Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRITOME TRIPLE EDGE

Facility

$2,725.00

Hospital Charge Code	270697199
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$1,362.50
Rate for Payer: Aetna Commercial	$1,035.50
Rate for Payer: Aetna Medicare Advantage	$817.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.88
Rate for Payer: Cigna Commercial	$1,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.50
Rate for Payer: Oxford Commercial	$545.00
Rate for Payer: Qualcare PPO/HMO/WC	$408.75
Rate for Payer: UnitedHealthcare Commercial	$545.00
Rate for Payer: UnitedHealthcare Community & State	$86.11
Rate for Payer: Wellpoint Medicaid Managed Care	$77.39

TRITOME TRIPLE EDGE

Facility

$2,725.00

Hospital Charge Code	270697199
Hospital Revenue Code	272
Min. Negotiated Rate	$408.75
Max. Negotiated Rate	$408.75
Rate for Payer: Qualcare PPO/HMO/WC	$408.75

TRIVEX 100SV RESECTOR KIT

Facility

$613.00

Hospital Charge Code	270339009
Hospital Revenue Code	272
Min. Negotiated Rate	$91.95
Max. Negotiated Rate	$91.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.95

TRIVEX 100SV RESECTOR KIT

Facility

$613.00

Hospital Charge Code	270339009
Hospital Revenue Code	272
Min. Negotiated Rate	$17.41
Max. Negotiated Rate	$306.50
Rate for Payer: Aetna Commercial	$232.94
Rate for Payer: Aetna Medicare Advantage	$183.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.31
Rate for Payer: Cigna Commercial	$306.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.38
Rate for Payer: Oxford Commercial	$122.60
Rate for Payer: Qualcare PPO/HMO/WC	$91.95
Rate for Payer: UnitedHealthcare Commercial	$122.60
Rate for Payer: UnitedHealthcare Community & State	$19.37
Rate for Payer: Wellpoint Medicaid Managed Care	$17.41

TRIVEX INFLOW TUBE SET

Facility

$178.00

Hospital Charge Code	270339010
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$89.00
Rate for Payer: Aetna Commercial	$67.64
Rate for Payer: Aetna Medicare Advantage	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.39
Rate for Payer: Cigna Commercial	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.28
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$26.70
Rate for Payer: UnitedHealthcare Commercial	$35.60
Rate for Payer: UnitedHealthcare Community & State	$5.62
Rate for Payer: Wellpoint Medicaid Managed Care	$5.06

TRIVEX INFLOW TUBE SET

Facility

$178.00

Hospital Charge Code	270339010
Hospital Revenue Code	272
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$26.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.70

TRIX3 TIB BER INRT PS SZ5 13MM

Facility

$4,985.30

Service Code	HCPCS C1776
Hospital Charge Code	270697569
Hospital Revenue Code	278
Min. Negotiated Rate	$747.79
Max. Negotiated Rate	$1,206.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.44
Rate for Payer: Qualcare PPO/HMO/WC	$747.79

TRIX3 TIB BER INRT PS SZ5 13MM

Facility

$4,985.30

Service Code	HCPCS C1776
Hospital Charge Code	270697569
Hospital Revenue Code	278
Min. Negotiated Rate	$141.58
Max. Negotiated Rate	$2,492.65
Rate for Payer: Aetna Commercial	$1,894.41
Rate for Payer: Aetna Medicare Advantage	$1,495.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,271.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$997.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,271.25
Rate for Payer: Cigna Commercial	$2,492.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,206.44
Rate for Payer: Qualcare PPO/HMO/WC	$747.79
Rate for Payer: UnitedHealthcare Community & State	$157.54
Rate for Payer: Wellpoint Medicaid Managed Care	$141.58

TRIX3 TIB BER INST SZ 1 CS 9MM

Facility

$5,082.20

Service Code	HCPCS C1776
Hospital Charge Code	270697571
Hospital Revenue Code	278
Min. Negotiated Rate	$144.33
Max. Negotiated Rate	$2,541.10
Rate for Payer: Aetna Commercial	$1,931.24
Rate for Payer: Aetna Medicare Advantage	$1,524.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,295.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,295.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,295.96
Rate for Payer: Cigna Commercial	$2,541.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.89
Rate for Payer: Qualcare PPO/HMO/WC	$762.33
Rate for Payer: UnitedHealthcare Community & State	$160.60
Rate for Payer: Wellpoint Medicaid Managed Care	$144.33

TRIX3 TIB BER INST SZ 1 CS 9MM

Facility

$5,082.20

Service Code	HCPCS C1776
Hospital Charge Code	270697571
Hospital Revenue Code	278
Min. Negotiated Rate	$762.33
Max. Negotiated Rate	$1,229.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.89
Rate for Payer: Qualcare PPO/HMO/WC	$762.33

TRIZIVIR 150/300MG

Facility

$215.67

Service Code	NDC 49702021718
Hospital Charge Code	60635560
Hospital Revenue Code	250
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$107.83
Rate for Payer: Aetna Commercial	$81.95
Rate for Payer: Aetna Medicare Advantage	$64.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.00
Rate for Payer: Cigna Commercial	$107.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.07
Rate for Payer: Oxford Commercial	$43.13
Rate for Payer: Qualcare PPO/HMO/WC	$32.35
Rate for Payer: UnitedHealthcare Commercial	$43.13
Rate for Payer: UnitedHealthcare Community & State	$6.82
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

TRIZIVIR 150/300MG

Facility

$215.67

Service Code	NDC 49702021718
Hospital Charge Code	60635560
Hospital Revenue Code	250
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$32.35
Rate for Payer: Qualcare PPO/HMO/WC	$32.35

TRMT STERNOCLAV DISL W/MANIP

Facility

$2,251.00

Service Code	HCPCS 23525
Hospital Charge Code	5780030
Hospital Revenue Code	450
Min. Negotiated Rate	$63.93
Max. Negotiated Rate	$1,063.04
Rate for Payer: Aetna Commercial	$797.10
Rate for Payer: Aetna Medicare Advantage	$949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$293.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,063.04
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: Cigna Medicare Advantage	$293.05
Rate for Payer: Clover Medicare Advantage	$278.40
Rate for Payer: EmblemHealth Commercial	$879.15
Rate for Payer: Humana Medicare Advantage	$301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.26
Rate for Payer: Qualcare PPO/HMO/WC	$337.65
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$293.05
Rate for Payer: Wellcare Medicare Advantage	$293.05
Rate for Payer: Wellpoint Medicaid Managed Care	$63.93

TRMT STERNOCLAV DISL W/MANIP

Facility

$2,251.00

Service Code	HCPCS 23525
Hospital Charge Code	5780030
Hospital Revenue Code	450
Min. Negotiated Rate	$337.65
Max. Negotiated Rate	$337.65
Rate for Payer: Qualcare PPO/HMO/WC	$337.65

TROCAR 10/12MM LNG ML1012LD

Facility

$466.67

Hospital Charge Code	270600264
Hospital Revenue Code	272
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.00

TROCAR 10/12MM LNG ML1012LD

Facility

$466.67

Hospital Charge Code	270600264
Hospital Revenue Code	272
Min. Negotiated Rate	$13.25
Max. Negotiated Rate	$233.34
Rate for Payer: Aetna Commercial	$177.33
Rate for Payer: Aetna Medicare Advantage	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.00
Rate for Payer: Cigna Commercial	$233.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.33
Rate for Payer: Oxford Commercial	$93.33
Rate for Payer: Qualcare PPO/HMO/WC	$70.00
Rate for Payer: UnitedHealthcare Commercial	$93.33
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

TROCAR 10/12MM LNG PURP 512XD

Facility

$250.15

Hospital Charge Code	270608756
Hospital Revenue Code	272
Min. Negotiated Rate	$37.52
Max. Negotiated Rate	$37.52
Rate for Payer: Qualcare PPO/HMO/WC	$37.52

TROCAR 10/12MM LNG PURP 512XD

Facility

$250.15

Hospital Charge Code	270608756
Hospital Revenue Code	272
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$125.08
Rate for Payer: Aetna Commercial	$95.06
Rate for Payer: Aetna Medicare Advantage	$75.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.79
Rate for Payer: Cigna Commercial	$125.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.04
Rate for Payer: Oxford Commercial	$50.03
Rate for Payer: Qualcare PPO/HMO/WC	$37.52
Rate for Payer: UnitedHealthcare Commercial	$50.03
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

TROCAR 10/12MM PURP 512SD

Facility

$215.07

Hospital Charge Code	270608755
Hospital Revenue Code	272
Min. Negotiated Rate	$32.26
Max. Negotiated Rate	$32.26
Rate for Payer: Qualcare PPO/HMO/WC	$32.26

TROCAR 10/12MM PURP 512SD

Facility

$215.07

Hospital Charge Code	270608755
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.53
Rate for Payer: Aetna Commercial	$81.73
Rate for Payer: Aetna Medicare Advantage	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.84
Rate for Payer: Cigna Commercial	$107.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.92
Rate for Payer: Oxford Commercial	$43.01
Rate for Payer: Qualcare PPO/HMO/WC	$32.26
Rate for Payer: UnitedHealthcare Commercial	$43.01
Rate for Payer: UnitedHealthcare Community & State	$6.80
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

TROCAR 10MM

Facility

$146.00

Hospital Charge Code	270338715
Hospital Revenue Code	272
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

TROCAR 10MM

Facility

$146.00

Hospital Charge Code	270338715
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$73.00
Rate for Payer: Aetna Commercial	$55.48
Rate for Payer: Aetna Medicare Advantage	$43.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.23
Rate for Payer: Cigna Commercial	$73.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$29.20
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$29.20
Rate for Payer: UnitedHealthcare Community & State	$4.61
Rate for Payer: Wellpoint Medicaid Managed Care	$4.15

TROCAR 10MM BLUNT TIP SGL

Facility

$967.07

Hospital Charge Code	270622305
Hospital Revenue Code	272
Min. Negotiated Rate	$145.06
Max. Negotiated Rate	$145.06
Rate for Payer: Qualcare PPO/HMO/WC	$145.06

TROCAR 10MM BLUNT TIP SGL

Facility

$967.07

Hospital Charge Code	270622305
Hospital Revenue Code	272
Min. Negotiated Rate	$27.46
Max. Negotiated Rate	$483.54
Rate for Payer: Aetna Commercial	$367.49
Rate for Payer: Aetna Medicare Advantage	$290.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.60
Rate for Payer: Cigna Commercial	$483.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.44
Rate for Payer: Oxford Commercial	$193.41
Rate for Payer: Qualcare PPO/HMO/WC	$145.06
Rate for Payer: UnitedHealthcare Commercial	$193.41
Rate for Payer: UnitedHealthcare Community & State	$30.56
Rate for Payer: Wellpoint Medicaid Managed Care	$27.46

TROCAR 12MM

Facility

$121.00

Hospital Charge Code	270338712
Hospital Revenue Code	272
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

Know your out-of-pocket cost for care.

All Charges