Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.5

Facility

$395.00

Hospital Charge Code	270677407
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 2.5

Facility

$840.00

Hospital Charge Code	270686775
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT 2.5

Facility

$395.00

Hospital Charge Code	270677407
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 2.5-3.0MMX80X170MM

Facility

$874.50

Hospital Charge Code	270687284
Hospital Revenue Code	272
Min. Negotiated Rate	$24.84
Max. Negotiated Rate	$437.25
Rate for Payer: Aetna Commercial	$332.31
Rate for Payer: Aetna Medicare Advantage	$262.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.00
Rate for Payer: Cigna Commercial	$437.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.37
Rate for Payer: Oxford Commercial	$174.90
Rate for Payer: Qualcare PPO/HMO/WC	$131.18
Rate for Payer: UnitedHealthcare Commercial	$174.90
Rate for Payer: UnitedHealthcare Community & State	$27.63
Rate for Payer: Wellpoint Medicaid Managed Care	$24.84

DRILL BIT 2.5-3.0MMX80X170MM

Facility

$874.50

Hospital Charge Code	270687284
Hospital Revenue Code	272
Min. Negotiated Rate	$131.18
Max. Negotiated Rate	$131.18
Rate for Payer: Qualcare PPO/HMO/WC	$131.18

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270681292
Hospital Revenue Code	272
Min. Negotiated Rate	$154.68
Max. Negotiated Rate	$154.68
Rate for Payer: Qualcare PPO/HMO/WC	$154.68

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270681292
Hospital Revenue Code	272
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$515.60
Rate for Payer: Aetna Commercial	$391.86
Rate for Payer: Aetna Medicare Advantage	$309.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.96
Rate for Payer: Cigna Commercial	$515.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.11
Rate for Payer: Oxford Commercial	$206.24
Rate for Payer: Qualcare PPO/HMO/WC	$154.68
Rate for Payer: UnitedHealthcare Commercial	$206.24
Rate for Payer: UnitedHealthcare Community & State	$32.59
Rate for Payer: Wellpoint Medicaid Managed Care	$29.29

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270677981
Hospital Revenue Code	272
Min. Negotiated Rate	$29.29
Max. Negotiated Rate	$515.60
Rate for Payer: Aetna Commercial	$391.86
Rate for Payer: Aetna Medicare Advantage	$309.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.96
Rate for Payer: Cigna Commercial	$515.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.11
Rate for Payer: Oxford Commercial	$206.24
Rate for Payer: Qualcare PPO/HMO/WC	$154.68
Rate for Payer: UnitedHealthcare Commercial	$206.24
Rate for Payer: UnitedHealthcare Community & State	$32.59
Rate for Payer: Wellpoint Medicaid Managed Care	$29.29

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270677981
Hospital Revenue Code	272
Min. Negotiated Rate	$154.68
Max. Negotiated Rate	$154.68
Rate for Payer: Qualcare PPO/HMO/WC	$154.68

DRILL BIT 2.5 FOR PLATE

Facility

$955.00

Hospital Charge Code	270667930
Hospital Revenue Code	272
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$143.25
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

DRILL BIT 2.5 FOR PLATE

Facility

$955.00

Hospital Charge Code	270667930
Hospital Revenue Code	272
Min. Negotiated Rate	$27.12
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$362.90
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.30
Rate for Payer: Oxford Commercial	$191.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.25
Rate for Payer: UnitedHealthcare Commercial	$191.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: Wellpoint Medicaid Managed Care	$27.12

DRILL BIT 2.5 FOR SCREWS

Facility

$888.30

Hospital Charge Code	270667929
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

DRILL BIT 2.5 FOR SCREWS

Facility

$888.30

Hospital Charge Code	270667929
Hospital Revenue Code	272
Min. Negotiated Rate	$25.23
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$337.55
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.96
Rate for Payer: Oxford Commercial	$177.66
Rate for Payer: Qualcare PPO/HMO/WC	$133.25
Rate for Payer: UnitedHealthcare Commercial	$177.66
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.23

DRILL BIT 2.5 MM

Facility

$340.00

Hospital Charge Code	270678458
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

DRILL BIT 2.5 MM

Facility

$340.00

Hospital Charge Code	270678458
Hospital Revenue Code	272
Min. Negotiated Rate	$9.66
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.40
Rate for Payer: Oxford Commercial	$68.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$68.00
Rate for Payer: UnitedHealthcare Community & State	$10.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

DRILL BIT 2.5 MM

Facility

$300.00

Hospital Charge Code	270684028
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.52

DRILL BIT 2.5 MM

Facility

$300.00

Hospital Charge Code	270684028
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

DRILL BIT 2.5 MM

Facility

$756.70

Hospital Charge Code	270687283
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 MM

Facility

$756.70

Hospital Charge Code	270687283
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 2.5MM

Facility

$725.00

Hospital Charge Code	270661597
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

DRILL BIT 2.5MM

Facility

$670.00

Hospital Charge Code	270638285
Hospital Revenue Code	272
Min. Negotiated Rate	$19.03
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.20
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Commercial	$134.00
Rate for Payer: UnitedHealthcare Community & State	$21.17
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

DRILL BIT 2.5MM

Facility

$467.50

Hospital Charge Code	270648250
Hospital Revenue Code	272
Min. Negotiated Rate	$70.12
Max. Negotiated Rate	$70.12
Rate for Payer: Qualcare PPO/HMO/WC	$70.12

DRILL BIT 2.5MM

Facility

$615.00

Hospital Charge Code	270660762
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL BIT 2.5MM

Facility

$467.50

Hospital Charge Code	270648250
Hospital Revenue Code	272
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$233.75
Rate for Payer: Aetna Commercial	$177.65
Rate for Payer: Aetna Medicare Advantage	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.21
Rate for Payer: Cigna Commercial	$233.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.55
Rate for Payer: Oxford Commercial	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.12
Rate for Payer: UnitedHealthcare Commercial	$93.50
Rate for Payer: UnitedHealthcare Community & State	$14.77
Rate for Payer: Wellpoint Medicaid Managed Care	$13.28

DRILL BIT 2.5MM

Facility

$615.00

Hospital Charge Code	270660762
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.90
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$17.47

Know your out-of-pocket cost for care.

All Charges