Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BLDLESS 5mmX100mmm W/

Facility

$115.00

Hospital Charge Code	270635614
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLDLESS 5mmX100mmm W/

Facility

$115.00

Hospital Charge Code	270635614
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 BLESS 12 W/HANDL B12LTH

Facility

$115.00

Hospital Charge Code	270641081
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 BLESS 12 W/HANDL B12LTH

Facility

$115.00

Hospital Charge Code	270641081
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLUNT 12MM STD THD

Facility

$707.63

Hospital Charge Code	270675262
Hospital Revenue Code	272
Min. Negotiated Rate	$20.10
Max. Negotiated Rate	$353.81
Rate for Payer: Aetna Commercial	$268.90
Rate for Payer: Aetna Medicare Advantage	$212.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.45
Rate for Payer: Cigna Commercial	$353.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.98
Rate for Payer: Oxford Commercial	$141.53
Rate for Payer: Qualcare PPO/HMO/WC	$106.14
Rate for Payer: UnitedHealthcare Commercial	$141.53
Rate for Payer: UnitedHealthcare Community & State	$22.36
Rate for Payer: Wellpoint Medicaid Managed Care	$20.10

TROCAR BLUNT 12MM STD THD

Facility

$707.63

Hospital Charge Code	270675262
Hospital Revenue Code	272
Min. Negotiated Rate	$106.14
Max. Negotiated Rate	$106.14
Rate for Payer: Qualcare PPO/HMO/WC	$106.14

TROCAR BLUNT 5/12MM 512B

Facility

$150.50

Hospital Charge Code	270608757
Hospital Revenue Code	272
Min. Negotiated Rate	$22.57
Max. Negotiated Rate	$22.57
Rate for Payer: Qualcare PPO/HMO/WC	$22.57

TROCAR BLUNT 5/12MM 512B

Facility

$150.50

Hospital Charge Code	270608757
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$75.25
Rate for Payer: Aetna Commercial	$57.19
Rate for Payer: Aetna Medicare Advantage	$45.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.38
Rate for Payer: Cigna Commercial	$75.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.13
Rate for Payer: Oxford Commercial	$30.10
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$30.10
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.27

TROCAR BLUNTPORT 12MM

Facility

$268.37

Hospital Charge Code	270656290
Hospital Revenue Code	271
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$40.26
Rate for Payer: Qualcare PPO/HMO/WC	$40.26

TROCAR BLUNTPORT 12MM

Facility

$268.37

Hospital Charge Code	270656290
Hospital Revenue Code	271
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$134.19
Rate for Payer: Aetna Commercial	$101.98
Rate for Payer: Aetna Medicare Advantage	$80.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.43
Rate for Payer: Cigna Commercial	$134.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.78
Rate for Payer: Oxford Commercial	$53.67
Rate for Payer: Qualcare PPO/HMO/WC	$40.26
Rate for Payer: UnitedHealthcare Commercial	$53.67
Rate for Payer: UnitedHealthcare Community & State	$8.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7.62

TROCAR BLUNT TIP 10/12 AND

Facility

$125.00

Hospital Charge Code	270642082
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 BLUNT TIP 10/12 AND

Facility

$125.00

Hospital Charge Code	270642082
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$119.58
Rate for Payer: Aetna Commercial	$90.88
Rate for Payer: Aetna Medicare Advantage	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.98
Rate for Payer: Cigna Commercial	$119.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.18
Rate for Payer: Oxford Commercial	$47.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.87
Rate for Payer: UnitedHealthcare Commercial	$47.83
Rate for Payer: UnitedHealthcare Community & State	$7.56
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

TROCAR BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$35.87
Max. Negotiated Rate	$35.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.87

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.20
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$14.00
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

TROCAR DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
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 DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
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 DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$23.14
Max. Negotiated Rate	$23.14
Rate for Payer: Qualcare PPO/HMO/WC	$23.14

TROCAR DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$77.15
Rate for Payer: Aetna Commercial	$58.63
Rate for Payer: Aetna Medicare Advantage	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$77.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.12
Rate for Payer: Oxford Commercial	$30.86
Rate for Payer: Qualcare PPO/HMO/WC	$23.14
Rate for Payer: UnitedHealthcare Commercial	$30.86
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.38

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$23.76
Max. Negotiated Rate	$23.76
Rate for Payer: Qualcare PPO/HMO/WC	$23.76

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$79.20
Rate for Payer: Aetna Commercial	$60.19
Rate for Payer: Aetna Medicare Advantage	$47.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.39
Rate for Payer: Cigna Commercial	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.18
Rate for Payer: Oxford Commercial	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$23.76
Rate for Payer: UnitedHealthcare Commercial	$31.68
Rate for Payer: UnitedHealthcare Community & State	$5.01
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

TROCAR DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
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

Know your out-of-pocket cost for care.

All Charges