Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRAY LUMBAR PUNCTURE

Facility

$96.78

Hospital Charge Code	270302245
Hospital Revenue Code	272
Min. Negotiated Rate	$14.52
Max. Negotiated Rate	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$14.52

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.92

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$33.06
Rate for Payer: Aetna Commercial	$25.13
Rate for Payer: Aetna Medicare Advantage	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.86
Rate for Payer: Cigna Commercial	$33.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.19
Rate for Payer: Oxford Commercial	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$9.92
Rate for Payer: UnitedHealthcare Commercial	$13.23
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$33.06
Rate for Payer: Aetna Commercial	$25.13
Rate for Payer: Aetna Medicare Advantage	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.86
Rate for Payer: Cigna Commercial	$33.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.19
Rate for Payer: Oxford Commercial	$13.23
Rate for Payer: Qualcare PPO/HMO/WC	$9.92
Rate for Payer: UnitedHealthcare Commercial	$13.23
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

TRAY LUMBAR PUNCTURE 20G

Facility

$52.60

Hospital Charge Code	270649873N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$7.89
Rate for Payer: Qualcare PPO/HMO/WC	$7.89

TRAY LUMBAR PUNCTURE 20G

Facility

$52.60

Hospital Charge Code	270649873N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$26.30
Rate for Payer: Aetna Commercial	$19.99
Rate for Payer: Aetna Medicare Advantage	$15.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.41
Rate for Payer: Cigna Commercial	$26.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.68
Rate for Payer: Oxford Commercial	$10.52
Rate for Payer: Qualcare PPO/HMO/WC	$7.89
Rate for Payer: UnitedHealthcare Commercial	$10.52
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.49

TRAY LUMBAR PUNCTURE 20G

Facility

$66.13

Hospital Charge Code	270649873
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$9.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.92

TRAY LUMBAR PUNCTURE 22G

Facility

$67.94

Hospital Charge Code	270649875
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$33.97
Rate for Payer: Aetna Commercial	$25.82
Rate for Payer: Aetna Medicare Advantage	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.32
Rate for Payer: Cigna Commercial	$33.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.66
Rate for Payer: Oxford Commercial	$13.59
Rate for Payer: Qualcare PPO/HMO/WC	$10.19
Rate for Payer: UnitedHealthcare Commercial	$13.59
Rate for Payer: UnitedHealthcare Community & State	$2.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

TRAY LUMBAR PUNCTURE 22G

Facility

$67.94

Hospital Charge Code	270649875
Hospital Revenue Code	272
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$10.19
Rate for Payer: Qualcare PPO/HMO/WC	$10.19

TRAY LUMBAR PUNCTURE ADULT

Facility

$38.10

Hospital Charge Code	270649762
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$19.05
Rate for Payer: Aetna Commercial	$14.48
Rate for Payer: Aetna Medicare Advantage	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.72
Rate for Payer: Cigna Commercial	$19.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.91
Rate for Payer: Oxford Commercial	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.71
Rate for Payer: UnitedHealthcare Commercial	$7.62
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

TRAY LUMBAR PUNCTURE ADULT

Facility

$38.10

Hospital Charge Code	270649762
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$5.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.71

TRAY LUMBAR PUNCT X RX TH INF

Facility

$29.75

Hospital Charge Code	270647910
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$4.46
Rate for Payer: Qualcare PPO/HMO/WC	$4.46

TRAY LUMBAR PUNCT X RX TH INF

Facility

$29.75

Hospital Charge Code	270647910
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$14.88
Rate for Payer: Aetna Commercial	$11.30
Rate for Payer: Aetna Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.59
Rate for Payer: Cigna Commercial	$14.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$5.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.46
Rate for Payer: UnitedHealthcare Commercial	$5.95
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

TRAY MINOR PROCEDURE

Facility

$162.50

Hospital Charge Code	270654117
Hospital Revenue Code	270
Min. Negotiated Rate	$24.38
Max. Negotiated Rate	$24.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.38

TRAY MINOR PROCEDURE

Facility

$162.50

Hospital Charge Code	270654117
Hospital Revenue Code	270
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$81.25
Rate for Payer: Aetna Commercial	$61.75
Rate for Payer: Aetna Medicare Advantage	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.44
Rate for Payer: Cigna Commercial	$81.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.38
Rate for Payer: UnitedHealthcare Commercial	$32.50
Rate for Payer: UnitedHealthcare Community & State	$5.13
Rate for Payer: Wellpoint Medicaid Managed Care	$4.62

TRAY MYELOGRAM W/18G NEEDLE

Facility

$64.51

Hospital Charge Code	270601456S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$32.26
Rate for Payer: Aetna Commercial	$24.51
Rate for Payer: Aetna Medicare Advantage	$19.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.45
Rate for Payer: Cigna Commercial	$32.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.77
Rate for Payer: Oxford Commercial	$12.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.68
Rate for Payer: UnitedHealthcare Commercial	$12.90
Rate for Payer: UnitedHealthcare Community & State	$2.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

TRAY MYELOGRAM W/18G NEEDLE

Facility

$64.51

Hospital Charge Code	270601456S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.68
Max. Negotiated Rate	$9.68
Rate for Payer: Qualcare PPO/HMO/WC	$9.68

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$41.31
Max. Negotiated Rate	$41.31
Rate for Payer: Qualcare PPO/HMO/WC	$41.31

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$137.69
Rate for Payer: Aetna Commercial	$104.65
Rate for Payer: Aetna Medicare Advantage	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.22
Rate for Payer: Cigna Commercial	$137.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.60
Rate for Payer: Oxford Commercial	$55.08
Rate for Payer: Qualcare PPO/HMO/WC	$41.31
Rate for Payer: UnitedHealthcare Commercial	$55.08
Rate for Payer: UnitedHealthcare Community & State	$8.70
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$17.75
Rate for Payer: Aetna Commercial	$13.49
Rate for Payer: Aetna Medicare Advantage	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.06
Rate for Payer: Cigna Commercial	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.23
Rate for Payer: Oxford Commercial	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$7.10
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$188.00
Rate for Payer: Aetna Commercial	$142.88
Rate for Payer: Aetna Medicare Advantage	$112.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.88
Rate for Payer: Cigna Commercial	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.76
Rate for Payer: Oxford Commercial	$75.20
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$75.20
Rate for Payer: UnitedHealthcare Community & State	$11.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.68

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$56.40
Max. Negotiated Rate	$56.40
Rate for Payer: Qualcare PPO/HMO/WC	$56.40

TRAY PARACENTESIS

Facility

$305.08

Hospital Charge Code	270302240
Hospital Revenue Code	270
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.54
Rate for Payer: Aetna Commercial	$115.93
Rate for Payer: Aetna Medicare Advantage	$91.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.32
Rate for Payer: Oxford Commercial	$61.02
Rate for Payer: Qualcare PPO/HMO/WC	$45.76
Rate for Payer: UnitedHealthcare Commercial	$61.02
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

TRAY PARACENTESIS

Facility

$305.75

Hospital Charge Code	270650090
Hospital Revenue Code	271
Min. Negotiated Rate	$45.86
Max. Negotiated Rate	$45.86
Rate for Payer: Qualcare PPO/HMO/WC	$45.86

Know your out-of-pocket cost for care.

All Charges