Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$145,887.12

Service Code	APR-DRG 0054
Min. Negotiated Rate	$143,026.59
Max. Negotiated Rate	$145,887.12
Rate for Payer: UnitedHealthcare Community & State	$143,026.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$145,887.12
Rate for Payer: Wellpoint Medicaid Managed Care	$143,026.59

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$57,839.44

Service Code	APR-DRG 0051
Min. Negotiated Rate	$56,705.33
Max. Negotiated Rate	$57,839.44
Rate for Payer: UnitedHealthcare Community & State	$56,705.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,839.44
Rate for Payer: Wellpoint Medicaid Managed Care	$56,705.33

TRACH INLINE SUCTION CATH

Facility

$42.63

Hospital Charge Code	270600663R
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$21.32
Rate for Payer: Aetna Commercial	$16.20
Rate for Payer: Aetna Medicare Advantage	$12.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.87
Rate for Payer: Cigna Commercial	$21.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.08
Rate for Payer: Oxford Commercial	$8.53
Rate for Payer: Qualcare PPO/HMO/WC	$6.39
Rate for Payer: UnitedHealthcare Commercial	$8.53
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

TRACH INLINE SUCTION CATH

Facility

$42.63

Hospital Charge Code	270600663R
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$6.39

TRACH SYSTEM CLOSED 16FR W/12

Facility

$35.90

Hospital Charge Code	270650096
Hospital Revenue Code	270
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$17.95
Rate for Payer: Aetna Commercial	$13.64
Rate for Payer: Aetna Medicare Advantage	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.15
Rate for Payer: Cigna Commercial	$17.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.33
Rate for Payer: Oxford Commercial	$7.18
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$7.18
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

TRACH SYSTEM CLOSED 16FR W/12

Facility

$35.90

Hospital Charge Code	270650096
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

TRACH SZ 8 XLT DISTAL CUFFED

Facility

$307.05

Hospital Charge Code	270638227
Hospital Revenue Code	272
Min. Negotiated Rate	$46.06
Max. Negotiated Rate	$46.06
Rate for Payer: Qualcare PPO/HMO/WC	$46.06

TRACH SZ 8 XLT DISTAL CUFFED

Facility

$307.05

Hospital Charge Code	270638227
Hospital Revenue Code	272
Min. Negotiated Rate	$8.72
Max. Negotiated Rate	$153.53
Rate for Payer: Aetna Commercial	$116.68
Rate for Payer: Aetna Medicare Advantage	$92.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.30
Rate for Payer: Cigna Commercial	$153.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.83
Rate for Payer: Oxford Commercial	$61.41
Rate for Payer: Qualcare PPO/HMO/WC	$46.06
Rate for Payer: UnitedHealthcare Commercial	$61.41
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: Wellpoint Medicaid Managed Care	$8.72

TRACH SZ 8 XLT PROXIMAL CUFFED

Facility

$396.90

Hospital Charge Code	270638229
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

TRACH SZ 8 XLT PROXIMAL CUFFED

Facility

$396.90

Hospital Charge Code	270638229
Hospital Revenue Code	272
Min. Negotiated Rate	$11.27
Max. Negotiated Rate	$198.45
Rate for Payer: Aetna Commercial	$150.82
Rate for Payer: Aetna Medicare Advantage	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.21
Rate for Payer: Cigna Commercial	$198.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.19
Rate for Payer: Oxford Commercial	$79.38
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$79.38
Rate for Payer: UnitedHealthcare Community & State	$12.54
Rate for Payer: Wellpoint Medicaid Managed Care	$11.27

TRACH TUBE FENESTRATED #8

Facility

$218.00

Hospital Charge Code	270330630
Hospital Revenue Code	272
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

TRACH TUBE FENESTRATED #8

Facility

$218.00

Hospital Charge Code	270330630
Hospital Revenue Code	272
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$109.00
Rate for Payer: Aetna Commercial	$82.84
Rate for Payer: Aetna Medicare Advantage	$65.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.59
Rate for Payer: Cigna Commercial	$109.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.68
Rate for Payer: Oxford Commercial	$43.60
Rate for Payer: Qualcare PPO/HMO/WC	$32.70
Rate for Payer: UnitedHealthcare Commercial	$43.60
Rate for Payer: UnitedHealthcare Community & State	$6.89
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

TRACH TUBE INNER CANNULA 80MM

Facility

$15.88

Service Code	HCPCS A4623
Hospital Charge Code	270699905
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.94
Rate for Payer: Aetna Commercial	$6.03
Rate for Payer: Aetna Medicare Advantage	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.05
Rate for Payer: Cigna Commercial	$7.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.13
Rate for Payer: Oxford Commercial	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$2.38
Rate for Payer: UnitedHealthcare Commercial	$3.18
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

TRACH TUBE INNER CANNULA 80MM

Facility

$15.88

Service Code	HCPCS A4623
Hospital Charge Code	270699905
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.38

TRACKER INSTRUMENT ENT

Facility

$860.00

Hospital Charge Code	270663282
Hospital Revenue Code	272
Min. Negotiated Rate	$129.00
Max. Negotiated Rate	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$129.00

TRACKER INSTRUMENT ENT

Facility

$860.00

Hospital Charge Code	270663282
Hospital Revenue Code	272
Min. Negotiated Rate	$24.42
Max. Negotiated Rate	$430.00
Rate for Payer: Aetna Commercial	$326.80
Rate for Payer: Aetna Medicare Advantage	$258.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.30
Rate for Payer: Cigna Commercial	$430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.60
Rate for Payer: Oxford Commercial	$172.00
Rate for Payer: Qualcare PPO/HMO/WC	$129.00
Rate for Payer: UnitedHealthcare Commercial	$172.00
Rate for Payer: UnitedHealthcare Community & State	$27.18
Rate for Payer: Wellpoint Medicaid Managed Care	$24.42

TRACKER PATIENT

Facility

$1,300.00

Hospital Charge Code	270703111
Hospital Revenue Code	278
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Community & State	$41.08
Rate for Payer: Wellpoint Medicaid Managed Care	$36.92

TRACKER PATIENT

Facility

$1,300.00

Hospital Charge Code	270703111
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$314.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

TRACKER PATIENT ENT

Facility

$1,025.00

Hospital Charge Code	270663281
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

TRACKER PATIENT ENT

Facility

$1,025.00

Hospital Charge Code	270663281
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

TRACTION - MECHANICAL

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	9107005
Hospital Revenue Code	420
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

TRACTION - MECHANICAL

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	9107005
Hospital Revenue Code	420
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$56.24
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.20

TRACTION MECHANICAL CQ

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	409197012Q
Hospital Revenue Code	420
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

TRACTION MECHANICAL CQ

Facility

$148.00

Service Code	HCPCS 97012GP
Hospital Charge Code	409197012Q
Hospital Revenue Code	420
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$56.24
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.48
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.20

TRAILBLAZER ANGLE .014X150

Facility

$5,280.00

Service Code	HCPCS C1887
Hospital Charge Code	270683674S
Hospital Revenue Code	278
Min. Negotiated Rate	$149.95
Max. Negotiated Rate	$2,640.00
Rate for Payer: Aetna Commercial	$2,006.40
Rate for Payer: Aetna Medicare Advantage	$1,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,346.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,346.40
Rate for Payer: Cigna Commercial	$2,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,277.76
Rate for Payer: Qualcare PPO/HMO/WC	$792.00
Rate for Payer: UnitedHealthcare Community & State	$166.85
Rate for Payer: Wellpoint Medicaid Managed Care	$149.95

Know your out-of-pocket cost for care.

All Charges