Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 4MM 3 FLUTD 65X260MM

Facility

$859.00

Hospital Charge Code	270633853
Hospital Revenue Code	272
Min. Negotiated Rate	$128.85
Max. Negotiated Rate	$128.85
Rate for Payer: Qualcare PPO/HMO/WC	$128.85

DRILL BIT 4MM 3 FLUTD 65X260MM

Facility

$859.00

Hospital Charge Code	270633853
Hospital Revenue Code	272
Min. Negotiated Rate	$24.40
Max. Negotiated Rate	$429.50
Rate for Payer: Aetna Commercial	$326.42
Rate for Payer: Aetna Medicare Advantage	$257.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.04
Rate for Payer: Cigna Commercial	$429.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.34
Rate for Payer: Oxford Commercial	$171.80
Rate for Payer: Qualcare PPO/HMO/WC	$128.85
Rate for Payer: UnitedHealthcare Commercial	$171.80
Rate for Payer: UnitedHealthcare Community & State	$27.14
Rate for Payer: Wellpoint Medicaid Managed Care	$24.40

DRILL BIT 5.0

Facility

$10,900.00

Hospital Charge Code	270704742
Hospital Revenue Code	279
Min. Negotiated Rate	$1,635.00
Max. Negotiated Rate	$1,635.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.00

DRILL BIT 5.0

Facility

$10,900.00

Hospital Charge Code	270704742
Hospital Revenue Code	279
Min. Negotiated Rate	$309.56
Max. Negotiated Rate	$5,450.00
Rate for Payer: Aetna Commercial	$4,142.00
Rate for Payer: Aetna Medicare Advantage	$3,270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,779.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,779.50
Rate for Payer: Cigna Commercial	$5,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,834.00
Rate for Payer: Oxford Commercial	$2,180.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,635.00
Rate for Payer: UnitedHealthcare Commercial	$2,180.00
Rate for Payer: UnitedHealthcare Community & State	$344.44
Rate for Payer: Wellpoint Medicaid Managed Care	$309.56

DRILL BIT 5.0MM

Facility

$840.00

Hospital Charge Code	270665922
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT 5.0MM

Facility

$840.00

Hospital Charge Code	270665922
Hospital Revenue Code	272
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.40
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$26.54
Rate for Payer: Wellpoint Medicaid Managed Care	$23.86

DRILL BIT 5.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270691359
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 5.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270691359
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 5X230MM

Facility

$3,455.00

Service Code	HCPCS A4649
Hospital Charge Code	270669249
Hospital Revenue Code	272
Min. Negotiated Rate	$98.12
Max. Negotiated Rate	$1,727.50
Rate for Payer: Aetna Commercial	$1,312.90
Rate for Payer: Aetna Medicare Advantage	$1,036.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.02
Rate for Payer: Cigna Commercial	$1,727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$898.30
Rate for Payer: Oxford Commercial	$691.00
Rate for Payer: Qualcare PPO/HMO/WC	$518.25
Rate for Payer: UnitedHealthcare Commercial	$691.00
Rate for Payer: UnitedHealthcare Community & State	$109.18
Rate for Payer: Wellpoint Medicaid Managed Care	$98.12

DRILL BIT 5X230MM

Facility

$3,455.00

Service Code	HCPCS A4649
Hospital Charge Code	270669249
Hospital Revenue Code	272
Min. Negotiated Rate	$518.25
Max. Negotiated Rate	$518.25
Rate for Payer: Qualcare PPO/HMO/WC	$518.25

DRILL BIT 6.0

Facility

$2,307.00

Hospital Charge Code	270660403
Hospital Revenue Code	272
Min. Negotiated Rate	$65.52
Max. Negotiated Rate	$1,153.50
Rate for Payer: Aetna Commercial	$876.66
Rate for Payer: Aetna Medicare Advantage	$692.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.28
Rate for Payer: Cigna Commercial	$1,153.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$599.82
Rate for Payer: Oxford Commercial	$461.40
Rate for Payer: Qualcare PPO/HMO/WC	$346.05
Rate for Payer: UnitedHealthcare Commercial	$461.40
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$65.52

DRILL BIT 6.0

Facility

$2,307.00

Hospital Charge Code	270660403
Hospital Revenue Code	272
Min. Negotiated Rate	$346.05
Max. Negotiated Rate	$346.05
Rate for Payer: Qualcare PPO/HMO/WC	$346.05

DRILL BIT 6.1 mm

Facility

$2,550.00

Hospital Charge Code	270681079
Hospital Revenue Code	272
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

DRILL BIT 6.1 mm

Facility

$2,550.00

Hospital Charge Code	270681079
Hospital Revenue Code	272
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Commercial	$510.00
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

DRILL BIT 6.5 MM CONICAL

Facility

$1,710.80

Hospital Charge Code	270688999
Hospital Revenue Code	272
Min. Negotiated Rate	$256.62
Max. Negotiated Rate	$256.62
Rate for Payer: Qualcare PPO/HMO/WC	$256.62

DRILL BIT 6.5 MM CONICAL

Facility

$1,710.80

Hospital Charge Code	270688999
Hospital Revenue Code	272
Min. Negotiated Rate	$48.59
Max. Negotiated Rate	$855.40
Rate for Payer: Aetna Commercial	$650.10
Rate for Payer: Aetna Medicare Advantage	$513.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.25
Rate for Payer: Cigna Commercial	$855.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.81
Rate for Payer: Oxford Commercial	$342.16
Rate for Payer: Qualcare PPO/HMO/WC	$256.62
Rate for Payer: UnitedHealthcare Commercial	$342.16
Rate for Payer: UnitedHealthcare Community & State	$54.06
Rate for Payer: Wellpoint Medicaid Managed Care	$48.59

DRILL BIT 6MM CANNUL 25MM

Facility

$997.50

Hospital Charge Code	270696098
Hospital Revenue Code	272
Min. Negotiated Rate	$28.33
Max. Negotiated Rate	$498.75
Rate for Payer: Aetna Commercial	$379.05
Rate for Payer: Aetna Medicare Advantage	$299.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.36
Rate for Payer: Cigna Commercial	$498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.35
Rate for Payer: Oxford Commercial	$199.50
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.50
Rate for Payer: UnitedHealthcare Community & State	$31.52
Rate for Payer: Wellpoint Medicaid Managed Care	$28.33

DRILL BIT 6MM CANNUL 25MM

Facility

$997.50

Hospital Charge Code	270696098
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

DRILL BIT 8mm

Facility

$1,062.45

Hospital Charge Code	270679220
Hospital Revenue Code	272
Min. Negotiated Rate	$30.17
Max. Negotiated Rate	$531.23
Rate for Payer: Aetna Commercial	$403.73
Rate for Payer: Aetna Medicare Advantage	$318.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.92
Rate for Payer: Cigna Commercial	$531.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.24
Rate for Payer: Oxford Commercial	$212.49
Rate for Payer: Qualcare PPO/HMO/WC	$159.37
Rate for Payer: UnitedHealthcare Commercial	$212.49
Rate for Payer: UnitedHealthcare Community & State	$33.57
Rate for Payer: Wellpoint Medicaid Managed Care	$30.17

DRILL BIT 8mm

Facility

$1,062.45

Hospital Charge Code	270679220
Hospital Revenue Code	272
Min. Negotiated Rate	$159.37
Max. Negotiated Rate	$159.37
Rate for Payer: Qualcare PPO/HMO/WC	$159.37

DRILL BIT-ABBOTT SPINE

Facility

$395.00

Hospital Charge Code	270339027
Hospital Revenue Code	272
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.70
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$12.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.22

DRILL BIT-ABBOTT SPINE

Facility

$395.00

Hospital Charge Code	270339027
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT AEQUALIS REV 3X220MM

Facility

$717.50

Service Code	HCPCS A4649
Hospital Charge Code	270657901
Hospital Revenue Code	272
Min. Negotiated Rate	$20.38
Max. Negotiated Rate	$358.75
Rate for Payer: Aetna Commercial	$272.65
Rate for Payer: Aetna Medicare Advantage	$215.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.96
Rate for Payer: Cigna Commercial	$358.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.55
Rate for Payer: Oxford Commercial	$143.50
Rate for Payer: Qualcare PPO/HMO/WC	$107.62
Rate for Payer: UnitedHealthcare Commercial	$143.50
Rate for Payer: UnitedHealthcare Community & State	$22.67
Rate for Payer: Wellpoint Medicaid Managed Care	$20.38

DRILL BIT AEQUALIS REV 3X220MM

Facility

$717.50

Service Code	HCPCS A4649
Hospital Charge Code	270657901
Hospital Revenue Code	272
Min. Negotiated Rate	$107.62
Max. Negotiated Rate	$107.62
Rate for Payer: Qualcare PPO/HMO/WC	$107.62

DRILL BIT AO 1.7MM

Facility

$800.00

Hospital Charge Code	270693606
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

Know your out-of-pocket cost for care.

All Charges