Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.5MM

Facility

$408.00

Hospital Charge Code	270682615
Hospital Revenue Code	272
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$61.20

DRILL BIT 2.5MM

Facility

$1,550.40

Hospital Charge Code	270673956
Hospital Revenue Code	272
Min. Negotiated Rate	$232.56
Max. Negotiated Rate	$232.56
Rate for Payer: Qualcare PPO/HMO/WC	$232.56

DRILL BIT 2.5MM

Facility

$1,550.40

Hospital Charge Code	270673956
Hospital Revenue Code	272
Min. Negotiated Rate	$44.03
Max. Negotiated Rate	$775.20
Rate for Payer: Aetna Commercial	$589.15
Rate for Payer: Aetna Medicare Advantage	$465.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.35
Rate for Payer: Cigna Commercial	$775.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.10
Rate for Payer: Oxford Commercial	$310.08
Rate for Payer: Qualcare PPO/HMO/WC	$232.56
Rate for Payer: UnitedHealthcare Commercial	$310.08
Rate for Payer: UnitedHealthcare Community & State	$48.99
Rate for Payer: Wellpoint Medicaid Managed Care	$44.03

DRILL BIT 2.5MM

Facility

$2,540.65

Hospital Charge Code	270704456
Hospital Revenue Code	279
Min. Negotiated Rate	$381.10
Max. Negotiated Rate	$381.10
Rate for Payer: Qualcare PPO/HMO/WC	$381.10

DRILL BIT 2.5MM

Facility

$2,540.65

Hospital Charge Code	270704456
Hospital Revenue Code	279
Min. Negotiated Rate	$72.15
Max. Negotiated Rate	$1,270.33
Rate for Payer: Aetna Commercial	$965.45
Rate for Payer: Aetna Medicare Advantage	$762.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$647.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$647.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$647.87
Rate for Payer: Cigna Commercial	$1,270.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.57
Rate for Payer: Oxford Commercial	$508.13
Rate for Payer: Qualcare PPO/HMO/WC	$381.10
Rate for Payer: UnitedHealthcare Commercial	$508.13
Rate for Payer: UnitedHealthcare Community & State	$80.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.15

DRILL BIT 2.5MM

Facility

$670.00

Hospital Charge Code	270638285
Hospital Revenue Code	272
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

DRILL BIT 2.5MM

Facility

$425.00

Hospital Charge Code	270664485
Hospital Revenue Code	272
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

DRILL BIT 2.5MM

Facility

$725.00

Hospital Charge Code	270661597
Hospital Revenue Code	272
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20.59

DRILL BIT 2.5MM

Facility

$408.00

Hospital Charge Code	270682615
Hospital Revenue Code	272
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$204.00
Rate for Payer: Aetna Commercial	$155.04
Rate for Payer: Aetna Medicare Advantage	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.04
Rate for Payer: Cigna Commercial	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.08
Rate for Payer: Oxford Commercial	$81.60
Rate for Payer: Qualcare PPO/HMO/WC	$61.20
Rate for Payer: UnitedHealthcare Commercial	$81.60
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$11.59

DRILL BIT 2.5MM

Facility

$875.00

Hospital Charge Code	270664492
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 2.5MM

Facility

$181.95

Hospital Charge Code	270664049
Hospital Revenue Code	270
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$90.97
Rate for Payer: Aetna Commercial	$69.14
Rate for Payer: Aetna Medicare Advantage	$54.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.40
Rate for Payer: Cigna Commercial	$90.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.31
Rate for Payer: Oxford Commercial	$36.39
Rate for Payer: Qualcare PPO/HMO/WC	$27.29
Rate for Payer: UnitedHealthcare Commercial	$36.39
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

DRILL BIT 2.5MM

Facility

$425.00

Hospital Charge Code	270664485
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

DRILL BIT 2.5MM

Facility

$875.00

Hospital Charge Code	270664492
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 2.5MM

Facility

$181.95

Hospital Charge Code	270664049
Hospital Revenue Code	270
Min. Negotiated Rate	$27.29
Max. Negotiated Rate	$27.29
Rate for Payer: Qualcare PPO/HMO/WC	$27.29

DRILL BIT 2.5MM 135MM 45MM

Facility

$580.45

Service Code	HCPCS A4649
Hospital Charge Code	270691083
Hospital Revenue Code	272
Min. Negotiated Rate	$87.07
Max. Negotiated Rate	$87.07
Rate for Payer: Qualcare PPO/HMO/WC	$87.07

DRILL BIT 2.5MM 135MM 45MM

Facility

$580.45

Service Code	HCPCS A4649
Hospital Charge Code	270691083
Hospital Revenue Code	272
Min. Negotiated Rate	$16.48
Max. Negotiated Rate	$290.23
Rate for Payer: Aetna Commercial	$220.57
Rate for Payer: Aetna Medicare Advantage	$174.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.01
Rate for Payer: Cigna Commercial	$290.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.92
Rate for Payer: Oxford Commercial	$116.09
Rate for Payer: Qualcare PPO/HMO/WC	$87.07
Rate for Payer: UnitedHealthcare Commercial	$116.09
Rate for Payer: UnitedHealthcare Community & State	$18.34
Rate for Payer: Wellpoint Medicaid Managed Care	$16.48

DRILL BIT 2.5MM FLUTED

Facility

$516.75

Hospital Charge Code	270698393
Hospital Revenue Code	272
Min. Negotiated Rate	$77.51
Max. Negotiated Rate	$77.51
Rate for Payer: Qualcare PPO/HMO/WC	$77.51

DRILL BIT 2.5MM FLUTED

Facility

$516.75

Hospital Charge Code	270698393
Hospital Revenue Code	272
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$258.38
Rate for Payer: Aetna Commercial	$196.37
Rate for Payer: Aetna Medicare Advantage	$155.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.77
Rate for Payer: Cigna Commercial	$258.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.35
Rate for Payer: Oxford Commercial	$103.35
Rate for Payer: Qualcare PPO/HMO/WC	$77.51
Rate for Payer: UnitedHealthcare Commercial	$103.35
Rate for Payer: UnitedHealthcare Community & State	$16.33
Rate for Payer: Wellpoint Medicaid Managed Care	$14.68

DRILL BIT 2.5MM/L110MM

Facility

$1,370.00

Hospital Charge Code	270667535
Hospital Revenue Code	272
Min. Negotiated Rate	$38.91
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.20
Rate for Payer: Oxford Commercial	$274.00
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Commercial	$274.00
Rate for Payer: UnitedHealthcare Community & State	$43.29
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

DRILL BIT 2.5MM/L110MM

Facility

$1,370.00

Hospital Charge Code	270667535
Hospital Revenue Code	272
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

DRILL BIT 2.5MM QC 135MM 45CAL

Facility

$639.20

Hospital Charge Code	270691203
Hospital Revenue Code	272
Min. Negotiated Rate	$95.88
Max. Negotiated Rate	$95.88
Rate for Payer: Qualcare PPO/HMO/WC	$95.88

DRILL BIT 2.5MM QC 135MM 45CAL

Facility

$639.20

Hospital Charge Code	270691203
Hospital Revenue Code	272
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$319.60
Rate for Payer: Aetna Commercial	$242.90
Rate for Payer: Aetna Medicare Advantage	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.00
Rate for Payer: Cigna Commercial	$319.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.19
Rate for Payer: Oxford Commercial	$127.84
Rate for Payer: Qualcare PPO/HMO/WC	$95.88
Rate for Payer: UnitedHealthcare Commercial	$127.84
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.15

DRILL BIT 2.5X

Facility

$1,900.00

Hospital Charge Code	270704202
Hospital Revenue Code	279
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

DRILL BIT 2.5X

Facility

$1,900.00

Hospital Charge Code	270704202
Hospital Revenue Code	279
Min. Negotiated Rate	$53.96
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.00
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Commercial	$380.00
Rate for Payer: UnitedHealthcare Community & State	$60.04
Rate for Payer: Wellpoint Medicaid Managed Care	$53.96

DRILL BIT 2.5x60MM

Facility

$615.00

Hospital Charge Code	270667124
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