Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$52.60
Max. Negotiated Rate	$52.60
Rate for Payer: Qualcare PPO/HMO/WC	$52.60

TROCAR DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$9.96
Max. Negotiated Rate	$175.32
Rate for Payer: Aetna Commercial	$133.24
Rate for Payer: Aetna Medicare Advantage	$105.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.41
Rate for Payer: Cigna Commercial	$175.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.17
Rate for Payer: Oxford Commercial	$70.13
Rate for Payer: Qualcare PPO/HMO/WC	$52.60
Rate for Payer: UnitedHealthcare Commercial	$70.13
Rate for Payer: UnitedHealthcare Community & State	$11.08
Rate for Payer: Wellpoint Medicaid Managed Care	$9.96

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$142.33
Rate for Payer: Aetna Commercial	$108.17
Rate for Payer: Aetna Medicare Advantage	$85.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.59
Rate for Payer: Cigna Commercial	$142.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.01
Rate for Payer: Oxford Commercial	$56.93
Rate for Payer: Qualcare PPO/HMO/WC	$42.70
Rate for Payer: UnitedHealthcare Commercial	$56.93
Rate for Payer: UnitedHealthcare Community & State	$9.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$42.70
Rate for Payer: Qualcare PPO/HMO/WC	$42.70

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
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 ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$11.77
Max. Negotiated Rate	$207.15
Rate for Payer: Aetna Commercial	$157.43
Rate for Payer: Aetna Medicare Advantage	$124.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.65
Rate for Payer: Cigna Commercial	$207.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.72
Rate for Payer: Oxford Commercial	$82.86
Rate for Payer: Qualcare PPO/HMO/WC	$62.15
Rate for Payer: UnitedHealthcare Commercial	$82.86
Rate for Payer: UnitedHealthcare Community & State	$13.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

TROCAR ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$62.15
Max. Negotiated Rate	$62.15
Rate for Payer: Qualcare PPO/HMO/WC	$62.15

TROCAR ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
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 ENDOPATH BLADELESS 15M

Facility

$782.00

Hospital Charge Code	270669197
Hospital Revenue Code	272
Min. Negotiated Rate	$22.21
Max. Negotiated Rate	$391.00
Rate for Payer: Aetna Commercial	$297.16
Rate for Payer: Aetna Medicare Advantage	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.41
Rate for Payer: Cigna Commercial	$391.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.32
Rate for Payer: Oxford Commercial	$156.40
Rate for Payer: Qualcare PPO/HMO/WC	$117.30
Rate for Payer: UnitedHealthcare Commercial	$156.40
Rate for Payer: UnitedHealthcare Community & State	$24.71
Rate for Payer: Wellpoint Medicaid Managed Care	$22.21

TROCAR ENDOPATH BLADELESS 15M

Facility

$782.00

Hospital Charge Code	270669197
Hospital Revenue Code	272
Min. Negotiated Rate	$117.30
Max. Negotiated Rate	$117.30
Rate for Payer: Qualcare PPO/HMO/WC	$117.30

TROCAR ENDOPATH XCEL BLADELESS

Facility

$212.50

Hospital Charge Code	270664578
Hospital Revenue Code	270
Min. Negotiated Rate	$31.88
Max. Negotiated Rate	$31.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.88

TROCAR ENDOPATH XCEL BLADELESS

Facility

$212.50

Hospital Charge Code	270664578
Hospital Revenue Code	270
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$106.25
Rate for Payer: Aetna Commercial	$80.75
Rate for Payer: Aetna Medicare Advantage	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.19
Rate for Payer: Cigna Commercial	$106.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.25
Rate for Payer: Oxford Commercial	$42.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.88
Rate for Payer: UnitedHealthcare Commercial	$42.50
Rate for Payer: UnitedHealthcare Community & State	$6.71
Rate for Payer: Wellpoint Medicaid Managed Care	$6.04

TROCAR FALLAR STYLET

Facility

$350.00

Hospital Charge Code	270674110
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

TROCAR FALLAR STYLET

Facility

$350.00

Hospital Charge Code	270674110
Hospital Revenue Code	272
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

TROCAR FIXA FIOS 1ST ENT CFF03

Facility

$151.25

Hospital Charge Code	270642073
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$75.62
Rate for Payer: Aetna Commercial	$57.48
Rate for Payer: Aetna Medicare Advantage	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.57
Rate for Payer: Cigna Commercial	$75.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.33
Rate for Payer: Oxford Commercial	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.69
Rate for Payer: UnitedHealthcare Commercial	$30.25
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.30

TROCAR FIXA FIOS 1ST ENT CFF03

Facility

$151.25

Hospital Charge Code	270642073
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$22.69
Rate for Payer: Qualcare PPO/HMO/WC	$22.69

TROCAR FLEXIPATH FLEXIBLE SURG

Facility

$165.70

Hospital Charge Code	270671545
Hospital Revenue Code	272
Min. Negotiated Rate	$24.86
Max. Negotiated Rate	$24.86
Rate for Payer: Qualcare PPO/HMO/WC	$24.86

TROCAR FLEXIPATH FLEXIBLE SURG

Facility

$165.70

Hospital Charge Code	270671545
Hospital Revenue Code	272
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$82.85
Rate for Payer: Aetna Commercial	$62.97
Rate for Payer: Aetna Medicare Advantage	$49.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.25
Rate for Payer: Cigna Commercial	$82.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.08
Rate for Payer: Oxford Commercial	$33.14
Rate for Payer: Qualcare PPO/HMO/WC	$24.86
Rate for Payer: UnitedHealthcare Commercial	$33.14
Rate for Payer: UnitedHealthcare Community & State	$5.24
Rate for Payer: Wellpoint Medicaid Managed Care	$4.71

TROCAR KII FIOS 5X100MM

Facility

$500.00

Hospital Charge Code	270664523
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR KII FIOS 5X100MM

Facility

$500.00

Hospital Charge Code	270664523
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 KII ZTHR 5X100 MM

Facility

$450.00

Hospital Charge Code	270692160
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 KII ZTHR 5X100 MM

Facility

$450.00

Hospital Charge Code	270692160
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

Know your out-of-pocket cost for care.

All Charges