Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TRU CORE II 20GX16CM BIOPSY

Facility

$186.15

Hospital Charge Code	270659397
Hospital Revenue Code	272
Min. Negotiated Rate	$5.29
Max. Negotiated Rate	$93.08
Rate for Payer: Aetna Commercial	$70.74
Rate for Payer: Aetna Medicare Advantage	$55.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.47
Rate for Payer: Cigna Commercial	$93.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: Oxford Commercial	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.92
Rate for Payer: UnitedHealthcare Commercial	$37.23
Rate for Payer: UnitedHealthcare Community & State	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.29

TRU CORE II 20GX16CM BIOPSY

Facility

$186.15

Hospital Charge Code	270659397
Hospital Revenue Code	272
Min. Negotiated Rate	$27.92
Max. Negotiated Rate	$27.92
Rate for Payer: Qualcare PPO/HMO/WC	$27.92

TRU-CORE II BX NEEDLE 16G 16cm

Facility

$215.00

Hospital Charge Code	270643163
Hospital Revenue Code	272
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$6.79
Rate for Payer: Wellpoint Medicaid Managed Care	$6.11

TRU-CORE II BX NEEDLE 16G 16cm

Facility

$215.00

Hospital Charge Code	270643163
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

TRUETOME 44 WIRE 20MM 4.4/1.47

Facility

$813.75

Hospital Charge Code	270660082
Hospital Revenue Code	272
Min. Negotiated Rate	$23.11
Max. Negotiated Rate	$406.88
Rate for Payer: Aetna Commercial	$309.23
Rate for Payer: Aetna Medicare Advantage	$244.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.51
Rate for Payer: Cigna Commercial	$406.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.57
Rate for Payer: Oxford Commercial	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$122.06
Rate for Payer: UnitedHealthcare Commercial	$162.75
Rate for Payer: UnitedHealthcare Community & State	$25.71
Rate for Payer: Wellpoint Medicaid Managed Care	$23.11

TRUETOME 44 WIRE 20MM 4.4/1.47

Facility

$813.75

Hospital Charge Code	270660082
Hospital Revenue Code	272
Min. Negotiated Rate	$122.06
Max. Negotiated Rate	$122.06
Rate for Payer: Qualcare PPO/HMO/WC	$122.06

TRUMATCH ATTUNE PS ATTUNE RESE

Facility

$2,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270686060
Hospital Revenue Code	278
Min. Negotiated Rate	$76.68
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Community & State	$85.32
Rate for Payer: Wellpoint Medicaid Managed Care	$76.68

TRUMATCH ATTUNE PS ATTUNE RESE

Facility

$2,700.00

Service Code	HCPCS C1776
Hospital Charge Code	270686060
Hospital Revenue Code	278
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$653.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.40
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

TRYPAN BLUE 0.06%

Facility

$666.52

Service Code	NDC 68803061210
Hospital Charge Code	60635706
Hospital Revenue Code	250
Min. Negotiated Rate	$18.93
Max. Negotiated Rate	$333.26
Rate for Payer: Aetna Commercial	$253.28
Rate for Payer: Aetna Medicare Advantage	$199.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.96
Rate for Payer: Cigna Commercial	$333.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.30
Rate for Payer: Oxford Commercial	$133.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.98
Rate for Payer: UnitedHealthcare Commercial	$133.30
Rate for Payer: UnitedHealthcare Community & State	$21.06
Rate for Payer: Wellpoint Medicaid Managed Care	$18.93

TRYPAN BLUE 0.06%

Facility

$666.52

Service Code	NDC 68803061210
Hospital Charge Code	60635706
Hospital Revenue Code	250
Min. Negotiated Rate	$99.98
Max. Negotiated Rate	$99.98
Rate for Payer: Qualcare PPO/HMO/WC	$99.98

TRYPANOSOMA CRUZI ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86753
Hospital Charge Code	397071484
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TRYPANOSOMA CRUZI ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86753
Hospital Charge Code	397071484
Hospital Revenue Code	302
Min. Negotiated Rate	$9.91
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$33.70
Rate for Payer: Aetna Medicare Advantage	$40.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.39
Rate for Payer: Clover Medicare Advantage	$11.77
Rate for Payer: EmblemHealth Commercial	$37.17
Rate for Payer: Humana Medicare Advantage	$12.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.39
Rate for Payer: Wellcare Medicare Advantage	$12.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

TRYPSIN

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900453
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$50.05
Rate for Payer: Aetna Medicare Advantage	$59.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.40
Rate for Payer: Clover Medicare Advantage	$17.48
Rate for Payer: EmblemHealth Commercial	$55.20
Rate for Payer: Humana Medicare Advantage	$18.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.40
Rate for Payer: Wellcare Medicare Advantage	$18.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

TRYPSIN

Facility

$390.00

Service Code	HCPCS 83519
Hospital Charge Code	39900453
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TRYPSIN,FECES,24HR,QUANT

Facility

$142.00

Service Code	HCPCS 84490
Hospital Charge Code	38472667
Hospital Revenue Code	301
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$27.01
Rate for Payer: Aetna Medicare Advantage	$32.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.02
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: Cigna Medicare Advantage	$9.93
Rate for Payer: Clover Medicare Advantage	$9.43
Rate for Payer: EmblemHealth Commercial	$29.79
Rate for Payer: Humana Medicare Advantage	$10.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.92
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$7.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.93
Rate for Payer: Wellcare Medicare Advantage	$9.93
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

TRYPSIN,FECES,24HR,QUANT

Facility

$142.00

Service Code	HCPCS 84490
Hospital Charge Code	38472667
Hospital Revenue Code	301
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

TRYPSIN;FECES,QUALITATIVE

Facility

$51.00

Service Code	HCPCS 84488
Hospital Charge Code	38477050
Hospital Revenue Code	301
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$19.86
Rate for Payer: Aetna Medicare Advantage	$23.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.48
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: Cigna Medicare Advantage	$7.30
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.30
Rate for Payer: Wellcare Medicare Advantage	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

TRYPSIN;FECES,QUALITATIVE

Facility

$51.00

Service Code	HCPCS 84488
Hospital Charge Code	38477050
Hospital Revenue Code	301
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

TRYPTASE

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900454
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.65
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

TRYPTASE

Facility

$390.00

Service Code	HCPCS 83520
Hospital Charge Code	39900454
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TRYPTOPHAN

Facility

$115.90

Service Code	HCPCS 82131
Hospital Charge Code	39900455
Hospital Revenue Code	301
Min. Negotiated Rate	$17.39
Max. Negotiated Rate	$17.39
Rate for Payer: Qualcare PPO/HMO/WC	$17.39

TRYPTOPHAN

Facility

$115.90

Service Code	HCPCS 82131
Hospital Charge Code	39900455
Hospital Revenue Code	301
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$62.51
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.36
Rate for Payer: Cigna Commercial	$57.95
Rate for Payer: Cigna Medicare Advantage	$22.98
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.13
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.39
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$18.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Medicare Advantage	$22.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

TRYX ENVELOPE ANTIBACT ABOSRB

Facility

$9,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270690980
Hospital Revenue Code	278
Min. Negotiated Rate	$283.29
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$315.21
Rate for Payer: Wellpoint Medicaid Managed Care	$283.29

TRYX ENVELOPE ANTIBACT ABOSRB

Facility

$9,975.00

Service Code	HCPCS C1889
Hospital Charge Code	270690980
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

TSH

Facility

$115.50

Service Code	HCPCS 84443
Hospital Charge Code	39900141
Hospital Revenue Code	301
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.94
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.03
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.32
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

Know your out-of-pocket cost for care.

All Charges