Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2x24MM

Facility

$615.00

Hospital Charge Code	270662458
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 3.0/4.0MM CANNULA

Facility

$875.00

Hospital Charge Code	270666768
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 3.0/4.0MM CANNULA

Facility

$875.00

Hospital Charge Code	270666768
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 3.0MM

Facility

$875.00

Hospital Charge Code	270688368
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 3.0MM

Facility

$875.00

Hospital Charge Code	270688368
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 3.0MM CANN QC 215MM

Facility

$2,103.40

Hospital Charge Code	270693425
Hospital Revenue Code	272
Min. Negotiated Rate	$59.74
Max. Negotiated Rate	$1,051.70
Rate for Payer: Aetna Commercial	$799.29
Rate for Payer: Aetna Medicare Advantage	$631.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.37
Rate for Payer: Cigna Commercial	$1,051.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.88
Rate for Payer: Oxford Commercial	$420.68
Rate for Payer: Qualcare PPO/HMO/WC	$315.51
Rate for Payer: UnitedHealthcare Commercial	$420.68
Rate for Payer: UnitedHealthcare Community & State	$66.47
Rate for Payer: Wellpoint Medicaid Managed Care	$59.74

DRILL BIT 3.0MM CANN QC 215MM

Facility

$2,103.40

Hospital Charge Code	270693425
Hospital Revenue Code	272
Min. Negotiated Rate	$315.51
Max. Negotiated Rate	$315.51
Rate for Payer: Qualcare PPO/HMO/WC	$315.51

DRILL BIT 3.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270682619
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 3.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270682619
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 3.1MM

Facility

$351.00

Hospital Charge Code	270676247
Hospital Revenue Code	272
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

DRILL BIT 3.1MM

Facility

$750.00

Hospital Charge Code	270671575
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 3.1MM

Facility

$750.00

Hospital Charge Code	270671575
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 3.1MM

Facility

$961.40

Hospital Charge Code	270673955
Hospital Revenue Code	272
Min. Negotiated Rate	$144.21
Max. Negotiated Rate	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$144.21

DRILL BIT 3.1MM

Facility

$961.40

Hospital Charge Code	270673955
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$480.70
Rate for Payer: Aetna Commercial	$365.33
Rate for Payer: Aetna Medicare Advantage	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.16
Rate for Payer: Cigna Commercial	$480.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.96
Rate for Payer: Oxford Commercial	$192.28
Rate for Payer: Qualcare PPO/HMO/WC	$144.21
Rate for Payer: UnitedHealthcare Commercial	$192.28
Rate for Payer: UnitedHealthcare Community & State	$30.38
Rate for Payer: Wellpoint Medicaid Managed Care	$27.30

DRILL BIT 3.1MM

Facility

$351.00

Hospital Charge Code	270676247
Hospital Revenue Code	272
Min. Negotiated Rate	$9.97
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$133.38
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.26
Rate for Payer: Oxford Commercial	$70.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$70.20
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$9.97

DRILL BIT 3.2

Facility

$1,659.00

Hospital Charge Code	270663861
Hospital Revenue Code	272
Min. Negotiated Rate	$248.85
Max. Negotiated Rate	$248.85
Rate for Payer: Qualcare PPO/HMO/WC	$248.85

DRILL BIT 3.2

Facility

$1,659.00

Hospital Charge Code	270663861
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$829.50
Rate for Payer: Aetna Commercial	$630.42
Rate for Payer: Aetna Medicare Advantage	$497.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.05
Rate for Payer: Cigna Commercial	$829.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.34
Rate for Payer: Oxford Commercial	$331.80
Rate for Payer: Qualcare PPO/HMO/WC	$248.85
Rate for Payer: UnitedHealthcare Commercial	$331.80
Rate for Payer: UnitedHealthcare Community & State	$52.42
Rate for Payer: Wellpoint Medicaid Managed Care	$47.12

DRILL BIT 3.2 3FLTD 230/200MM

Facility

$1,225.35

Hospital Charge Code	270684302
Hospital Revenue Code	272
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$612.67
Rate for Payer: Aetna Commercial	$465.63
Rate for Payer: Aetna Medicare Advantage	$367.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.46
Rate for Payer: Cigna Commercial	$612.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.59
Rate for Payer: Oxford Commercial	$245.07
Rate for Payer: Qualcare PPO/HMO/WC	$183.80
Rate for Payer: UnitedHealthcare Commercial	$245.07
Rate for Payer: UnitedHealthcare Community & State	$38.72
Rate for Payer: Wellpoint Medicaid Managed Care	$34.80

DRILL BIT 3.2 3FLTD 230/200MM

Facility

$1,225.35

Hospital Charge Code	270684302
Hospital Revenue Code	272
Min. Negotiated Rate	$183.80
Max. Negotiated Rate	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$183.80

DRILL BIT 3.2mm

Facility

$1,450.00

Hospital Charge Code	270663306
Hospital Revenue Code	272
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$45.82
Rate for Payer: Wellpoint Medicaid Managed Care	$41.18

DRILL BIT 3.2mm

Facility

$1,450.00

Hospital Charge Code	270663306
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

DRILL BIT 3.2MM

Facility

$1,370.00

Hospital Charge Code	270671568
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 3.2MM

Facility

$1,370.00

Hospital Charge Code	270668341
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 3.2MM

Facility

$965.00

Hospital Charge Code	270668586
Hospital Revenue Code	272
Min. Negotiated Rate	$27.41
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.90
Rate for Payer: Oxford Commercial	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$193.00
Rate for Payer: UnitedHealthcare Community & State	$30.49
Rate for Payer: Wellpoint Medicaid Managed Care	$27.41

DRILL BIT 3.2MM

Facility

$1,370.00

Hospital Charge Code	270668341
Hospital Revenue Code	272
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

Know your out-of-pocket cost for care.

All Charges