercial	$767.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.10
Rate for Payer: Oxford Commercial	$307.00
Rate for Payer: Qualcare PPO/HMO/WC	$230.25
Rate for Payer: UnitedHealthcare Commercial	$307.00
Rate for Payer: UnitedHealthcare Community & State	$48.51
Rate for Payer: Wellpoint Medicaid Managed Care	$43.59

DRILL BIT 2.35X33.5MM

Facility

$1,535.00

Hospital Charge Code	270693164
Hospital Revenue Code	272
Min. Negotiated Rate	$230.25
Max. Negotiated Rate	$230.25
Rate for Payer: Qualcare PPO/HMO/WC	$230.25

DRILL BIT 2.3MM

Facility

$737.00

Hospital Charge Code	270697901
Hospital Revenue Code	272
Min. Negotiated Rate	$110.55
Max. Negotiated Rate	$110.55
Rate for Payer: Qualcare PPO/HMO/WC	$110.55

DRILL BIT 2.3MM

Facility

$1,180.00

Hospital Charge Code	270698463
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

DRILL BIT 2.3MM

Facility

$737.00

Hospital Charge Code	270697901
Hospital Revenue Code	272
Min. Negotiated Rate	$20.93
Max. Negotiated Rate	$368.50
Rate for Payer: Aetna Commercial	$280.06
Rate for Payer: Aetna Medicare Advantage	$221.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.94
Rate for Payer: Cigna Commercial	$368.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.62
Rate for Payer: Oxford Commercial	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$110.55
Rate for Payer: UnitedHealthcare Commercial	$147.40
Rate for Payer: UnitedHealthcare Community & State	$23.29
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

DRILL BIT 2.3MM

Facility

$1,180.00

Hospital Charge Code	270698463
Hospital Revenue Code	272
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.80
Rate for Payer: Oxford Commercial	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$236.00
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.51

DRILL BIT 2.4MM

Facility

$2,500.00

Service Code	HCPCS A4649
Hospital Charge Code	270699641
Hospital Revenue Code	272
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

DRILL BIT 2.4MM

Facility

$2,500.00

Service Code	HCPCS A4649
Hospital Charge Code	270699641
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

DRILL BIT 2.4MM

Facility

$2,625.00

Hospital Charge Code	270693333
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

DRILL BIT 2.4MM

Facility

$2,625.00

Hospital Charge Code	270693333
Hospital Revenue Code	272
Min. Negotiated Rate	$74.55
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$82.95
Rate for Payer: Wellpoint Medicaid Managed Care	$74.55

DRILL BIT 2.4 STP DRL AR1250LT

Facility

$400.00

Hospital Charge Code	270629972
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

DRILL BIT 2.4 STP DRL AR1250LT

Facility

$400.00

Hospital Charge Code	270629972
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

DRILL BIT 2.4X140MM

Facility

$750.00

Hospital Charge Code	270700177
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL BIT 2.4X140MM

Facility

$750.00

Hospital Charge Code	270700177
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

DRILL BIT 2.5

Facility

$756.70

Hospital Charge Code	270688271
Hospital Revenue Code	272
Min. Negotiated Rate	$113.50
Max. Negotiated Rate	$113.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.50

DRILL BIT 2.5

Facility

$756.70

Hospital Charge Code	270688271
Hospital Revenue Code	272
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$378.35
Rate for Payer: Aetna Commercial	$287.55
Rate for Payer: Aetna Medicare Advantage	$227.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.96
Rate for Payer: Cigna Commercial	$378.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.74
Rate for Payer: Oxford Commercial	$151.34
Rate for Payer: Qualcare PPO/HMO/WC	$113.50
Rate for Payer: UnitedHealthcare Commercial	$151.34
Rate for Payer: UnitedHealthcare Community & State	$23.91
Rate for Payer: Wellpoint Medicaid Managed Care	$21.49

DRILL BIT 2.5

Facility

$840.00

Hospital Charge Code	270686775
Hospital Revenue Code	272
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