Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TROCHANTERIC REATTACH DEV STD

Facility

$8,253.40

Service Code	HCPCS C1713
Hospital Charge Code	270674358
Hospital Revenue Code	278
Min. Negotiated Rate	$234.40
Max. Negotiated Rate	$4,126.70
Rate for Payer: Aetna Commercial	$3,136.29
Rate for Payer: Aetna Medicare Advantage	$2,476.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,104.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,650.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,104.62
Rate for Payer: Cigna Commercial	$4,126.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,997.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,238.01
Rate for Payer: UnitedHealthcare Community & State	$260.81
Rate for Payer: Wellpoint Medicaid Managed Care	$234.40

TROCH FIT NAIL

Facility

$5,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270656702
Hospital Revenue Code	278
Min. Negotiated Rate	$158.30
Max. Negotiated Rate	$2,787.00
Rate for Payer: Aetna Commercial	$2,118.12
Rate for Payer: Aetna Medicare Advantage	$1,672.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,421.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,421.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,114.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,421.37
Rate for Payer: Cigna Commercial	$2,787.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.91
Rate for Payer: Qualcare PPO/HMO/WC	$836.10
Rate for Payer: UnitedHealthcare Community & State	$176.14
Rate for Payer: Wellpoint Medicaid Managed Care	$158.30

TROCH FIT NAIL

Facility

$5,574.00

Service Code	HCPCS C1713
Hospital Charge Code	270656702
Hospital Revenue Code	278
Min. Negotiated Rate	$836.10
Max. Negotiated Rate	$1,348.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,114.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.91
Rate for Payer: Qualcare PPO/HMO/WC	$836.10

TROCH GRIP PLATE 100MM

Facility

$8,019.00

Service Code	HCPCS C1713
Hospital Charge Code	270669263
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.85
Max. Negotiated Rate	$1,940.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.85

TROCH GRIP PLATE 100MM

Facility

$8,019.00

Service Code	HCPCS C1713
Hospital Charge Code	270669263
Hospital Revenue Code	278
Min. Negotiated Rate	$227.74
Max. Negotiated Rate	$4,009.50
Rate for Payer: Aetna Commercial	$3,047.22
Rate for Payer: Aetna Medicare Advantage	$2,405.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,044.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,044.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,044.85
Rate for Payer: Cigna Commercial	$4,009.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.85
Rate for Payer: UnitedHealthcare Community & State	$253.40
Rate for Payer: Wellpoint Medicaid Managed Care	$227.74

TROCH GRIP PLATE 150MM

Facility

$10,525.50

Hospital Charge Code	270669264
Hospital Revenue Code	278
Min. Negotiated Rate	$298.92
Max. Negotiated Rate	$5,262.75
Rate for Payer: Aetna Commercial	$3,999.69
Rate for Payer: Aetna Medicare Advantage	$3,157.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,684.00
Rate for Payer: Cigna Commercial	$5,262.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.83
Rate for Payer: UnitedHealthcare Community & State	$332.61
Rate for Payer: Wellpoint Medicaid Managed Care	$298.92

TROCH GRIP PLATE 150MM

Facility

$10,525.50

Hospital Charge Code	270669264
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.83
Max. Negotiated Rate	$2,547.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.17
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.83

TROCH GRIP SM W/2, 2MM CABLETR

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270669261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$2,424.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TROCH GRIP SM W/2, 2MM CABLETR

Facility

$10,020.00

Service Code	HCPCS C1713
Hospital Charge Code	270669261
Hospital Revenue Code	278
Min. Negotiated Rate	$284.57
Max. Negotiated Rate	$5,010.00
Rate for Payer: Aetna Commercial	$3,807.60
Rate for Payer: Aetna Medicare Advantage	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,555.10
Rate for Payer: Cigna Commercial	$5,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00
Rate for Payer: UnitedHealthcare Community & State	$316.63
Rate for Payer: Wellpoint Medicaid Managed Care	$284.57

TRONOLANE 1% CREAM

Facility

$4.00

Service Code	NDC 11868081401
Hospital Charge Code	60635736
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TRONOLANE 1% CREAM

Facility

$4.00

Service Code	NDC 11868081401
Hospital Charge Code	60635736
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TROPCAMIDE 0.5%

Facility

$67.00

Service Code	NDC 17478010112
Hospital Charge Code	606390229
Hospital Revenue Code	250
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.42
Rate for Payer: Oxford Commercial	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$13.40
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.90

TROPCAMIDE 0.5%

Facility

$67.00

Service Code	NDC 17478010112
Hospital Charge Code	606390229
Hospital Revenue Code	250
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

TROPICAMIDE OPH SOL 1% 3ML

Facility

$168.04

Service Code	NDC 17478010212
Hospital Charge Code	60628068
Hospital Revenue Code	250
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$84.02
Rate for Payer: Aetna Commercial	$63.86
Rate for Payer: Aetna Medicare Advantage	$50.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.85
Rate for Payer: Cigna Commercial	$84.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.69
Rate for Payer: Oxford Commercial	$33.61
Rate for Payer: Qualcare PPO/HMO/WC	$25.21
Rate for Payer: UnitedHealthcare Commercial	$33.61
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

TROPICAMIDE OPH SOL 1% 3ML

Facility

$168.04

Service Code	NDC 17478010212
Hospital Charge Code	60628068
Hospital Revenue Code	250
Min. Negotiated Rate	$25.21
Max. Negotiated Rate	$25.21
Rate for Payer: Qualcare PPO/HMO/WC	$25.21

TROPIRAMATE

Facility

$84.00

Service Code	HCPCS 80201
Hospital Charge Code	38478082
Hospital Revenue Code	301
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

TROPIRAMATE

Facility

$84.00

Service Code	HCPCS 80201
Hospital Charge Code	38478082
Hospital Revenue Code	301
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$32.42
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.24
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: Cigna Medicare Advantage	$11.92
Rate for Payer: Clover Medicare Advantage	$11.32
Rate for Payer: EmblemHealth Commercial	$35.76
Rate for Payer: Humana Medicare Advantage	$12.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.92
Rate for Payer: Wellcare Medicare Advantage	$11.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.39

TROPONIN

Facility

$389.20

Service Code	HCPCS 84484
Hospital Charge Code	38474118
Hospital Revenue Code	301
Min. Negotiated Rate	$58.38
Max. Negotiated Rate	$58.38
Rate for Payer: Qualcare PPO/HMO/WC	$58.38

TROPONIN

Facility

$389.20

Service Code	HCPCS 84484
Hospital Charge Code	38474118
Hospital Revenue Code	301
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$194.60
Rate for Payer: Aetna Commercial	$33.92
Rate for Payer: Aetna Medicare Advantage	$40.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.23
Rate for Payer: Cigna Commercial	$194.60
Rate for Payer: Cigna Medicare Advantage	$12.47
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.19
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.38
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Medicare Advantage	$12.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11.05

TROPONIN (QUANT)

Facility

$650.82

Service Code	HCPCS 84484
Hospital Charge Code	3009820
Hospital Revenue Code	301
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$325.41
Rate for Payer: Aetna Commercial	$33.92
Rate for Payer: Aetna Medicare Advantage	$40.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.23
Rate for Payer: Cigna Commercial	$325.41
Rate for Payer: Cigna Medicare Advantage	$12.47
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.21
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.62
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Medicare Advantage	$12.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18.48

TROPONIN (QUANT)

Facility

$650.82

Service Code	HCPCS 84484
Hospital Charge Code	3009820
Hospital Revenue Code	301
Min. Negotiated Rate	$97.62
Max. Negotiated Rate	$97.62
Rate for Payer: Qualcare PPO/HMO/WC	$97.62

TROPONIN, QUANTITATIVE

Facility

$667.59

Service Code	HCPCS 84484
Hospital Charge Code	3032491
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

TROPONIN, QUANTITATIVE

Facility

$667.59

Service Code	HCPCS 84484
Hospital Charge Code	3032491
Hospital Revenue Code	301
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$33.92
Rate for Payer: Aetna Medicare Advantage	$40.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.23
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$12.47
Rate for Payer: Clover Medicare Advantage	$11.85
Rate for Payer: EmblemHealth Commercial	$37.41
Rate for Payer: Humana Medicare Advantage	$12.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.47
Rate for Payer: Wellcare Medicare Advantage	$12.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

TRPLC 133 T1 PPS SO 12 X 144 M

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680809
Hospital Revenue Code	278
Min. Negotiated Rate	$298.20
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$331.80
Rate for Payer: Wellpoint Medicaid Managed Care	$298.20

TRPLC 133 T1 PPS SO 12 X 144 M

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270680809
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

Know your out-of-pocket cost for care.

All Charges