Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.5x60MM

Facility

$615.00

Hospital Charge Code	270667124
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 2.6

Facility

$650.65

Hospital Charge Code	270660361
Hospital Revenue Code	270
Min. Negotiated Rate	$97.60
Max. Negotiated Rate	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$97.60

DRILL BIT 2.6

Facility

$650.65

Hospital Charge Code	270660361
Hospital Revenue Code	270
Min. Negotiated Rate	$18.48
Max. Negotiated Rate	$325.32
Rate for Payer: Aetna Commercial	$247.25
Rate for Payer: Aetna Medicare Advantage	$195.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.92
Rate for Payer: Cigna Commercial	$325.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.17
Rate for Payer: Oxford Commercial	$130.13
Rate for Payer: Qualcare PPO/HMO/WC	$97.60
Rate for Payer: UnitedHealthcare Commercial	$130.13
Rate for Payer: UnitedHealthcare Community & State	$20.56
Rate for Payer: Wellpoint Medicaid Managed Care	$18.48

DRILL BIT 2.6 MM

Facility

$1,300.00

Hospital Charge Code	270667385
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 2.6 MM

Facility

$1,300.00

Hospital Charge Code	270667385
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 2.7

Facility

$1,455.00

Hospital Charge Code	270686220
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$218.25
Rate for Payer: Qualcare PPO/HMO/WC	$218.25

DRILL BIT 2.7

Facility

$1,455.00

Hospital Charge Code	270686220
Hospital Revenue Code	272
Min. Negotiated Rate	$41.32
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$552.90
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.30
Rate for Payer: Oxford Commercial	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: UnitedHealthcare Community & State	$45.98
Rate for Payer: Wellpoint Medicaid Managed Care	$41.32

DRILL BIT 2.7 MM

Facility

$885.00

Hospital Charge Code	270660989
Hospital Revenue Code	272
Min. Negotiated Rate	$25.13
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.10
Rate for Payer: Oxford Commercial	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Commercial	$177.00
Rate for Payer: UnitedHealthcare Community & State	$27.97
Rate for Payer: Wellpoint Medicaid Managed Care	$25.13

DRILL BIT 2.7 MM

Facility

$885.00

Hospital Charge Code	270660989
Hospital Revenue Code	272
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$132.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

DRILL BIT 2.7MM

Facility

$1,230.00

Hospital Charge Code	270668585
Hospital Revenue Code	272
Min. Negotiated Rate	$34.93
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.80
Rate for Payer: Oxford Commercial	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Commercial	$246.00
Rate for Payer: UnitedHealthcare Community & State	$38.87
Rate for Payer: Wellpoint Medicaid Managed Care	$34.93

DRILL BIT 2.7MM

Facility

$1,230.00

Hospital Charge Code	270668585
Hospital Revenue Code	272
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$184.50
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

DRILL BIT 2.7MM

Facility

$1,745.00

Hospital Charge Code	270676509
Hospital Revenue Code	272
Min. Negotiated Rate	$49.56
Max. Negotiated Rate	$872.50
Rate for Payer: Aetna Commercial	$663.10
Rate for Payer: Aetna Medicare Advantage	$523.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$444.98
Rate for Payer: Cigna Commercial	$872.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.70
Rate for Payer: Oxford Commercial	$349.00
Rate for Payer: Qualcare PPO/HMO/WC	$261.75
Rate for Payer: UnitedHealthcare Commercial	$349.00
Rate for Payer: UnitedHealthcare Community & State	$55.14
Rate for Payer: Wellpoint Medicaid Managed Care	$49.56

DRILL BIT 2.7MM

Facility

$1,745.00

Hospital Charge Code	270676509
Hospital Revenue Code	272
Min. Negotiated Rate	$261.75
Max. Negotiated Rate	$261.75
Rate for Payer: Qualcare PPO/HMO/WC	$261.75

DRILL BIT 2.7MM

Facility

$627.40

Hospital Charge Code	270691822
Hospital Revenue Code	272
Min. Negotiated Rate	$17.82
Max. Negotiated Rate	$313.70
Rate for Payer: Aetna Commercial	$238.41
Rate for Payer: Aetna Medicare Advantage	$188.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.99
Rate for Payer: Cigna Commercial	$313.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.12
Rate for Payer: Oxford Commercial	$125.48
Rate for Payer: Qualcare PPO/HMO/WC	$94.11
Rate for Payer: UnitedHealthcare Commercial	$125.48
Rate for Payer: UnitedHealthcare Community & State	$19.83
Rate for Payer: Wellpoint Medicaid Managed Care	$17.82

DRILL BIT 2.7MM

Facility

$627.40

Hospital Charge Code	270691822
Hospital Revenue Code	272
Min. Negotiated Rate	$94.11
Max. Negotiated Rate	$94.11
Rate for Payer: Qualcare PPO/HMO/WC	$94.11

DRILL BIT 2.7MM 125MM

Facility

$569.70

Hospital Charge Code	270685592
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

DRILL BIT 2.7MM 125MM

Facility

$569.70

Hospital Charge Code	270685592
Hospital Revenue Code	272
Min. Negotiated Rate	$16.18
Max. Negotiated Rate	$284.85
Rate for Payer: Aetna Commercial	$216.49
Rate for Payer: Aetna Medicare Advantage	$170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.27
Rate for Payer: Cigna Commercial	$284.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.12
Rate for Payer: Oxford Commercial	$113.94
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$113.94
Rate for Payer: UnitedHealthcare Community & State	$18.00
Rate for Payer: Wellpoint Medicaid Managed Care	$16.18

DRILL BIT 2.7MM CANN QC 145MM

Facility

$2,494.25

Hospital Charge Code	270697756
Hospital Revenue Code	272
Min. Negotiated Rate	$374.14
Max. Negotiated Rate	$374.14
Rate for Payer: Qualcare PPO/HMO/WC	$374.14

DRILL BIT 2.7MM CANN QC 145MM

Facility

$2,494.25

Hospital Charge Code	270697756
Hospital Revenue Code	272
Min. Negotiated Rate	$70.84
Max. Negotiated Rate	$1,247.12
Rate for Payer: Aetna Commercial	$947.82
Rate for Payer: Aetna Medicare Advantage	$748.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.03
Rate for Payer: Cigna Commercial	$1,247.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.50
Rate for Payer: Oxford Commercial	$498.85
Rate for Payer: Qualcare PPO/HMO/WC	$374.14
Rate for Payer: UnitedHealthcare Commercial	$498.85
Rate for Payer: UnitedHealthcare Community & State	$78.82
Rate for Payer: Wellpoint Medicaid Managed Care	$70.84

DRILL BIT 2.7MM/MINI QC/28MM

Facility

$339.50

Hospital Charge Code	270674784
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$169.75
Rate for Payer: Aetna Commercial	$129.01
Rate for Payer: Aetna Medicare Advantage	$101.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.57
Rate for Payer: Cigna Commercial	$169.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.27
Rate for Payer: Oxford Commercial	$67.90
Rate for Payer: Qualcare PPO/HMO/WC	$50.92
Rate for Payer: UnitedHealthcare Commercial	$67.90
Rate for Payer: UnitedHealthcare Community & State	$10.73
Rate for Payer: Wellpoint Medicaid Managed Care	$9.64

DRILL BIT 2.7MM/MINI QC/28MM

Facility

$339.50

Hospital Charge Code	270674784
Hospital Revenue Code	272
Min. Negotiated Rate	$50.92
Max. Negotiated Rate	$50.92
Rate for Payer: Qualcare PPO/HMO/WC	$50.92

DRILL BIT 2.7MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674785
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 2.7MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674785
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 2.7MM SHORT

Facility

$672.05

Hospital Charge Code	270703719
Hospital Revenue Code	272
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$336.02
Rate for Payer: Aetna Commercial	$255.38
Rate for Payer: Aetna Medicare Advantage	$201.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.37
Rate for Payer: Cigna Commercial	$336.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.73
Rate for Payer: Oxford Commercial	$134.41
Rate for Payer: Qualcare PPO/HMO/WC	$100.81
Rate for Payer: UnitedHealthcare Commercial	$134.41
Rate for Payer: UnitedHealthcare Community & State	$21.24
Rate for Payer: Wellpoint Medicaid Managed Care	$19.09

DRILL BIT 2.7MM SHORT

Facility

$672.05

Hospital Charge Code	270703719
Hospital Revenue Code	272
Min. Negotiated Rate	$100.81
Max. Negotiated Rate	$100.81
Rate for Payer: Qualcare PPO/HMO/WC	$100.81

Know your out-of-pocket cost for care.

All Charges