Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.5MM 195MM

Facility

$643.45

Hospital Charge Code	270681645
Hospital Revenue Code	272
Min. Negotiated Rate	$18.27
Max. Negotiated Rate	$321.73
Rate for Payer: Aetna Commercial	$244.51
Rate for Payer: Aetna Medicare Advantage	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.08
Rate for Payer: Cigna Commercial	$321.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.30
Rate for Payer: Oxford Commercial	$128.69
Rate for Payer: Qualcare PPO/HMO/WC	$96.52
Rate for Payer: UnitedHealthcare Commercial	$128.69
Rate for Payer: UnitedHealthcare Community & State	$20.33
Rate for Payer: Wellpoint Medicaid Managed Care	$18.27

DRILL BIT 3.5MM LINEUM

Facility

$1,785.00

Hospital Charge Code	270693062
Hospital Revenue Code	272
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

DRILL BIT 3.5MM LINEUM

Facility

$1,785.00

Hospital Charge Code	270693062
Hospital Revenue Code	272
Min. Negotiated Rate	$50.69
Max. Negotiated Rate	$892.50
Rate for Payer: Aetna Commercial	$678.30
Rate for Payer: Aetna Medicare Advantage	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.18
Rate for Payer: Cigna Commercial	$892.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.10
Rate for Payer: Oxford Commercial	$357.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.75
Rate for Payer: UnitedHealthcare Commercial	$357.00
Rate for Payer: UnitedHealthcare Community & State	$56.41
Rate for Payer: Wellpoint Medicaid Managed Care	$50.69

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$91.86
Max. Negotiated Rate	$91.86
Rate for Payer: Qualcare PPO/HMO/WC	$91.86

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$17.39
Max. Negotiated Rate	$306.20
Rate for Payer: Aetna Commercial	$232.71
Rate for Payer: Aetna Medicare Advantage	$183.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.16
Rate for Payer: Cigna Commercial	$306.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.22
Rate for Payer: Oxford Commercial	$122.48
Rate for Payer: Qualcare PPO/HMO/WC	$91.86
Rate for Payer: UnitedHealthcare Commercial	$122.48
Rate for Payer: UnitedHealthcare Community & State	$19.35
Rate for Payer: Wellpoint Medicaid Managed Care	$17.39

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$146.59
Max. Negotiated Rate	$146.59
Rate for Payer: Qualcare PPO/HMO/WC	$146.59

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$27.76
Max. Negotiated Rate	$488.65
Rate for Payer: Aetna Commercial	$371.37
Rate for Payer: Aetna Medicare Advantage	$293.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.21
Rate for Payer: Cigna Commercial	$488.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.10
Rate for Payer: Oxford Commercial	$195.46
Rate for Payer: Qualcare PPO/HMO/WC	$146.59
Rate for Payer: UnitedHealthcare Commercial	$195.46
Rate for Payer: UnitedHealthcare Community & State	$30.88
Rate for Payer: Wellpoint Medicaid Managed Care	$27.76

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$56.05
Max. Negotiated Rate	$56.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.05

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$186.82
Rate for Payer: Aetna Commercial	$141.99
Rate for Payer: Aetna Medicare Advantage	$112.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.28
Rate for Payer: Cigna Commercial	$186.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.15
Rate for Payer: Oxford Commercial	$74.73
Rate for Payer: Qualcare PPO/HMO/WC	$56.05
Rate for Payer: UnitedHealthcare Commercial	$74.73
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$10.61

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$15.01
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL BIT 3.5x130MM

Facility

$6,156.70

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$923.50
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

DRILL BIT 3.5x130MM

Facility

$6,156.70

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$174.85
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$2,339.55
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,600.74
Rate for Payer: Oxford Commercial	$1,231.34
Rate for Payer: Qualcare PPO/HMO/WC	$923.50
Rate for Payer: UnitedHealthcare Commercial	$1,231.34
Rate for Payer: UnitedHealthcare Community & State	$194.55
Rate for Payer: Wellpoint Medicaid Managed Care	$174.85

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$9.83
Max. Negotiated Rate	$173.05
Rate for Payer: Aetna Commercial	$131.52
Rate for Payer: Aetna Medicare Advantage	$103.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.26
Rate for Payer: Cigna Commercial	$173.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.99
Rate for Payer: Oxford Commercial	$69.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.91
Rate for Payer: UnitedHealthcare Commercial	$69.22
Rate for Payer: UnitedHealthcare Community & State	$10.94
Rate for Payer: Wellpoint Medicaid Managed Care	$9.83

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$51.91
Max. Negotiated Rate	$51.91
Rate for Payer: Qualcare PPO/HMO/WC	$51.91

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$22.44
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$24.96
Rate for Payer: Wellpoint Medicaid Managed Care	$22.44

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$23.29
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.20
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$164.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$23.29

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$24.63
Max. Negotiated Rate	$433.57
Rate for Payer: Aetna Commercial	$329.52
Rate for Payer: Aetna Medicare Advantage	$260.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.12
Rate for Payer: Cigna Commercial	$433.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.46
Rate for Payer: Oxford Commercial	$173.43
Rate for Payer: Qualcare PPO/HMO/WC	$130.07
Rate for Payer: UnitedHealthcare Commercial	$173.43
Rate for Payer: UnitedHealthcare Community & State	$27.40
Rate for Payer: Wellpoint Medicaid Managed Care	$24.63

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$130.07
Rate for Payer: Qualcare PPO/HMO/WC	$130.07

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$28.70
Max. Negotiated Rate	$505.23
Rate for Payer: Aetna Commercial	$383.97
Rate for Payer: Aetna Medicare Advantage	$303.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.66
Rate for Payer: Cigna Commercial	$505.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.72
Rate for Payer: Oxford Commercial	$202.09
Rate for Payer: Qualcare PPO/HMO/WC	$151.57
Rate for Payer: UnitedHealthcare Commercial	$202.09
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$28.70

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$151.57
Max. Negotiated Rate	$151.57
Rate for Payer: Qualcare PPO/HMO/WC	$151.57

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