Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE KANGAROO FEEDING

Facility

$55.27

Hospital Charge Code	270649938
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$27.64
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$16.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.09
Rate for Payer: Cigna Commercial	$27.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.37
Rate for Payer: Oxford Commercial	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.29
Rate for Payer: UnitedHealthcare Commercial	$11.05
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

TUBE LARYNGECTOMY SIZE 8

Facility

$388.00

Hospital Charge Code	270331345
Hospital Revenue Code	272
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$194.00
Rate for Payer: Aetna Commercial	$147.44
Rate for Payer: Aetna Medicare Advantage	$116.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.94
Rate for Payer: Cigna Commercial	$194.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.88
Rate for Payer: Oxford Commercial	$77.60
Rate for Payer: Qualcare PPO/HMO/WC	$58.20
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: UnitedHealthcare Community & State	$12.26
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

TUBE LARYNGECTOMY SIZE 8

Facility

$388.00

Hospital Charge Code	270331345
Hospital Revenue Code	272
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$58.20
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

TUBE LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.89
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

TUBE MCV GASTROST REPLC 6220

Facility

$195.00

Hospital Charge Code	270614167
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$74.10
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.25
Rate for Payer: UnitedHealthcare Commercial	$39.00
Rate for Payer: UnitedHealthcare Community & State	$6.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5.54

TUBE MCV GASTROST REPLC 6220

Facility

$195.00

Hospital Charge Code	270614167
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$29.25
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

TUBE MIC GASTROSTOMY ADULT 20

Facility

$220.30

Hospital Charge Code	270666073
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 MIC GASTROSTOMY ADULT 20

Facility

$220.30

Hospital Charge Code	270666073
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE MIC GASTROSTOMY FEED 16FR

Facility

$220.30

Hospital Charge Code	672029
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$33.05
Rate for Payer: Qualcare PPO/HMO/WC	$33.05

TUBE MIC GASTROSTOMY FEED 16FR

Facility

$220.30

Hospital Charge Code	672029
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 MIC-KEY GASTRO 16FR 4.0cm

Facility

$512.20

Hospital Charge Code	270672280
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$256.10
Rate for Payer: Aetna Commercial	$194.64
Rate for Payer: Aetna Medicare Advantage	$153.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.61
Rate for Payer: Cigna Commercial	$256.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.17
Rate for Payer: Oxford Commercial	$102.44
Rate for Payer: Qualcare PPO/HMO/WC	$76.83
Rate for Payer: UnitedHealthcare Commercial	$102.44
Rate for Payer: UnitedHealthcare Community & State	$16.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14.55

TUBE MIC-KEY GASTRO 16FR 4.0cm

Facility

$512.20

Hospital Charge Code	270672280
Hospital Revenue Code	272
Min. Negotiated Rate	$76.83
Max. Negotiated Rate	$76.83
Rate for Payer: Qualcare PPO/HMO/WC	$76.83

TUBE MIC-KEY GASTRO 18FR 4.0cm

Facility

$841.20

Hospital Charge Code	270672281
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$420.60
Rate for Payer: Aetna Commercial	$319.66
Rate for Payer: Aetna Medicare Advantage	$252.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.51
Rate for Payer: Cigna Commercial	$420.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.71
Rate for Payer: Oxford Commercial	$168.24
Rate for Payer: Qualcare PPO/HMO/WC	$126.18
Rate for Payer: UnitedHealthcare Commercial	$168.24
Rate for Payer: UnitedHealthcare Community & State	$26.58
Rate for Payer: Wellpoint Medicaid Managed Care	$23.89

TUBE MIC-KEY GASTRO 18FR 4.0cm

Facility

$841.20

Hospital Charge Code	270672281
Hospital Revenue Code	272
Min. Negotiated Rate	$126.18
Max. Negotiated Rate	$126.18
Rate for Payer: Qualcare PPO/HMO/WC	$126.18

TUBE MIRCO W/MICROGARD EDTA

Facility

$114.90

Hospital Charge Code	270663954
Hospital Revenue Code	270
Min. Negotiated Rate	$17.23
Max. Negotiated Rate	$17.23
Rate for Payer: Qualcare PPO/HMO/WC	$17.23

TUBE MIRCO W/MICROGARD EDTA

Facility

$114.90

Hospital Charge Code	270663954
Hospital Revenue Code	270
Min. Negotiated Rate	$3.26
Max. Negotiated Rate	$57.45
Rate for Payer: Aetna Commercial	$43.66
Rate for Payer: Aetna Medicare Advantage	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.30
Rate for Payer: Cigna Commercial	$57.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.87
Rate for Payer: Oxford Commercial	$22.98
Rate for Payer: Qualcare PPO/HMO/WC	$17.23
Rate for Payer: UnitedHealthcare Commercial	$22.98
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

TUBE NASAL RAE ENDOTRACH 6.0

Facility

$23.55

Hospital Charge Code	270677053
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.78
Rate for Payer: Aetna Commercial	$8.95
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.12
Rate for Payer: Oxford Commercial	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$4.71
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBE NASAL RAE ENDOTRACH 6.0

Facility

$23.55

Hospital Charge Code	270677053
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

TUBE NASAL RAE ENDOTRACH 6.5

Facility

$23.55

Hospital Charge Code	270677054
Hospital Revenue Code	272
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$3.53

TUBE NASAL RAE ENDOTRACH 6.5

Facility

$23.55

Hospital Charge Code	270677054
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.78
Rate for Payer: Aetna Commercial	$8.95
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.12
Rate for Payer: Oxford Commercial	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.53
Rate for Payer: UnitedHealthcare Commercial	$4.71
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBE NASAL RAE ENDOTRACH 7.0

Facility

$235.75

Hospital Charge Code	270677055
Hospital Revenue Code	272
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$117.88
Rate for Payer: Aetna Commercial	$89.58
Rate for Payer: Aetna Medicare Advantage	$70.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.12
Rate for Payer: Cigna Commercial	$117.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.30
Rate for Payer: Oxford Commercial	$47.15
Rate for Payer: Qualcare PPO/HMO/WC	$35.36
Rate for Payer: UnitedHealthcare Commercial	$47.15
Rate for Payer: UnitedHealthcare Community & State	$7.45
Rate for Payer: Wellpoint Medicaid Managed Care	$6.70

TUBE NASAL RAE ENDOTRACH 7.0

Facility

$235.75

Hospital Charge Code	270677055
Hospital Revenue Code	272
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$35.36
Rate for Payer: Qualcare PPO/HMO/WC	$35.36

Know your out-of-pocket cost for care.

All Charges