Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$122.69
Max. Negotiated Rate	$197.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: Qualcare PPO/HMO/WC	$122.69

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$23.23
Max. Negotiated Rate	$408.98
Rate for Payer: Aetna Commercial	$310.82
Rate for Payer: Aetna Medicare Advantage	$245.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.58
Rate for Payer: Cigna Commercial	$408.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: Qualcare PPO/HMO/WC	$122.69
Rate for Payer: UnitedHealthcare Community & State	$25.85
Rate for Payer: Wellpoint Medicaid Managed Care	$23.23

DRILL BIT 3 FLUTED 2.7x125mm

Facility

$719.30

Hospital Charge Code	270681007
Hospital Revenue Code	272
Min. Negotiated Rate	$20.43
Max. Negotiated Rate	$359.65
Rate for Payer: Aetna Commercial	$273.33
Rate for Payer: Aetna Medicare Advantage	$215.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.42
Rate for Payer: Cigna Commercial	$359.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.02
Rate for Payer: Oxford Commercial	$143.86
Rate for Payer: Qualcare PPO/HMO/WC	$107.89
Rate for Payer: UnitedHealthcare Commercial	$143.86
Rate for Payer: UnitedHealthcare Community & State	$22.73
Rate for Payer: Wellpoint Medicaid Managed Care	$20.43

DRILL BIT 3 FLUTED 2.7x125mm

Facility

$719.30

Hospital Charge Code	270681007
Hospital Revenue Code	272
Min. Negotiated Rate	$107.89
Max. Negotiated Rate	$107.89
Rate for Payer: Qualcare PPO/HMO/WC	$107.89

DRILL BIT 3-FLUTED 2.7x125MM

Facility

$506.05

Hospital Charge Code	270603600
Hospital Revenue Code	272
Min. Negotiated Rate	$75.91
Max. Negotiated Rate	$75.91
Rate for Payer: Qualcare PPO/HMO/WC	$75.91

DRILL BIT 3-FLUTED 2.7x125MM

Facility

$1,253.95

Hospital Charge Code	270681008
Hospital Revenue Code	272
Min. Negotiated Rate	$188.09
Max. Negotiated Rate	$188.09
Rate for Payer: Qualcare PPO/HMO/WC	$188.09

DRILL BIT 3-FLUTED 2.7x125MM

Facility

$1,253.95

Hospital Charge Code	270681008
Hospital Revenue Code	272
Min. Negotiated Rate	$35.61
Max. Negotiated Rate	$626.98
Rate for Payer: Aetna Commercial	$476.50
Rate for Payer: Aetna Medicare Advantage	$376.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.76
Rate for Payer: Cigna Commercial	$626.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.03
Rate for Payer: Oxford Commercial	$250.79
Rate for Payer: Qualcare PPO/HMO/WC	$188.09
Rate for Payer: UnitedHealthcare Commercial	$250.79
Rate for Payer: UnitedHealthcare Community & State	$39.62
Rate for Payer: Wellpoint Medicaid Managed Care	$35.61

DRILL BIT 3-FLUTED 2.7x125MM

Facility

$506.05

Hospital Charge Code	270603600
Hospital Revenue Code	272
Min. Negotiated Rate	$14.37
Max. Negotiated Rate	$253.03
Rate for Payer: Aetna Commercial	$192.30
Rate for Payer: Aetna Medicare Advantage	$151.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.04
Rate for Payer: Cigna Commercial	$253.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.57
Rate for Payer: Oxford Commercial	$101.21
Rate for Payer: Qualcare PPO/HMO/WC	$75.91
Rate for Payer: UnitedHealthcare Commercial	$101.21
Rate for Payer: UnitedHealthcare Community & State	$15.99
Rate for Payer: Wellpoint Medicaid Managed Care	$14.37

DRILL BIT 3-FLUTED 4.2x145mm

Facility

$719.95

Hospital Charge Code	270645688
Hospital Revenue Code	272
Min. Negotiated Rate	$107.99
Max. Negotiated Rate	$107.99
Rate for Payer: Qualcare PPO/HMO/WC	$107.99

DRILL BIT 3-FLUTED 4.2x145mm

Facility

$719.95

Hospital Charge Code	270645688
Hospital Revenue Code	272
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$359.98
Rate for Payer: Aetna Commercial	$273.58
Rate for Payer: Aetna Medicare Advantage	$215.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.59
Rate for Payer: Cigna Commercial	$359.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.19
Rate for Payer: Oxford Commercial	$143.99
Rate for Payer: Qualcare PPO/HMO/WC	$107.99
Rate for Payer: UnitedHealthcare Commercial	$143.99
Rate for Payer: UnitedHealthcare Community & State	$22.75
Rate for Payer: Wellpoint Medicaid Managed Care	$20.45

DRILL BIT 3-FLUTED 4.2x330MM

Facility

$1,253.95

Hospital Charge Code	270675116
Hospital Revenue Code	272
Min. Negotiated Rate	$35.61
Max. Negotiated Rate	$626.98
Rate for Payer: Aetna Commercial	$476.50
Rate for Payer: Aetna Medicare Advantage	$376.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.76
Rate for Payer: Cigna Commercial	$626.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.03
Rate for Payer: Oxford Commercial	$250.79
Rate for Payer: Qualcare PPO/HMO/WC	$188.09
Rate for Payer: UnitedHealthcare Commercial	$250.79
Rate for Payer: UnitedHealthcare Community & State	$39.62
Rate for Payer: Wellpoint Medicaid Managed Care	$35.61

DRILL BIT 3-FLUTED 4.2x330MM

Facility

$1,253.95

Hospital Charge Code	270675116
Hospital Revenue Code	272
Min. Negotiated Rate	$188.09
Max. Negotiated Rate	$188.09
Rate for Payer: Qualcare PPO/HMO/WC	$188.09

DRILL BIT 3MM CANN. PROXIMA

Facility

$750.00

Hospital Charge Code	270666769
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 3MM CANN. PROXIMA

Facility

$750.00

Hospital Charge Code	270666769
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 3X220MM

Facility

$1,075.00

Hospital Charge Code	270669432
Hospital Revenue Code	272
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

DRILL BIT 3X220MM

Facility

$1,075.00

Hospital Charge Code	270669432
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

DRILL BIT 4.0

Facility

$1,100.00

Hospital Charge Code	270660404
Hospital Revenue Code	270
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$220.00
Rate for Payer: UnitedHealthcare Community & State	$34.76
Rate for Payer: Wellpoint Medicaid Managed Care	$31.24

DRILL BIT 4.0

Facility

$625.00

Hospital Charge Code	270676696
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

DRILL BIT 4.0

Facility

$1,100.00

Hospital Charge Code	270660404
Hospital Revenue Code	270
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

DRILL BIT 4.0

Facility

$625.00

Hospital Charge Code	270676696
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

DRILL BIT 4.0MM CANN

Facility

$875.00

Hospital Charge Code	270688367
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 4.0MM CANN

Facility

$875.00

Hospital Charge Code	270688367
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 4.2. THREE FLT DRL B

Facility

$1,066.90

Hospital Charge Code	270688102
Hospital Revenue Code	272
Min. Negotiated Rate	$160.03
Max. Negotiated Rate	$160.03
Rate for Payer: Qualcare PPO/HMO/WC	$160.03

DRILL BIT 4.2. THREE FLT DRL B

Facility

$1,066.90

Hospital Charge Code	270688102
Hospital Revenue Code	272
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$533.45
Rate for Payer: Aetna Commercial	$405.42
Rate for Payer: Aetna Medicare Advantage	$320.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.06
Rate for Payer: Cigna Commercial	$533.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.39
Rate for Payer: Oxford Commercial	$213.38
Rate for Payer: Qualcare PPO/HMO/WC	$160.03
Rate for Payer: UnitedHealthcare Commercial	$213.38
Rate for Payer: UnitedHealthcare Community & State	$33.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.30

DRILL BIT 4.3mm

Facility

$1,105.00

Hospital Charge Code	270663307
Hospital Revenue Code	272
Min. Negotiated Rate	$165.75
Max. Negotiated Rate	$165.75
Rate for Payer: Qualcare PPO/HMO/WC	$165.75

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