Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRAXLTON SNARE HEXAGONAL

Facility

$125.00

Hospital Charge Code	270664465
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$7.29
Max. Negotiated Rate	$128.41
Rate for Payer: Aetna Commercial	$97.59
Rate for Payer: Aetna Medicare Advantage	$77.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.49
Rate for Payer: Cigna Commercial	$128.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.77
Rate for Payer: Oxford Commercial	$51.36
Rate for Payer: Qualcare PPO/HMO/WC	$38.52
Rate for Payer: UnitedHealthcare Commercial	$51.36
Rate for Payer: UnitedHealthcare Community & State	$8.12
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$38.52
Max. Negotiated Rate	$38.52
Rate for Payer: Qualcare PPO/HMO/WC	$38.52

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$53.57
Rate for Payer: Aetna Commercial	$40.71
Rate for Payer: Aetna Medicare Advantage	$32.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.32
Rate for Payer: Cigna Commercial	$53.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.86
Rate for Payer: Oxford Commercial	$21.43
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Commercial	$21.43
Rate for Payer: UnitedHealthcare Community & State	$3.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.04

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$238.34
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$3,189.09
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,182.01
Rate for Payer: Oxford Commercial	$1,678.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85
Rate for Payer: UnitedHealthcare Commercial	$1,678.47
Rate for Payer: UnitedHealthcare Community & State	$265.20
Rate for Payer: Wellpoint Medicaid Managed Care	$238.34

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$1,258.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$10.17
Max. Negotiated Rate	$178.97
Rate for Payer: Aetna Commercial	$136.02
Rate for Payer: Aetna Medicare Advantage	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.28
Rate for Payer: Cigna Commercial	$178.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.07
Rate for Payer: Oxford Commercial	$71.59
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$71.59
Rate for Payer: UnitedHealthcare Community & State	$11.31
Rate for Payer: Wellpoint Medicaid Managed Care	$10.17

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$35.80
Rate for Payer: Aetna Commercial	$27.20
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.26
Rate for Payer: Cigna Commercial	$35.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.61
Rate for Payer: Oxford Commercial	$14.32
Rate for Payer: Qualcare PPO/HMO/WC	$10.74
Rate for Payer: UnitedHealthcare Commercial	$14.32
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$10.74
Rate for Payer: Qualcare PPO/HMO/WC	$10.74

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$7.04
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$23.46
Rate for Payer: Aetna Commercial	$17.83
Rate for Payer: Aetna Medicare Advantage	$14.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.96
Rate for Payer: Cigna Commercial	$23.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.20
Rate for Payer: Oxford Commercial	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Commercial	$9.38
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$402.14
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$5,380.80
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00
Rate for Payer: UnitedHealthcare Community & State	$447.46
Rate for Payer: Wellpoint Medicaid Managed Care	$402.14

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$13.52
Rate for Payer: Qualcare PPO/HMO/WC	$13.52

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.08
Rate for Payer: Aetna Commercial	$34.26
Rate for Payer: Aetna Medicare Advantage	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.99
Rate for Payer: Cigna Commercial	$45.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: Oxford Commercial	$18.03
Rate for Payer: Qualcare PPO/HMO/WC	$13.52
Rate for Payer: UnitedHealthcare Commercial	$18.03
Rate for Payer: UnitedHealthcare Community & State	$2.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
Hospital Revenue Code	272
Min. Negotiated Rate	$20.87
Max. Negotiated Rate	$367.48
Rate for Payer: Aetna Commercial	$279.28
Rate for Payer: Aetna Medicare Advantage	$220.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.41
Rate for Payer: Cigna Commercial	$367.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.09
Rate for Payer: Oxford Commercial	$146.99
Rate for Payer: Qualcare PPO/HMO/WC	$110.24
Rate for Payer: UnitedHealthcare Commercial	$146.99
Rate for Payer: UnitedHealthcare Community & State	$23.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.87

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
Hospital Revenue Code	272
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$110.24
Rate for Payer: Qualcare PPO/HMO/WC	$110.24

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$16.30

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$54.35
Rate for Payer: Aetna Commercial	$41.31
Rate for Payer: Aetna Medicare Advantage	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.72
Rate for Payer: Cigna Commercial	$54.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.26
Rate for Payer: Oxford Commercial	$21.74
Rate for Payer: Qualcare PPO/HMO/WC	$16.30
Rate for Payer: UnitedHealthcare Commercial	$21.74
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.09

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.51
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna Medicare Advantage	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.30
Rate for Payer: Cigna Commercial	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.35
Rate for Payer: Oxford Commercial	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.81
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

Know your out-of-pocket cost for care.

All Charges