Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
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 STD

Facility

$117.30

Hospital Charge Code	270656293
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 STD

Facility

$117.30

Hospital Charge Code	270656293
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 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$192.78
Max. Negotiated Rate	$192.78
Rate for Payer: Qualcare PPO/HMO/WC	$192.78

TROCAR BLADELESS 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$36.50
Max. Negotiated Rate	$642.60
Rate for Payer: Aetna Commercial	$488.38
Rate for Payer: Aetna Medicare Advantage	$385.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.73
Rate for Payer: Cigna Commercial	$642.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.15
Rate for Payer: Oxford Commercial	$257.04
Rate for Payer: Qualcare PPO/HMO/WC	$192.78
Rate for Payer: UnitedHealthcare Commercial	$257.04
Rate for Payer: UnitedHealthcare Community & State	$40.61
Rate for Payer: Wellpoint Medicaid Managed Care	$36.50

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$32.13
Max. Negotiated Rate	$32.13
Rate for Payer: Qualcare PPO/HMO/WC	$32.13

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$6.08
Max. Negotiated Rate	$107.10
Rate for Payer: Aetna Commercial	$81.40
Rate for Payer: Aetna Medicare Advantage	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.62
Rate for Payer: Cigna Commercial	$107.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.69
Rate for Payer: Oxford Commercial	$42.84
Rate for Payer: Qualcare PPO/HMO/WC	$32.13
Rate for Payer: UnitedHealthcare Commercial	$42.84
Rate for Payer: UnitedHealthcare Community & State	$6.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.08

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$36.82
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.19
Rate for Payer: Oxford Commercial	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$19.38
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLADELESS 8MM ST W/FIX

Facility

$117.30

Hospital Charge Code	270669569
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 8MM ST W/FIX

Facility

$117.30

Hospital Charge Code	270669569
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 8x100MM STABI

Facility

$115.00

Hospital Charge Code	270671542
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

TROCAR BLADELESS 8x100MM STABI

Facility

$115.00

Hospital Charge Code	270671542
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLADELESS OPT 12MM STD

Facility

$142.80

Hospital Charge Code	270662395
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$71.40
Rate for Payer: Aetna Commercial	$54.26
Rate for Payer: Aetna Medicare Advantage	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.41
Rate for Payer: Cigna Commercial	$71.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.13
Rate for Payer: Oxford Commercial	$28.56
Rate for Payer: Qualcare PPO/HMO/WC	$21.42
Rate for Payer: UnitedHealthcare Commercial	$28.56
Rate for Payer: UnitedHealthcare Community & State	$4.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4.06

TROCAR BLADELESS OPT 12MM STD

Facility

$142.80

Hospital Charge Code	270662395
Hospital Revenue Code	272
Min. Negotiated Rate	$21.42
Max. Negotiated Rate	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$21.42

TROCAR BLADELESS OPT 5MM LNG

Facility

$102.00

Hospital Charge Code	270669700
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR BLADELESS OPT 5MM LNG

Facility

$102.00

Hospital Charge Code	270669700
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.00
Rate for Payer: Aetna Commercial	$38.76
Rate for Payer: Aetna Medicare Advantage	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.01
Rate for Payer: Cigna Commercial	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$20.40
Rate for Payer: Qualcare PPO/HMO/WC	$15.30
Rate for Payer: UnitedHealthcare Commercial	$20.40
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

TROCAR BLADELESS OPTI 5MM STD

Facility

$102.00

Hospital Charge Code	270655181
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.00
Rate for Payer: Aetna Commercial	$38.76
Rate for Payer: Aetna Medicare Advantage	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.01
Rate for Payer: Cigna Commercial	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.52
Rate for Payer: Oxford Commercial	$20.40
Rate for Payer: Qualcare PPO/HMO/WC	$15.30
Rate for Payer: UnitedHealthcare Commercial	$20.40
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

TROCAR BLADELESS OPTI 5MM STD

Facility

$102.00

Hospital Charge Code	270655181
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR BLADELESS OPTICAL 12MM

Facility

$71.40

Hospital Charge Code	270669733
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 OPTICAL 12MM

Facility

$71.40

Hospital Charge Code	270669733
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 VP 5MM W/FIX

Facility

$96.90

Hospital Charge Code	270675178
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$36.82
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.19
Rate for Payer: Oxford Commercial	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$19.38
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

TROCAR BLADELESS VP 5MM W/FIX

Facility

$96.90

Hospital Charge Code	270675178
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

Know your out-of-pocket cost for care.

All Charges