Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.7X80MM

Facility

$670.00

Hospital Charge Code	270684119
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 2.7X80MM

Facility

$670.00

Hospital Charge Code	270684119
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 2.8

Facility

$757.45

Hospital Charge Code	270681069
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.62

DRILL BIT 2.8

Facility

$757.45

Hospital Charge Code	270681069
Hospital Revenue Code	272
Min. Negotiated Rate	$21.51
Max. Negotiated Rate	$378.73
Rate for Payer: Aetna Commercial	$287.83
Rate for Payer: Aetna Medicare Advantage	$227.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.15
Rate for Payer: Cigna Commercial	$378.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.94
Rate for Payer: Oxford Commercial	$151.49
Rate for Payer: Qualcare PPO/HMO/WC	$113.62
Rate for Payer: UnitedHealthcare Commercial	$151.49
Rate for Payer: UnitedHealthcare Community & State	$23.94
Rate for Payer: Wellpoint Medicaid Managed Care	$21.51

DRILL BIT 2.8MM

Facility

$531.55

Hospital Charge Code	270664458
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$79.73
Rate for Payer: Qualcare PPO/HMO/WC	$79.73

DRILL BIT 2.8MM

Facility

$1,315.00

Hospital Charge Code	270704459
Hospital Revenue Code	279
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$657.50
Rate for Payer: Aetna Commercial	$499.70
Rate for Payer: Aetna Medicare Advantage	$394.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$335.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$335.32
Rate for Payer: Cigna Commercial	$657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.90
Rate for Payer: Oxford Commercial	$263.00
Rate for Payer: Qualcare PPO/HMO/WC	$197.25
Rate for Payer: UnitedHealthcare Commercial	$263.00
Rate for Payer: UnitedHealthcare Community & State	$41.55
Rate for Payer: Wellpoint Medicaid Managed Care	$37.35

DRILL BIT 2.8MM

Facility

$531.55

Hospital Charge Code	270664458
Hospital Revenue Code	272
Min. Negotiated Rate	$15.10
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.20
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$15.10

DRILL BIT 2.8MM

Facility

$1,315.00

Hospital Charge Code	270704459
Hospital Revenue Code	279
Min. Negotiated Rate	$197.25
Max. Negotiated Rate	$197.25
Rate for Payer: Qualcare PPO/HMO/WC	$197.25

DRILL BIT 2.8MM 200MM ST 110MM

Facility

$799.00

Hospital Charge Code	270688094
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$399.50
Rate for Payer: Aetna Commercial	$303.62
Rate for Payer: Aetna Medicare Advantage	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.75
Rate for Payer: Cigna Commercial	$399.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.74
Rate for Payer: Oxford Commercial	$159.80
Rate for Payer: Qualcare PPO/HMO/WC	$119.85
Rate for Payer: UnitedHealthcare Commercial	$159.80
Rate for Payer: UnitedHealthcare Community & State	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$22.69

DRILL BIT 2.8MM 200MM ST 110MM

Facility

$799.00

Hospital Charge Code	270688094
Hospital Revenue Code	272
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$119.85

DRILL BIT 2.8 MM CAN AO

Facility

$852.50

Hospital Charge Code	270700704
Hospital Revenue Code	272
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$127.88
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL BIT 2.8 MM CAN AO

Facility

$852.50

Hospital Charge Code	270700704
Hospital Revenue Code	272
Min. Negotiated Rate	$24.21
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$323.95
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.65
Rate for Payer: Oxford Commercial	$170.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Commercial	$170.50
Rate for Payer: UnitedHealthcare Community & State	$26.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.21

DRILL BIT 2.8MM QC 135MM 45CAL

Facility

$627.45

Hospital Charge Code	270691896
Hospital Revenue Code	272
Min. Negotiated Rate	$17.82
Max. Negotiated Rate	$313.73
Rate for Payer: Aetna Commercial	$238.43
Rate for Payer: Aetna Medicare Advantage	$188.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.00
Rate for Payer: Cigna Commercial	$313.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.14
Rate for Payer: Oxford Commercial	$125.49
Rate for Payer: Qualcare PPO/HMO/WC	$94.12
Rate for Payer: UnitedHealthcare Commercial	$125.49
Rate for Payer: UnitedHealthcare Community & State	$19.83
Rate for Payer: Wellpoint Medicaid Managed Care	$17.82

DRILL BIT 2.8MM QC 135MM 45CAL

Facility

$627.45

Hospital Charge Code	270691896
Hospital Revenue Code	272
Min. Negotiated Rate	$94.12
Max. Negotiated Rate	$94.12
Rate for Payer: Qualcare PPO/HMO/WC	$94.12

DRILL BIT 2.8MM QC 200MM

Facility

$726.15

Hospital Charge Code	270693045
Hospital Revenue Code	272
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$363.07
Rate for Payer: Aetna Commercial	$275.94
Rate for Payer: Aetna Medicare Advantage	$217.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.17
Rate for Payer: Cigna Commercial	$363.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.80
Rate for Payer: Oxford Commercial	$145.23
Rate for Payer: Qualcare PPO/HMO/WC	$108.92
Rate for Payer: UnitedHealthcare Commercial	$145.23
Rate for Payer: UnitedHealthcare Community & State	$22.95
Rate for Payer: Wellpoint Medicaid Managed Care	$20.62

DRILL BIT 2.8MM QC 200MM

Facility

$726.15

Hospital Charge Code	270693045
Hospital Revenue Code	272
Min. Negotiated Rate	$108.92
Max. Negotiated Rate	$108.92
Rate for Payer: Qualcare PPO/HMO/WC	$108.92

DRILL BIT 2.8x60MM

Facility

$615.00

Hospital Charge Code	270667123
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 2.8x60MM

Facility

$615.00

Hospital Charge Code	270667123
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

DRILL BIT 2.9MM

Facility

$725.00

Hospital Charge Code	270632517
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 2.9MM

Facility

$725.00

Hospital Charge Code	270632517
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 2MM

Facility

$425.00

Hospital Charge Code	270666079
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 2MM

Facility

$425.00

Hospital Charge Code	270666079
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 2MMX30MM

Facility

$1,300.00

Service Code	HCPCS A4649
Hospital Charge Code	270662862
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 2MMX30MM

Facility

$1,300.00

Service Code	HCPCS A4649
Hospital Charge Code	270662862
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 2x24MM

Facility

$615.00

Hospital Charge Code	270662458
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

Know your out-of-pocket cost for care.

All Charges