Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR 5MM 150MM

Facility

$450.00

Hospital Charge Code	270692070
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

TROCAR 5MM 150MM

Facility

$450.00

Hospital Charge Code	270692070
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR 5MM DILATING LTIP

Facility

$127.35

Hospital Charge Code	270654240
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$63.67
Rate for Payer: Aetna Commercial	$48.39
Rate for Payer: Aetna Medicare Advantage	$38.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.47
Rate for Payer: Cigna Commercial	$63.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.11
Rate for Payer: Oxford Commercial	$25.47
Rate for Payer: Qualcare PPO/HMO/WC	$19.10
Rate for Payer: UnitedHealthcare Commercial	$25.47
Rate for Payer: UnitedHealthcare Community & State	$4.02
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

TROCAR 5MM DILATING LTIP

Facility

$127.35

Hospital Charge Code	270654240
Hospital Revenue Code	272
Min. Negotiated Rate	$19.10
Max. Negotiated Rate	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$19.10

TROCAR 5MM X 150 MM

Facility

$450.00

Hospital Charge Code	270692394
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

TROCAR 5MM X 150 MM

Facility

$450.00

Hospital Charge Code	270692394
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR 5 X 100 KIL FIOS Z-THD

Facility

$130.00

Hospital Charge Code	270662867
Hospital Revenue Code	270
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

TROCAR 5 X 100 KIL FIOS Z-THD

Facility

$130.00

Hospital Charge Code	270662867
Hospital Revenue Code	270
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$4.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$102.24
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.00
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$720.00
Rate for Payer: UnitedHealthcare Community & State	$113.76
Rate for Payer: Wellpoint Medicaid Managed Care	$102.24

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

TROCAR BALLOON KIT 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
Hospital Revenue Code	272
Min. Negotiated Rate	$14.20
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.20

TROCAR BALLOON KIT 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$7.79
Max. Negotiated Rate	$137.10
Rate for Payer: Aetna Commercial	$104.20
Rate for Payer: Aetna Medicare Advantage	$82.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.92
Rate for Payer: Cigna Commercial	$137.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.29
Rate for Payer: Oxford Commercial	$54.84
Rate for Payer: Qualcare PPO/HMO/WC	$41.13
Rate for Payer: UnitedHealthcare Commercial	$54.84
Rate for Payer: UnitedHealthcare Community & State	$8.66
Rate for Payer: Wellpoint Medicaid Managed Care	$7.79

TROCAR BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$41.13
Max. Negotiated Rate	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$41.13

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$10.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.71

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$35.70
Rate for Payer: Aetna Commercial	$27.13
Rate for Payer: Aetna Medicare Advantage	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.21
Rate for Payer: Cigna Commercial	$35.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.56
Rate for Payer: Oxford Commercial	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.71
Rate for Payer: UnitedHealthcare Commercial	$14.28
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$44.57
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.50
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.46
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$3.33

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$58.90
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.30
Rate for Payer: Oxford Commercial	$31.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.25
Rate for Payer: UnitedHealthcare Commercial	$31.00
Rate for Payer: UnitedHealthcare Community & State	$4.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.40

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
Hospital Revenue Code	272
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$44.57
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.50
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.46
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$3.33

Know your out-of-pocket cost for care.

All Charges