Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE GASTROSTOMY 24FR

Facility

$380.40

Hospital Charge Code	270650026
Hospital Revenue Code	270
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$190.20
Rate for Payer: Aetna Commercial	$144.55
Rate for Payer: Aetna Medicare Advantage	$114.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.00
Rate for Payer: Cigna Commercial	$190.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.90
Rate for Payer: Oxford Commercial	$76.08
Rate for Payer: Qualcare PPO/HMO/WC	$57.06
Rate for Payer: UnitedHealthcare Commercial	$76.08
Rate for Payer: UnitedHealthcare Community & State	$12.02
Rate for Payer: Wellpoint Medicaid Managed Care	$10.80

TUBE GASTROSTOMY 24FR RL54738

Facility

$21.50

Hospital Charge Code	270650438
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.23

TUBE GASTROSTOMY 24FR RL54738

Facility

$21.50

Hospital Charge Code	270650438
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$10.75
Rate for Payer: Aetna Commercial	$8.17
Rate for Payer: Aetna Medicare Advantage	$6.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.48
Rate for Payer: Cigna Commercial	$10.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.23
Rate for Payer: UnitedHealthcare Commercial	$4.30
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

TUBE GASTROSTOMY LAPAROSCOPIC

Facility

$1,610.00

Hospital Charge Code	270335200
Hospital Revenue Code	272
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$241.50
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

TUBE GASTROSTOMY LAPAROSCOPIC

Facility

$1,610.00

Hospital Charge Code	270335200
Hospital Revenue Code	272
Min. Negotiated Rate	$45.72
Max. Negotiated Rate	$805.00
Rate for Payer: Aetna Commercial	$611.80
Rate for Payer: Aetna Medicare Advantage	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.55
Rate for Payer: Cigna Commercial	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.60
Rate for Payer: Oxford Commercial	$322.00
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Commercial	$322.00
Rate for Payer: UnitedHealthcare Community & State	$50.88
Rate for Payer: Wellpoint Medicaid Managed Care	$45.72

TUBE GASTROSTOMY MIC 16FR

Facility

$220.30

Hospital Charge Code	270672029N
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE GASTROSTOMY MIC 16FR

Facility

$220.30

Hospital Charge Code	270672029
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$83.71
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.28
Rate for Payer: Oxford Commercial	$44.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$44.06
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

TUBE GASTROSTOMY MIC 16FR

Facility

$220.30

Hospital Charge Code	270672029N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$83.71
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.28
Rate for Payer: Oxford Commercial	$44.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$44.06
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

TUBE GASTROSTOMY MIC 16FR

Facility

$220.30

Hospital Charge Code	270672029
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$83.71
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.28
Rate for Payer: Oxford Commercial	$44.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$44.06
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889S
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$83.71
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.28
Rate for Payer: Oxford Commercial	$44.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$44.06
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889N
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE GASTROSTOMY MIC 18FR

Facility

$873.00

Hospital Charge Code	270661988S
Hospital Revenue Code	272
Min. Negotiated Rate	$130.95
Max. Negotiated Rate	$130.95
Rate for Payer: Qualcare PPO/HMO/WC	$130.95

TUBE GASTROSTOMY MIC 18FR

Facility

$220.30

Hospital Charge Code	270669889N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.26
Max. Negotiated Rate	$110.15
Rate for Payer: Aetna Commercial	$83.71
Rate for Payer: Aetna Medicare Advantage	$66.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.18
Rate for Payer: Cigna Commercial	$110.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.28
Rate for Payer: Oxford Commercial	$44.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.05
Rate for Payer: UnitedHealthcare Commercial	$44.06
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6.26

TUBE GASTROSTOMY MIC 18FR

Facility

$152.45

Hospital Charge Code	270661988N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$76.22
Rate for Payer: Aetna Commercial	$57.93
Rate for Payer: Aetna Medicare Advantage	$45.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.87
Rate for Payer: Cigna Commercial	$76.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.64
Rate for Payer: Oxford Commercial	$30.49
Rate for Payer: Qualcare PPO/HMO/WC	$22.87
Rate for Payer: UnitedHealthcare Commercial	$30.49
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$4.33

TUBE GASTROSTOMY MIC 18FR

Facility

$873.00

Hospital Charge Code	270661988S
Hospital Revenue Code	272
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) PPO	$222.62
Rate for Payer: Cigna Commercial	$436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.98
Rate for Payer: Oxford Commercial	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$130.95
Rate for Payer: UnitedHealthcare Commercial	$174.60
Rate for Payer: UnitedHealthcare Community & State	$27.59
Rate for Payer: Wellpoint Medicaid Managed Care	$24.79

TUBE GASTROSTOMY MIC 18FR

Facility

$152.45

Hospital Charge Code	270661988N
Hospital Revenue Code	272
Min. Negotiated Rate	$22.87
Max. Negotiated Rate	$22.87
Rate for Payer: Qualcare PPO/HMO/WC	$22.87

TUBE GOODE T MYRINGOTOMY

Facility

$188.00

Hospital Charge Code	270602892
Hospital Revenue Code	272
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

TUBE GOODE T MYRINGOTOMY

Facility

$188.00

Hospital Charge Code	270602892
Hospital Revenue Code	272
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$94.00
Rate for Payer: Aetna Commercial	$71.44
Rate for Payer: Aetna Medicare Advantage	$56.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.94
Rate for Payer: Cigna Commercial	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: Oxford Commercial	$37.60
Rate for Payer: Qualcare PPO/HMO/WC	$28.20
Rate for Payer: UnitedHealthcare Commercial	$37.60
Rate for Payer: UnitedHealthcare Community & State	$5.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.34

TUBE GRAFT KNITT STRAIGHT 6X60

Facility

$2,530.50

Hospital Charge Code	270664858
Hospital Revenue Code	270
Min. Negotiated Rate	$379.57
Max. Negotiated Rate	$379.57
Rate for Payer: Qualcare PPO/HMO/WC	$379.57

TUBE GRAFT KNITT STRAIGHT 6X60

Facility

$2,530.50

Hospital Charge Code	270664858
Hospital Revenue Code	270
Min. Negotiated Rate	$71.87
Max. Negotiated Rate	$1,265.25
Rate for Payer: Aetna Commercial	$961.59
Rate for Payer: Aetna Medicare Advantage	$759.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.28
Rate for Payer: Cigna Commercial	$1,265.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$657.93
Rate for Payer: Oxford Commercial	$506.10
Rate for Payer: Qualcare PPO/HMO/WC	$379.57
Rate for Payer: UnitedHealthcare Commercial	$506.10
Rate for Payer: UnitedHealthcare Community & State	$79.96
Rate for Payer: Wellpoint Medicaid Managed Care	$71.87

TUBE G REPL STR 18FR

Facility

$138.33

Hospital Charge Code	270656976
Hospital Revenue Code	272
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$20.75
Rate for Payer: Qualcare PPO/HMO/WC	$20.75

TUBE G REPL STR 18FR

Facility

$138.33

Hospital Charge Code	270656976
Hospital Revenue Code	272
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$69.17
Rate for Payer: Aetna Commercial	$52.57
Rate for Payer: Aetna Medicare Advantage	$41.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.27
Rate for Payer: Cigna Commercial	$69.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.97
Rate for Payer: Oxford Commercial	$27.67
Rate for Payer: Qualcare PPO/HMO/WC	$20.75
Rate for Payer: UnitedHealthcare Commercial	$27.67
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

Know your out-of-pocket cost for care.

All Charges