Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.2MM

Facility

$1,370.00

Hospital Charge Code	270671568
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	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

DRILL BIT 3.2 MM CANN

Facility

$875.00

Hospital Charge Code	270690985
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 3.2 MM CANN

Facility

$875.00

Hospital Charge Code	270690985
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 3.2 MM CANN LONG

Facility

$875.00

Hospital Charge Code	270691765
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 3.2 MM CANN LONG

Facility

$875.00

Hospital Charge Code	270691765
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 3.2x170mm STERILE

Facility

$2,122.90

Hospital Charge Code	270678422
Hospital Revenue Code	272
Min. Negotiated Rate	$318.44
Max. Negotiated Rate	$318.44
Rate for Payer: Qualcare PPO/HMO/WC	$318.44

DRILL BIT 3.2x170mm STERILE

Facility

$2,122.90

Hospital Charge Code	270678422
Hospital Revenue Code	272
Min. Negotiated Rate	$60.29
Max. Negotiated Rate	$1,061.45
Rate for Payer: Aetna Commercial	$806.70
Rate for Payer: Aetna Medicare Advantage	$636.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.34
Rate for Payer: Cigna Commercial	$1,061.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$551.95
Rate for Payer: Oxford Commercial	$424.58
Rate for Payer: Qualcare PPO/HMO/WC	$318.44
Rate for Payer: UnitedHealthcare Commercial	$424.58
Rate for Payer: UnitedHealthcare Community & State	$67.08
Rate for Payer: Wellpoint Medicaid Managed Care	$60.29

DRILL BIT 3.2X200MM 4MM PINS

Facility

$800.00

Hospital Charge Code	270669475
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT 3.2X200MM 4MM PINS

Facility

$800.00

Hospital Charge Code	270669475
Hospital Revenue Code	272
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

DRILL BIT 3.2x240MM

Facility

$715.00

Hospital Charge Code	270656622
Hospital Revenue Code	272
Min. Negotiated Rate	$20.31
Max. Negotiated Rate	$357.50
Rate for Payer: Aetna Commercial	$271.70
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.32
Rate for Payer: Cigna Commercial	$357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.90
Rate for Payer: Oxford Commercial	$143.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.25
Rate for Payer: UnitedHealthcare Commercial	$143.00
Rate for Payer: UnitedHealthcare Community & State	$22.59
Rate for Payer: Wellpoint Medicaid Managed Care	$20.31

DRILL BIT 3.2x240MM

Facility

$715.00

Hospital Charge Code	270656622
Hospital Revenue Code	272
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

DRILL BIT 3.5

Facility

$378.33

Hospital Charge Code	270657772
Hospital Revenue Code	272
Min. Negotiated Rate	$56.75
Max. Negotiated Rate	$56.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.75

DRILL BIT 3.5

Facility

$378.33

Hospital Charge Code	270657772
Hospital Revenue Code	272
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$189.16
Rate for Payer: Aetna Commercial	$143.77
Rate for Payer: Aetna Medicare Advantage	$113.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.47
Rate for Payer: Cigna Commercial	$189.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.37
Rate for Payer: Oxford Commercial	$75.67
Rate for Payer: Qualcare PPO/HMO/WC	$56.75
Rate for Payer: UnitedHealthcare Commercial	$75.67
Rate for Payer: UnitedHealthcare Community & State	$11.96
Rate for Payer: Wellpoint Medicaid Managed Care	$10.74

DRILL BIT 3.5 MM

Facility

$1,125.00

Hospital Charge Code	270662028
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

DRILL BIT 3.5 MM

Facility

$1,125.00

Hospital Charge Code	270662028
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

DRILL BIT 3.5MM

Facility

$1,062.00

Hospital Charge Code	270686435
Hospital Revenue Code	272
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$531.00
Rate for Payer: Aetna Commercial	$403.56
Rate for Payer: Aetna Medicare Advantage	$318.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.81
Rate for Payer: Cigna Commercial	$531.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.12
Rate for Payer: Oxford Commercial	$212.40
Rate for Payer: Qualcare PPO/HMO/WC	$159.30
Rate for Payer: UnitedHealthcare Commercial	$212.40
Rate for Payer: UnitedHealthcare Community & State	$33.56
Rate for Payer: Wellpoint Medicaid Managed Care	$30.16

DRILL BIT 3.5MM

Facility

$500.00

Hospital Charge Code	270699245
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL BIT 3.5MM

Facility

$465.00

Hospital Charge Code	270698550
Hospital Revenue Code	272
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$69.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

DRILL BIT 3.5MM

Facility

$2,540.65

Hospital Charge Code	270704457
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 3.5MM

Facility

$500.00

Hospital Charge Code	270699245
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

DRILL BIT 3.5MM

Facility

$465.00

Hospital Charge Code	270698550
Hospital Revenue Code	272
Min. Negotiated Rate	$13.21
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$176.70
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.90
Rate for Payer: Oxford Commercial	$93.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.75
Rate for Payer: UnitedHealthcare Commercial	$93.00
Rate for Payer: UnitedHealthcare Community & State	$14.69
Rate for Payer: Wellpoint Medicaid Managed Care	$13.21

DRILL BIT 3.5MM

Facility

$2,540.65

Hospital Charge Code	270704457
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 3.5MM

Facility

$1,062.00

Hospital Charge Code	270686435
Hospital Revenue Code	272
Min. Negotiated Rate	$159.30
Max. Negotiated Rate	$159.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.30

DRILL BIT 3.5MM 195MM

Facility

$643.45

Hospital Charge Code	270681645
Hospital Revenue Code	272
Min. Negotiated Rate	$96.52
Max. Negotiated Rate	$96.52
Rate for Payer: Qualcare PPO/HMO/WC	$96.52

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