Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ENDOTRCHL 6NE CNT 8229506

Facility

$1,665.00

Hospital Charge Code	270639285
Hospital Revenue Code	272
Min. Negotiated Rate	$249.75
Max. Negotiated Rate	$249.75
Rate for Payer: Qualcare PPO/HMO/WC	$249.75

TUBE ENDOTRCHL 7NE CNT 8229507

Facility

$2,005.00

Hospital Charge Code	270639286
Hospital Revenue Code	270
Min. Negotiated Rate	$56.94
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$761.90
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.30
Rate for Payer: Oxford Commercial	$401.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Commercial	$401.00
Rate for Payer: UnitedHealthcare Community & State	$63.36
Rate for Payer: Wellpoint Medicaid Managed Care	$56.94

TUBE ENDOTRCHL 7NE CNT 8229507

Facility

$2,005.00

Hospital Charge Code	270639286
Hospital Revenue Code	270
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$300.75
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

TUBE ENT GOODE ACTIVENT

Facility

$117.00

Hospital Charge Code	270669516
Hospital Revenue Code	272
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$58.50
Rate for Payer: Aetna Commercial	$44.46
Rate for Payer: Aetna Medicare Advantage	$35.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.84
Rate for Payer: Cigna Commercial	$58.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.42
Rate for Payer: Oxford Commercial	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.55
Rate for Payer: UnitedHealthcare Commercial	$23.40
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

TUBE ENT GOODE ACTIVENT

Facility

$117.00

Hospital Charge Code	270669516
Hospital Revenue Code	272
Min. Negotiated Rate	$17.55
Max. Negotiated Rate	$17.55
Rate for Payer: Qualcare PPO/HMO/WC	$17.55

TUBE E PORTAL

Facility

$2,000.00

Hospital Charge Code	270674907
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

TUBE E PORTAL

Facility

$2,000.00

Hospital Charge Code	270674907
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

TUBE ESOPHAGEAL NASO 20F ADULT

Facility

$738.95

Hospital Charge Code	270654068
Hospital Revenue Code	272
Min. Negotiated Rate	$110.84
Max. Negotiated Rate	$110.84
Rate for Payer: Qualcare PPO/HMO/WC	$110.84

TUBE ESOPHAGEAL NASO 20F ADULT

Facility

$738.95

Hospital Charge Code	270654068
Hospital Revenue Code	272
Min. Negotiated Rate	$20.99
Max. Negotiated Rate	$369.48
Rate for Payer: Aetna Commercial	$280.80
Rate for Payer: Aetna Medicare Advantage	$221.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.43
Rate for Payer: Cigna Commercial	$369.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.13
Rate for Payer: Oxford Commercial	$147.79
Rate for Payer: Qualcare PPO/HMO/WC	$110.84
Rate for Payer: UnitedHealthcare Commercial	$147.79
Rate for Payer: UnitedHealthcare Community & State	$23.35
Rate for Payer: Wellpoint Medicaid Managed Care	$20.99

TUBE ET SHER-I-BRONCH 35FR LT

Facility

$685.00

Hospital Charge Code	270657414
Hospital Revenue Code	272
Min. Negotiated Rate	$19.45
Max. Negotiated Rate	$342.50
Rate for Payer: Aetna Commercial	$260.30
Rate for Payer: Aetna Medicare Advantage	$205.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.68
Rate for Payer: Cigna Commercial	$342.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.10
Rate for Payer: Oxford Commercial	$137.00
Rate for Payer: Qualcare PPO/HMO/WC	$102.75
Rate for Payer: UnitedHealthcare Commercial	$137.00
Rate for Payer: UnitedHealthcare Community & State	$21.65
Rate for Payer: Wellpoint Medicaid Managed Care	$19.45

TUBE ET SHER-I-BRONCH 35FR LT

Facility

$685.00

Hospital Charge Code	270657414
Hospital Revenue Code	272
Min. Negotiated Rate	$102.75
Max. Negotiated Rate	$102.75
Rate for Payer: Qualcare PPO/HMO/WC	$102.75

TUBE ET SHER-I-BRONCH 37FR LT

Facility

$705.45

Hospital Charge Code	270652547
Hospital Revenue Code	272
Min. Negotiated Rate	$20.03
Max. Negotiated Rate	$352.73
Rate for Payer: Aetna Commercial	$268.07
Rate for Payer: Aetna Medicare Advantage	$211.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.89
Rate for Payer: Cigna Commercial	$352.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.42
Rate for Payer: Oxford Commercial	$141.09
Rate for Payer: Qualcare PPO/HMO/WC	$105.82
Rate for Payer: UnitedHealthcare Commercial	$141.09
Rate for Payer: UnitedHealthcare Community & State	$22.29
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

TUBE ET SHER-I-BRONCH 37FR LT

Facility

$705.45

Hospital Charge Code	270652547
Hospital Revenue Code	272
Min. Negotiated Rate	$105.82
Max. Negotiated Rate	$105.82
Rate for Payer: Qualcare PPO/HMO/WC	$105.82

TUBE FAST TRACK ET 7.0

Facility

$335.00

Hospital Charge Code	270625558
Hospital Revenue Code	272
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.10
Rate for Payer: Oxford Commercial	$67.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$67.00
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

TUBE FAST TRACK ET 7.0

Facility

$335.00

Hospital Charge Code	270625558
Hospital Revenue Code	272
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$259.24
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.37
Rate for Payer: Oxford Commercial	$136.44
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$136.44
Rate for Payer: UnitedHealthcare Community & State	$21.56
Rate for Payer: Wellpoint Medicaid Managed Care	$19.37

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$170.24
Max. Negotiated Rate	$170.24
Rate for Payer: Qualcare PPO/HMO/WC	$170.24

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$32.23
Max. Negotiated Rate	$567.45
Rate for Payer: Aetna Commercial	$431.26
Rate for Payer: Aetna Medicare Advantage	$340.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.40
Rate for Payer: Cigna Commercial	$567.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.07
Rate for Payer: Oxford Commercial	$226.98
Rate for Payer: Qualcare PPO/HMO/WC	$170.24
Rate for Payer: UnitedHealthcare Commercial	$226.98
Rate for Payer: UnitedHealthcare Community & State	$35.86
Rate for Payer: Wellpoint Medicaid Managed Care	$32.23

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$259.24
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.37
Rate for Payer: Oxford Commercial	$136.44
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$136.44
Rate for Payer: UnitedHealthcare Community & State	$21.56
Rate for Payer: Wellpoint Medicaid Managed Care	$19.37

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE, FEEDING JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$155.50
Rate for Payer: Aetna Commercial	$118.18
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.86
Rate for Payer: Oxford Commercial	$62.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$62.20
Rate for Payer: UnitedHealthcare Community & State	$9.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.83

TUBE, FEEDING JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.75
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.54

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

Know your out-of-pocket cost for care.

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