Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
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	270687772
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687772
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	270687775
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687775
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 FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$1,680.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00

TUBE FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$318.08
Max. Negotiated Rate	$5,600.00
Rate for Payer: Aetna Commercial	$4,256.00
Rate for Payer: Aetna Medicare Advantage	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,856.00
Rate for Payer: Cigna Commercial	$5,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,912.00
Rate for Payer: Oxford Commercial	$2,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00
Rate for Payer: UnitedHealthcare Commercial	$2,240.00
Rate for Payer: UnitedHealthcare Community & State	$353.92
Rate for Payer: Wellpoint Medicaid Managed Care	$318.08

TUBE FLUORPLAST ARMSTRG 140242

Facility

$137.76

Hospital Charge Code	270620643
Hospital Revenue Code	272
Min. Negotiated Rate	$20.66
Max. Negotiated Rate	$20.66
Rate for Payer: Qualcare PPO/HMO/WC	$20.66

TUBE FLUORPLAST ARMSTRG 140242

Facility

$137.76

Hospital Charge Code	270620643
Hospital Revenue Code	272
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$68.88
Rate for Payer: Aetna Commercial	$52.35
Rate for Payer: Aetna Medicare Advantage	$41.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.13
Rate for Payer: Cigna Commercial	$68.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.82
Rate for Payer: Oxford Commercial	$27.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.66
Rate for Payer: UnitedHealthcare Commercial	$27.55
Rate for Payer: UnitedHealthcare Community & State	$4.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

TUBE FLUROPLASTIC .045 140035

Facility

$40.17

Hospital Charge Code	270605120
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$20.09
Rate for Payer: Aetna Commercial	$15.26
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.24
Rate for Payer: Cigna Commercial	$20.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.44
Rate for Payer: Oxford Commercial	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.03
Rate for Payer: UnitedHealthcare Commercial	$8.03
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.14

TUBE FLUROPLASTIC .045 140035

Facility

$40.17

Hospital Charge Code	270605120
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$6.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.03

TUBE FRAZIER SUCT DISP 12FR

Facility

$8.97

Hospital Charge Code	270607601
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$3.41
Rate for Payer: Aetna Medicare Advantage	$2.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.79
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

TUBE FRAZIER SUCT DISP 12FR

Facility

$8.97

Hospital Charge Code	270607601
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBE GASTRO ENTERIC 16FR

Facility

$844.10

Hospital Charge Code	270670058
Hospital Revenue Code	272
Min. Negotiated Rate	$23.97
Max. Negotiated Rate	$422.05
Rate for Payer: Aetna Commercial	$320.76
Rate for Payer: Aetna Medicare Advantage	$253.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.25
Rate for Payer: Cigna Commercial	$422.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.47
Rate for Payer: Oxford Commercial	$168.82
Rate for Payer: Qualcare PPO/HMO/WC	$126.61
Rate for Payer: UnitedHealthcare Commercial	$168.82
Rate for Payer: UnitedHealthcare Community & State	$26.67
Rate for Payer: Wellpoint Medicaid Managed Care	$23.97

TUBE GASTRO ENTERIC 16FR

Facility

$844.10

Hospital Charge Code	270670058
Hospital Revenue Code	272
Min. Negotiated Rate	$126.61
Max. Negotiated Rate	$126.61
Rate for Payer: Qualcare PPO/HMO/WC	$126.61

TUBE GASTROENTERIC 18F 021018

Facility

$873.00

Hospital Charge Code	270661988
Hospital Revenue Code	278
Min. Negotiated Rate	$130.95
Max. Negotiated Rate	$211.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.27
Rate for Payer: Qualcare PPO/HMO/WC	$130.95

TUBE GASTROENTERIC 18F 021018

Facility

$873.00

Hospital Charge Code	270661988
Hospital Revenue Code	278
Min. Negotiated Rate	$24.79
Max. Negotiated Rate	$436.50
Rate for Payer: Aetna Commercial	$331.74
Rate for Payer: Aetna Medicare Advantage	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.62
Rate for Payer: Cigna Commercial	$436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.27
Rate for Payer: Qualcare PPO/HMO/WC	$130.95
Rate for Payer: UnitedHealthcare Community & State	$27.59
Rate for Payer: Wellpoint Medicaid Managed Care	$24.79

TUBE GASTRONOMY FEEDING 24 FR

Facility

$973.10

Hospital Charge Code	270678518
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$486.55
Rate for Payer: Aetna Commercial	$369.78
Rate for Payer: Aetna Medicare Advantage	$291.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.14
Rate for Payer: Cigna Commercial	$486.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.01
Rate for Payer: Oxford Commercial	$194.62
Rate for Payer: Qualcare PPO/HMO/WC	$145.97
Rate for Payer: UnitedHealthcare Commercial	$194.62
Rate for Payer: UnitedHealthcare Community & State	$30.75
Rate for Payer: Wellpoint Medicaid Managed Care	$27.64

TUBE GASTRONOMY FEEDING 24 FR

Facility

$973.10

Hospital Charge Code	270678518
Hospital Revenue Code	272
Min. Negotiated Rate	$145.97
Max. Negotiated Rate	$145.97
Rate for Payer: Qualcare PPO/HMO/WC	$145.97

TUBE GASTROSTOMY 14FR 5cc

Facility

$79.93

Hospital Charge Code	270647456
Hospital Revenue Code	271
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$39.97
Rate for Payer: Aetna Commercial	$30.37
Rate for Payer: Aetna Medicare Advantage	$23.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.38
Rate for Payer: Cigna Commercial	$39.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.78
Rate for Payer: Oxford Commercial	$15.99
Rate for Payer: Qualcare PPO/HMO/WC	$11.99
Rate for Payer: UnitedHealthcare Commercial	$15.99
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

TUBE GASTROSTOMY 14FR 5cc

Facility

$79.93

Hospital Charge Code	270647456
Hospital Revenue Code	271
Min. Negotiated Rate	$11.99
Max. Negotiated Rate	$11.99
Rate for Payer: Qualcare PPO/HMO/WC	$11.99

TUBE GASTROSTOMY 22FR 6222

Facility

$136.50

Hospital Charge Code	270624936
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$20.48
Rate for Payer: Qualcare PPO/HMO/WC	$20.48

TUBE GASTROSTOMY 22FR 6222

Facility

$136.50

Hospital Charge Code	270624936
Hospital Revenue Code	272
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$68.25
Rate for Payer: Aetna Commercial	$51.87
Rate for Payer: Aetna Medicare Advantage	$40.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.81
Rate for Payer: Cigna Commercial	$68.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.49
Rate for Payer: Oxford Commercial	$27.30
Rate for Payer: Qualcare PPO/HMO/WC	$20.48
Rate for Payer: UnitedHealthcare Commercial	$27.30
Rate for Payer: UnitedHealthcare Community & State	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3.88

TUBE GASTROSTOMY 24FR

Facility

$380.40

Hospital Charge Code	270650026
Hospital Revenue Code	270
Min. Negotiated Rate	$57.06
Max. Negotiated Rate	$57.06
Rate for Payer: Qualcare PPO/HMO/WC	$57.06

Know your out-of-pocket cost for care.

All Charges