Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRAY PARACENTESIS

Facility

$305.08

Hospital Charge Code	270302240
Hospital Revenue Code	270
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$45.76
Rate for Payer: Qualcare PPO/HMO/WC	$45.76

TRAY PARACENTESIS

Facility

$305.75

Hospital Charge Code	270650090
Hospital Revenue Code	271
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$152.88
Rate for Payer: Aetna Commercial	$116.19
Rate for Payer: Aetna Medicare Advantage	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.97
Rate for Payer: Cigna Commercial	$152.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.50
Rate for Payer: Oxford Commercial	$61.15
Rate for Payer: Qualcare PPO/HMO/WC	$45.86
Rate for Payer: UnitedHealthcare Commercial	$61.15
Rate for Payer: UnitedHealthcare Community & State	$9.66
Rate for Payer: Wellpoint Medicaid Managed Care	$8.68

TRAY PASSING HANDS FR 252244V

Facility

$10.14

Hospital Charge Code	270629845
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.07
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.59
Rate for Payer: Cigna Commercial	$5.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.64
Rate for Payer: Oxford Commercial	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.52
Rate for Payer: UnitedHealthcare Commercial	$2.03
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

TRAY PASSING HANDS FR 252244V

Facility

$10.14

Hospital Charge Code	270629845
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.52

TRAY PERCU-SET BIOPSY 43825A

Facility

$73.43

Hospital Charge Code	270605455
Hospital Revenue Code	270
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$36.72
Rate for Payer: Aetna Commercial	$27.90
Rate for Payer: Aetna Medicare Advantage	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.72
Rate for Payer: Cigna Commercial	$36.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.09
Rate for Payer: Oxford Commercial	$14.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.01
Rate for Payer: UnitedHealthcare Commercial	$14.69
Rate for Payer: UnitedHealthcare Community & State	$2.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

TRAY PERCU-SET BIOPSY 43825A

Facility

$73.43

Hospital Charge Code	270605455
Hospital Revenue Code	270
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$11.01
Rate for Payer: Qualcare PPO/HMO/WC	$11.01

TRAY PERCUTANEOUS S DIL 7.0

Facility

$1,678.75

Hospital Charge Code	270690630
Hospital Revenue Code	272
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$839.38
Rate for Payer: Aetna Commercial	$637.92
Rate for Payer: Aetna Medicare Advantage	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.08
Rate for Payer: Cigna Commercial	$839.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.48
Rate for Payer: Oxford Commercial	$335.75
Rate for Payer: Qualcare PPO/HMO/WC	$251.81
Rate for Payer: UnitedHealthcare Commercial	$335.75
Rate for Payer: UnitedHealthcare Community & State	$53.05
Rate for Payer: Wellpoint Medicaid Managed Care	$47.68

TRAY PERCUTANEOUS S DIL 7.0

Facility

$1,678.75

Hospital Charge Code	270690630
Hospital Revenue Code	272
Min. Negotiated Rate	$251.81
Max. Negotiated Rate	$251.81
Rate for Payer: Qualcare PPO/HMO/WC	$251.81

TRAY PERCUTANEOUS S DIL 8.0

Facility

$1,678.75

Hospital Charge Code	270689357
Hospital Revenue Code	272
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$839.38
Rate for Payer: Aetna Commercial	$637.92
Rate for Payer: Aetna Medicare Advantage	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.08
Rate for Payer: Cigna Commercial	$839.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.48
Rate for Payer: Oxford Commercial	$335.75
Rate for Payer: Qualcare PPO/HMO/WC	$251.81
Rate for Payer: UnitedHealthcare Commercial	$335.75
Rate for Payer: UnitedHealthcare Community & State	$53.05
Rate for Payer: Wellpoint Medicaid Managed Care	$47.68

TRAY PERCUTANEOUS S DIL 8.0

Facility

$1,678.75

Hospital Charge Code	270689357
Hospital Revenue Code	272
Min. Negotiated Rate	$251.81
Max. Negotiated Rate	$251.81
Rate for Payer: Qualcare PPO/HMO/WC	$251.81

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$29.19
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$390.53
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.20
Rate for Payer: Oxford Commercial	$205.54
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$205.54
Rate for Payer: UnitedHealthcare Community & State	$32.48
Rate for Payer: Wellpoint Medicaid Managed Care	$29.19

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$29.19
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$390.53
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.20
Rate for Payer: Oxford Commercial	$205.54
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$205.54
Rate for Payer: UnitedHealthcare Community & State	$32.48
Rate for Payer: Wellpoint Medicaid Managed Care	$29.19

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERI GYN

Facility

$64.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$32.30
Rate for Payer: Aetna Commercial	$24.55
Rate for Payer: Aetna Medicare Advantage	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.47
Rate for Payer: Cigna Commercial	$32.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.80
Rate for Payer: Oxford Commercial	$12.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.69
Rate for Payer: UnitedHealthcare Commercial	$12.92
Rate for Payer: UnitedHealthcare Community & State	$2.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

TRAY PERI GYN

Facility

$64.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$9.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.69

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$38.26
Max. Negotiated Rate	$38.26
Rate for Payer: Qualcare PPO/HMO/WC	$38.26

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$127.53
Rate for Payer: Aetna Commercial	$96.92
Rate for Payer: Aetna Medicare Advantage	$76.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.04
Rate for Payer: Cigna Commercial	$127.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.31
Rate for Payer: Oxford Commercial	$51.01
Rate for Payer: Qualcare PPO/HMO/WC	$38.26
Rate for Payer: UnitedHealthcare Commercial	$51.01
Rate for Payer: UnitedHealthcare Community & State	$8.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7.24

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$256.88
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.76
Rate for Payer: Oxford Commercial	$135.20
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$135.20
Rate for Payer: UnitedHealthcare Community & State	$21.36
Rate for Payer: Wellpoint Medicaid Managed Care	$19.20

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$105.85
Rate for Payer: Aetna Commercial	$80.45
Rate for Payer: Aetna Medicare Advantage	$63.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.98
Rate for Payer: Cigna Commercial	$105.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.04
Rate for Payer: Oxford Commercial	$42.34
Rate for Payer: Qualcare PPO/HMO/WC	$31.75
Rate for Payer: UnitedHealthcare Commercial	$42.34
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6.01

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$31.75
Max. Negotiated Rate	$31.75
Rate for Payer: Qualcare PPO/HMO/WC	$31.75

TRAY POWER TRIALYSIS CATH20

Facility

$1,068.95

Hospital Charge Code	270664146
Hospital Revenue Code	272
Min. Negotiated Rate	$160.34
Max. Negotiated Rate	$160.34
Rate for Payer: Qualcare PPO/HMO/WC	$160.34

TRAY POWER TRIALYSIS CATH20

Facility

$1,068.95

Hospital Charge Code	270664146
Hospital Revenue Code	272
Min. Negotiated Rate	$30.36
Max. Negotiated Rate	$534.48
Rate for Payer: Aetna Commercial	$406.20
Rate for Payer: Aetna Medicare Advantage	$320.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.58
Rate for Payer: Cigna Commercial	$534.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.93
Rate for Payer: Oxford Commercial	$213.79
Rate for Payer: Qualcare PPO/HMO/WC	$160.34
Rate for Payer: UnitedHealthcare Commercial	$213.79
Rate for Payer: UnitedHealthcare Community & State	$33.78
Rate for Payer: Wellpoint Medicaid Managed Care	$30.36

TRAY PREOPERATIVE SKIN PREP

Facility

$16.44

Hospital Charge Code	270620052
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

Know your out-of-pocket cost for care.

All Charges