Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ASPIRATING LUKI 6-1/4

Facility

$42.00

Hospital Charge Code	270331298
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

TUBE ASSEMBLY RIA

Facility

$1,746.00

Hospital Charge Code	270671813
Hospital Revenue Code	272
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

TUBE ASSEMBLY RIA

Facility

$1,746.00

Hospital Charge Code	270671813
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$873.00
Rate for Payer: Aetna Commercial	$663.48
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.96
Rate for Payer: Oxford Commercial	$349.20
Rate for Payer: Qualcare PPO/HMO/WC	$261.90
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: UnitedHealthcare Community & State	$55.17
Rate for Payer: Wellpoint Medicaid Managed Care	$49.59

TUBE ASSEMBLY RIA MIN 360MM

Facility

$1,746.00

Hospital Charge Code	270675629
Hospital Revenue Code	272
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

TUBE ASSEMBLY RIA MIN 360MM

Facility

$1,746.00

Hospital Charge Code	270675629
Hospital Revenue Code	272
Min. Negotiated Rate	$49.59
Max. Negotiated Rate	$873.00
Rate for Payer: Aetna Commercial	$663.48
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.96
Rate for Payer: Oxford Commercial	$349.20
Rate for Payer: Qualcare PPO/HMO/WC	$261.90
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: UnitedHealthcare Community & State	$55.17
Rate for Payer: Wellpoint Medicaid Managed Care	$49.59

TUBE BRNC-CATH RT 39M 43161139

Facility

$251.15

Hospital Charge Code	270624527
Hospital Revenue Code	272
Min. Negotiated Rate	$37.67
Max. Negotiated Rate	$37.67
Rate for Payer: Qualcare PPO/HMO/WC	$37.67

TUBE BRNC-CATH RT 39M 43161139

Facility

$251.15

Hospital Charge Code	270624527
Hospital Revenue Code	272
Min. Negotiated Rate	$7.13
Max. Negotiated Rate	$125.58
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$75.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.04
Rate for Payer: Cigna Commercial	$125.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.30
Rate for Payer: Oxford Commercial	$50.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.67
Rate for Payer: UnitedHealthcare Commercial	$50.23
Rate for Payer: UnitedHealthcare Community & State	$7.94
Rate for Payer: Wellpoint Medicaid Managed Care	$7.13

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$216.62
Rate for Payer: Aetna Commercial	$164.63
Rate for Payer: Aetna Medicare Advantage	$129.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.48
Rate for Payer: Cigna Commercial	$216.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.64
Rate for Payer: Oxford Commercial	$86.65
Rate for Payer: Qualcare PPO/HMO/WC	$64.99
Rate for Payer: UnitedHealthcare Commercial	$86.65
Rate for Payer: UnitedHealthcare Community & State	$13.69
Rate for Payer: Wellpoint Medicaid Managed Care	$12.30

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$64.99
Max. Negotiated Rate	$64.99
Rate for Payer: Qualcare PPO/HMO/WC	$64.99

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$38.77
Max. Negotiated Rate	$38.77
Rate for Payer: Qualcare PPO/HMO/WC	$38.77

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$129.25
Rate for Payer: Aetna Commercial	$98.23
Rate for Payer: Aetna Medicare Advantage	$77.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.92
Rate for Payer: Cigna Commercial	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.21
Rate for Payer: Oxford Commercial	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.77
Rate for Payer: UnitedHealthcare Commercial	$51.70
Rate for Payer: UnitedHealthcare Community & State	$8.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7.34

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$39.17
Max. Negotiated Rate	$39.17
Rate for Payer: Qualcare PPO/HMO/WC	$39.17

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$130.57
Rate for Payer: Aetna Commercial	$99.24
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.59
Rate for Payer: Cigna Commercial	$130.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.90
Rate for Payer: Oxford Commercial	$52.23
Rate for Payer: Qualcare PPO/HMO/WC	$39.17
Rate for Payer: UnitedHealthcare Commercial	$52.23
Rate for Payer: UnitedHealthcare Community & State	$8.25
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$140.30
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.99
Rate for Payer: Oxford Commercial	$73.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$73.84
Rate for Payer: UnitedHealthcare Community & State	$11.67
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$140.30
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.99
Rate for Payer: Oxford Commercial	$73.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$73.84
Rate for Payer: UnitedHealthcare Community & State	$11.67
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

TUBE CELESTIN

Facility

$1,373.00

Hospital Charge Code	270335236
Hospital Revenue Code	272
Min. Negotiated Rate	$38.99
Max. Negotiated Rate	$686.50
Rate for Payer: Aetna Commercial	$521.74
Rate for Payer: Aetna Medicare Advantage	$411.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.12
Rate for Payer: Cigna Commercial	$686.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.98
Rate for Payer: Oxford Commercial	$274.60
Rate for Payer: Qualcare PPO/HMO/WC	$205.95
Rate for Payer: UnitedHealthcare Commercial	$274.60
Rate for Payer: UnitedHealthcare Community & State	$43.39
Rate for Payer: Wellpoint Medicaid Managed Care	$38.99

TUBE CELESTIN

Facility

$1,373.00

Hospital Charge Code	270335236
Hospital Revenue Code	272
Min. Negotiated Rate	$205.95
Max. Negotiated Rate	$205.95
Rate for Payer: Qualcare PPO/HMO/WC	$205.95

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.81
Rate for Payer: Aetna Commercial	$2.14
Rate for Payer: Aetna Medicare Advantage	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.84
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Qualcare PPO/HMO/WC	$0.84

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$2.81
Rate for Payer: Aetna Commercial	$2.14
Rate for Payer: Aetna Medicare Advantage	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.84
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TUBE CONNECTING NONCONDUCT 20'

Facility

$1.23

Hospital Charge Code	270649279N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.62
Rate for Payer: Aetna Commercial	$0.47
Rate for Payer: Aetna Medicare Advantage	$0.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.32
Rate for Payer: Oxford Commercial	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.25
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

Know your out-of-pocket cost for care.

All Charges