Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR SLEEVE ETHICON 12MM

Facility

$71.00

Hospital Charge Code	270338722
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$2.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.02

TROCAR SLEEVE ETHICON 5MM

Facility

$85.00

Hospital Charge Code	270338720
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

TROCAR SLEEVE ETHICON 5MM

Facility

$85.00

Hospital Charge Code	270338720
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

TROCAR SOFT THORACOPORT 12MM

Facility

$102.00

Hospital Charge Code	270660798
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

TROCAR SOFT THORACOPORT 12MM

Facility

$102.00

Hospital Charge Code	270660798
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 SPACEMAKER BLUNT 12MM

Facility

$1,020.49

Hospital Charge Code	270622300
Hospital Revenue Code	272
Min. Negotiated Rate	$153.07
Max. Negotiated Rate	$153.07
Rate for Payer: Qualcare PPO/HMO/WC	$153.07

TROCAR SPACEMAKER BLUNT 12MM

Facility

$1,020.49

Hospital Charge Code	270622300
Hospital Revenue Code	272
Min. Negotiated Rate	$28.98
Max. Negotiated Rate	$510.25
Rate for Payer: Aetna Commercial	$387.79
Rate for Payer: Aetna Medicare Advantage	$306.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.22
Rate for Payer: Cigna Commercial	$510.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.33
Rate for Payer: Oxford Commercial	$204.10
Rate for Payer: Qualcare PPO/HMO/WC	$153.07
Rate for Payer: UnitedHealthcare Commercial	$204.10
Rate for Payer: UnitedHealthcare Community & State	$32.25
Rate for Payer: Wellpoint Medicaid Managed Care	$28.98

TROCAR SURGIPORT 10.5MM 179405

Facility

$392.45

Hospital Charge Code	270600097
Hospital Revenue Code	272
Min. Negotiated Rate	$58.87
Max. Negotiated Rate	$58.87
Rate for Payer: Qualcare PPO/HMO/WC	$58.87

TROCAR SURGIPORT 10.5MM 179405

Facility

$392.45

Hospital Charge Code	270600097
Hospital Revenue Code	272
Min. Negotiated Rate	$11.15
Max. Negotiated Rate	$196.22
Rate for Payer: Aetna Commercial	$149.13
Rate for Payer: Aetna Medicare Advantage	$117.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.07
Rate for Payer: Cigna Commercial	$196.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.04
Rate for Payer: Oxford Commercial	$78.49
Rate for Payer: Qualcare PPO/HMO/WC	$58.87
Rate for Payer: UnitedHealthcare Commercial	$78.49
Rate for Payer: UnitedHealthcare Community & State	$12.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.15

TROCAR SURGIPORT 10MM 171028

Facility

$71.40

Hospital Charge Code	270600072
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 SURGIPORT 10MM 171028

Facility

$71.40

Hospital Charge Code	270600072
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$10.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.71

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$41.42
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.54
Rate for Payer: Oxford Commercial	$16.57
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$16.57
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.80

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$49.33
Rate for Payer: Aetna Commercial	$37.49
Rate for Payer: Aetna Medicare Advantage	$29.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.16
Rate for Payer: Cigna Commercial	$49.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.65
Rate for Payer: Oxford Commercial	$19.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.80
Rate for Payer: UnitedHealthcare Commercial	$19.73
Rate for Payer: UnitedHealthcare Community & State	$3.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.80

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.23

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$90.75
Rate for Payer: Aetna Commercial	$68.97
Rate for Payer: Aetna Medicare Advantage	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.28
Rate for Payer: Cigna Commercial	$90.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Oxford Commercial	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$27.23
Rate for Payer: UnitedHealthcare Commercial	$36.30
Rate for Payer: UnitedHealthcare Community & State	$5.74
Rate for Payer: Wellpoint Medicaid Managed Care	$5.15

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$84.90
Rate for Payer: Aetna Commercial	$64.52
Rate for Payer: Aetna Medicare Advantage	$50.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.30
Rate for Payer: Cigna Commercial	$84.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.15
Rate for Payer: Oxford Commercial	$33.96
Rate for Payer: Qualcare PPO/HMO/WC	$25.47
Rate for Payer: UnitedHealthcare Commercial	$33.96
Rate for Payer: UnitedHealthcare Community & State	$5.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.82

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$25.47
Max. Negotiated Rate	$25.47
Rate for Payer: Qualcare PPO/HMO/WC	$25.47

TROCAR VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
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 VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
Min. Negotiated Rate	$19.10
Max. Negotiated Rate	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$19.10

TROCAR VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$21.71
Rate for Payer: Qualcare PPO/HMO/WC	$21.71

TROCAR VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$72.36
Rate for Payer: Aetna Commercial	$55.00
Rate for Payer: Aetna Medicare Advantage	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.91
Rate for Payer: Cigna Commercial	$72.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.63
Rate for Payer: Oxford Commercial	$28.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.71
Rate for Payer: UnitedHealthcare Commercial	$28.95
Rate for Payer: UnitedHealthcare Community & State	$4.57
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$50.11
Max. Negotiated Rate	$50.11
Rate for Payer: Qualcare PPO/HMO/WC	$50.11

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$167.03
Rate for Payer: Aetna Commercial	$126.94
Rate for Payer: Aetna Medicare Advantage	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.18
Rate for Payer: Cigna Commercial	$167.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.85
Rate for Payer: Oxford Commercial	$66.81
Rate for Payer: Qualcare PPO/HMO/WC	$50.11
Rate for Payer: UnitedHealthcare Commercial	$66.81
Rate for Payer: UnitedHealthcare Community & State	$10.56
Rate for Payer: Wellpoint Medicaid Managed Care	$9.49

Know your out-of-pocket cost for care.

All Charges