Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$55.10
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.40
Rate for Payer: Oxford Commercial	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$388.00
Rate for Payer: UnitedHealthcare Community & State	$61.30
Rate for Payer: Wellpoint Medicaid Managed Care	$55.10

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$2,110.00
Rate for Payer: Aetna Commercial	$1,603.60
Rate for Payer: Aetna Medicare Advantage	$1,266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.10
Rate for Payer: Cigna Commercial	$2,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,097.20
Rate for Payer: Oxford Commercial	$844.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00
Rate for Payer: UnitedHealthcare Commercial	$844.00
Rate for Payer: UnitedHealthcare Community & State	$133.35
Rate for Payer: Wellpoint Medicaid Managed Care	$119.85

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$633.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$74.88
Rate for Payer: Aetna Commercial	$56.91
Rate for Payer: Aetna Medicare Advantage	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.19
Rate for Payer: Cigna Commercial	$74.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.94
Rate for Payer: Oxford Commercial	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.46
Rate for Payer: UnitedHealthcare Commercial	$29.95
Rate for Payer: UnitedHealthcare Community & State	$4.73
Rate for Payer: Wellpoint Medicaid Managed Care	$4.25

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$49.99
Rate for Payer: Aetna Commercial	$37.99
Rate for Payer: Aetna Medicare Advantage	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.49
Rate for Payer: Cigna Commercial	$49.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.99
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$22.46
Max. Negotiated Rate	$22.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.46

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$117.93
Rate for Payer: Aetna Commercial	$89.63
Rate for Payer: Aetna Medicare Advantage	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.14
Rate for Payer: Cigna Commercial	$117.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.32
Rate for Payer: Oxford Commercial	$47.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.38
Rate for Payer: UnitedHealthcare Commercial	$47.17
Rate for Payer: UnitedHealthcare Community & State	$7.45
Rate for Payer: Wellpoint Medicaid Managed Care	$6.70

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$35.38
Max. Negotiated Rate	$35.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.38

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$61.80
Max. Negotiated Rate	$61.80
Rate for Payer: Qualcare PPO/HMO/WC	$61.80

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$206.00
Rate for Payer: Aetna Commercial	$156.56
Rate for Payer: Aetna Medicare Advantage	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.06
Rate for Payer: Cigna Commercial	$206.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.12
Rate for Payer: Oxford Commercial	$82.40
Rate for Payer: Qualcare PPO/HMO/WC	$61.80
Rate for Payer: UnitedHealthcare Commercial	$82.40
Rate for Payer: UnitedHealthcare Community & State	$13.02
Rate for Payer: Wellpoint Medicaid Managed Care	$11.70

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$323.17
Rate for Payer: Aetna Commercial	$245.61
Rate for Payer: Aetna Medicare Advantage	$193.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.81
Rate for Payer: Cigna Commercial	$323.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.05
Rate for Payer: Oxford Commercial	$129.27
Rate for Payer: Qualcare PPO/HMO/WC	$96.95
Rate for Payer: UnitedHealthcare Commercial	$129.27
Rate for Payer: UnitedHealthcare Community & State	$20.42
Rate for Payer: Wellpoint Medicaid Managed Care	$18.36

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$96.95
Max. Negotiated Rate	$96.95
Rate for Payer: Qualcare PPO/HMO/WC	$96.95

TRAY CATH RAULERSON 11.5FR 6

Facility

$480.00

Service Code	HCPCS C1751
Hospital Charge Code	270615117
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

TRAY CATH RAULERSON 11.5FR 6

Facility

$480.00

Service Code	HCPCS C1751
Hospital Charge Code	270615117
Hospital Revenue Code	278
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13.63

TRAY CATH TRIPLE LUMEN LG BORE

Facility

$323.82

Service Code	HCPCS C1751
Hospital Charge Code	270650277
Hospital Revenue Code	278
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$161.91
Rate for Payer: Aetna Commercial	$123.05
Rate for Payer: Aetna Medicare Advantage	$97.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.57
Rate for Payer: Cigna Commercial	$161.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.36
Rate for Payer: Qualcare PPO/HMO/WC	$48.57
Rate for Payer: UnitedHealthcare Community & State	$10.23
Rate for Payer: Wellpoint Medicaid Managed Care	$9.20

TRAY CATH TRIPLE LUMEN LG BORE

Facility

$323.82

Service Code	HCPCS C1751
Hospital Charge Code	270650277
Hospital Revenue Code	278
Min. Negotiated Rate	$48.57
Max. Negotiated Rate	$78.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.36
Rate for Payer: Qualcare PPO/HMO/WC	$48.57

TRAY CAUTI SILVER 14FR

Facility

$89.48

Hospital Charge Code	270649648
Hospital Revenue Code	270
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$44.74
Rate for Payer: Aetna Commercial	$34.00
Rate for Payer: Aetna Medicare Advantage	$26.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.82
Rate for Payer: Cigna Commercial	$44.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.26
Rate for Payer: Oxford Commercial	$17.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.42
Rate for Payer: UnitedHealthcare Commercial	$17.90
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2.54

TRAY CAUTI SILVER 14FR

Facility

$89.48

Hospital Charge Code	270649648
Hospital Revenue Code	270
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$13.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.42

TRAY CHEST TUBE

Facility

$327.53

Hospital Charge Code	270693051
Hospital Revenue Code	272
Min. Negotiated Rate	$49.13
Max. Negotiated Rate	$49.13
Rate for Payer: Qualcare PPO/HMO/WC	$49.13

TRAY CHEST TUBE

Facility

$327.53

Hospital Charge Code	270693051
Hospital Revenue Code	272
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$163.76
Rate for Payer: Aetna Commercial	$124.46
Rate for Payer: Aetna Medicare Advantage	$98.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.52
Rate for Payer: Cigna Commercial	$163.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.16
Rate for Payer: Oxford Commercial	$65.51
Rate for Payer: Qualcare PPO/HMO/WC	$49.13
Rate for Payer: UnitedHealthcare Commercial	$65.51
Rate for Payer: UnitedHealthcare Community & State	$10.35
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

TRAY CHOLANG LAPARO W/TROCAR

Facility

$650.00

Hospital Charge Code	270649267
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

Know your out-of-pocket cost for care.

All Charges