Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE GSTRSTMY FLXFLO20FR 51364

Facility

$118.25

Hospital Charge Code	270302330
Hospital Revenue Code	272
Min. Negotiated Rate	$17.74
Max. Negotiated Rate	$17.74
Rate for Payer: Qualcare PPO/HMO/WC	$17.74

TUBE GSTRSTMY FLXFLO20FR 51364

Facility

$118.25

Hospital Charge Code	270302330
Hospital Revenue Code	272
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$59.12
Rate for Payer: Aetna Commercial	$44.94
Rate for Payer: Aetna Medicare Advantage	$35.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.15
Rate for Payer: Cigna Commercial	$59.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.75
Rate for Payer: Oxford Commercial	$23.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.74
Rate for Payer: UnitedHealthcare Commercial	$23.65
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$3.36

TUBE, HI PRESSURE

Facility

$76.00

Hospital Charge Code	2008150
Hospital Revenue Code	272
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$28.88
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.76
Rate for Payer: Oxford Commercial	$15.20
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$15.20
Rate for Payer: UnitedHealthcare Community & State	$2.40
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

TUBE, HI PRESSURE

Facility

$76.00

Hospital Charge Code	2008150
Hospital Revenue Code	272
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

TUBE INFLOW HYSTEROSCOPIC

Facility

$1,555.05

Hospital Charge Code	270700291
Hospital Revenue Code	272
Min. Negotiated Rate	$233.26
Max. Negotiated Rate	$233.26
Rate for Payer: Qualcare PPO/HMO/WC	$233.26

TUBE INFLOW HYSTEROSCOPIC

Facility

$1,555.05

Hospital Charge Code	270700291
Hospital Revenue Code	272
Min. Negotiated Rate	$44.16
Max. Negotiated Rate	$777.52
Rate for Payer: Aetna Commercial	$590.92
Rate for Payer: Aetna Medicare Advantage	$466.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.54
Rate for Payer: Cigna Commercial	$777.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$404.31
Rate for Payer: Oxford Commercial	$311.01
Rate for Payer: Qualcare PPO/HMO/WC	$233.26
Rate for Payer: UnitedHealthcare Commercial	$311.01
Rate for Payer: UnitedHealthcare Community & State	$49.14
Rate for Payer: Wellpoint Medicaid Managed Care	$44.16

TUBE INJECTION

Facility

$695.05

Hospital Charge Code	270677429
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$347.52
Rate for Payer: Aetna Commercial	$264.12
Rate for Payer: Aetna Medicare Advantage	$208.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.24
Rate for Payer: Cigna Commercial	$347.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.71
Rate for Payer: Oxford Commercial	$139.01
Rate for Payer: Qualcare PPO/HMO/WC	$104.26
Rate for Payer: UnitedHealthcare Commercial	$139.01
Rate for Payer: UnitedHealthcare Community & State	$21.96
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

TUBE INJECTION

Facility

$695.05

Hospital Charge Code	270677429
Hospital Revenue Code	272
Min. Negotiated Rate	$104.26
Max. Negotiated Rate	$104.26
Rate for Payer: Qualcare PPO/HMO/WC	$104.26

TUBE INNER CANNULA TRACH4 4DIC

Facility

$13.58

Hospital Charge Code	270302425
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$6.79
Rate for Payer: Aetna Commercial	$5.16
Rate for Payer: Aetna Medicare Advantage	$4.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.46
Rate for Payer: Cigna Commercial	$6.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.53
Rate for Payer: Oxford Commercial	$2.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$2.72
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

TUBE INNER CANNULA TRACH4 4DIC

Facility

$13.58

Hospital Charge Code	270302425
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

TUBE INNER CANNULA TRACH 6DIC

Facility

$19.30

Hospital Charge Code	270302426
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$2.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

TUBE INNER CANNULA TRACH 6DIC

Facility

$19.30

Hospital Charge Code	270302426
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$9.65
Rate for Payer: Aetna Commercial	$7.33
Rate for Payer: Aetna Medicare Advantage	$5.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.92
Rate for Payer: Cigna Commercial	$9.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.02
Rate for Payer: Oxford Commercial	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$2.90
Rate for Payer: UnitedHealthcare Commercial	$3.86
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688533
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688485
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688485
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

TUBE IRRIGATION

Facility

$375.00

Hospital Charge Code	270688533
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.65

TUBE IRRIGATION POLY

Facility

$235.00

Hospital Charge Code	270669171
Hospital Revenue Code	272
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

TUBE IRRIGATION POLY

Facility

$235.00

Hospital Charge Code	270669171
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.10
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$47.00
Rate for Payer: UnitedHealthcare Community & State	$7.43
Rate for Payer: Wellpoint Medicaid Managed Care	$6.67

TUBE IRRIGATION SET

Facility

$90.20

Hospital Charge Code	270664634
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.10
Rate for Payer: Aetna Commercial	$34.28
Rate for Payer: Aetna Medicare Advantage	$27.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.00
Rate for Payer: Cigna Commercial	$45.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.45
Rate for Payer: Oxford Commercial	$18.04
Rate for Payer: Qualcare PPO/HMO/WC	$13.53
Rate for Payer: UnitedHealthcare Commercial	$18.04
Rate for Payer: UnitedHealthcare Community & State	$2.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

TUBE IRRIGATION SET

Facility

$90.20

Hospital Charge Code	270664634
Hospital Revenue Code	272
Min. Negotiated Rate	$13.53
Max. Negotiated Rate	$13.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.53

TUBE JEJUNOSTOMY 20FRx270CM

Facility

$647.35

Hospital Charge Code	270621564
Hospital Revenue Code	272
Min. Negotiated Rate	$97.10
Max. Negotiated Rate	$97.10
Rate for Payer: Qualcare PPO/HMO/WC	$97.10

TUBE JEJUNOSTOMY 20FRx270CM

Facility

$647.35

Hospital Charge Code	270621564
Hospital Revenue Code	272
Min. Negotiated Rate	$18.38
Max. Negotiated Rate	$323.68
Rate for Payer: Aetna Commercial	$245.99
Rate for Payer: Aetna Medicare Advantage	$194.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.07
Rate for Payer: Cigna Commercial	$323.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.31
Rate for Payer: Oxford Commercial	$129.47
Rate for Payer: Qualcare PPO/HMO/WC	$97.10
Rate for Payer: UnitedHealthcare Commercial	$129.47
Rate for Payer: UnitedHealthcare Community & State	$20.46
Rate for Payer: Wellpoint Medicaid Managed Care	$18.38

TUBE JEJUNOSTOMY FLEXIFLO 10FR

Facility

$931.15

Hospital Charge Code	270649937
Hospital Revenue Code	272
Min. Negotiated Rate	$26.44
Max. Negotiated Rate	$465.57
Rate for Payer: Aetna Commercial	$353.84
Rate for Payer: Aetna Medicare Advantage	$279.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.44
Rate for Payer: Cigna Commercial	$465.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.10
Rate for Payer: Oxford Commercial	$186.23
Rate for Payer: Qualcare PPO/HMO/WC	$139.67
Rate for Payer: UnitedHealthcare Commercial	$186.23
Rate for Payer: UnitedHealthcare Community & State	$29.42
Rate for Payer: Wellpoint Medicaid Managed Care	$26.44

TUBE JEJUNOSTOMY FLEXIFLO 10FR

Facility

$931.15

Hospital Charge Code	270649937
Hospital Revenue Code	272
Min. Negotiated Rate	$139.67
Max. Negotiated Rate	$139.67
Rate for Payer: Qualcare PPO/HMO/WC	$139.67

TUBE KANGAROO FEEDING

Facility

$55.27

Hospital Charge Code	270649938
Hospital Revenue Code	272
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

Know your out-of-pocket cost for care.

All Charges