Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE NASAL RAE ENDOTRACH 7.5

Facility

$23.55

Hospital Charge Code	270677056
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 7.5

Facility

$23.55

Hospital Charge Code	270677056
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 8.0

Facility

$235.75

Hospital Charge Code	270677057
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 8.0

Facility

$235.75

Hospital Charge Code	270677057
Hospital Revenue Code	272
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$35.36
Rate for Payer: Qualcare PPO/HMO/WC	$35.36

TUBE NON CONDUCTIVE 20

Facility

$2.32

Hospital Charge Code	270654182
Hospital Revenue Code	270
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

TUBE NON CONDUCTIVE 20

Facility

$2.32

Hospital Charge Code	270654182
Hospital Revenue Code	270
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.16
Rate for Payer: Aetna Commercial	$0.88
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$0.46
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

TUBE NUPREP 4oz

Facility

$38.20

Hospital Charge Code	270620570
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$19.10
Rate for Payer: Aetna Commercial	$14.52
Rate for Payer: Aetna Medicare Advantage	$11.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.74
Rate for Payer: Cigna Commercial	$19.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.93
Rate for Payer: Oxford Commercial	$7.64
Rate for Payer: Qualcare PPO/HMO/WC	$5.73
Rate for Payer: UnitedHealthcare Commercial	$7.64
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

TUBE NUPREP 4oz

Facility

$38.20

Hospital Charge Code	270620570
Hospital Revenue Code	272
Min. Negotiated Rate	$5.73
Max. Negotiated Rate	$5.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.73

TUBE ORAL RAE CUFFED 4.5MM

Facility

$23.58

Hospital Charge Code	270655757
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBE ORAL RAE CUFFED 4.5MM

Facility

$23.58

Hospital Charge Code	270655757
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$8.96
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	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.72
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBE ORAL RAE CUFFED 5.0MM

Facility

$23.58

Hospital Charge Code	270660320
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBE ORAL RAE CUFFED 5.0MM

Facility

$23.58

Hospital Charge Code	270660320
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$8.96
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	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.72
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBE ORAL RAE CUFFED 5.5MM

Facility

$23.58

Hospital Charge Code	270660321
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$8.96
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	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.72
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBE ORAL RAE CUFFED 5.5MM

Facility

$23.58

Hospital Charge Code	270660321
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBE QUICK CHEST TRAY 12 FR

Facility

$713.00

Hospital Charge Code	270667392
Hospital Revenue Code	272
Min. Negotiated Rate	$106.95
Max. Negotiated Rate	$106.95
Rate for Payer: Qualcare PPO/HMO/WC	$106.95

TUBE QUICK CHEST TRAY 12 FR

Facility

$713.00

Hospital Charge Code	270667392
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$356.50
Rate for Payer: Aetna Commercial	$270.94
Rate for Payer: Aetna Medicare Advantage	$213.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.81
Rate for Payer: Cigna Commercial	$356.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.38
Rate for Payer: Oxford Commercial	$142.60
Rate for Payer: Qualcare PPO/HMO/WC	$106.95
Rate for Payer: UnitedHealthcare Commercial	$142.60
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$20.25

TUBERCULIN 5 UNITS/0.1 ML INJ

Facility

$377.88

Service Code	NDC 49281075221
Hospital Charge Code	60627883
Hospital Revenue Code	250
Min. Negotiated Rate	$10.73
Max. Negotiated Rate	$188.94
Rate for Payer: Aetna Commercial	$143.59
Rate for Payer: Aetna Medicare Advantage	$113.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.36
Rate for Payer: Cigna Commercial	$188.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.25
Rate for Payer: Oxford Commercial	$75.58
Rate for Payer: Qualcare PPO/HMO/WC	$56.68
Rate for Payer: UnitedHealthcare Commercial	$75.58
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

TUBERCULIN 5 UNITS/0.1 ML INJ

Facility

$377.88

Service Code	NDC 49281075221
Hospital Charge Code	60627883
Hospital Revenue Code	250
Min. Negotiated Rate	$56.68
Max. Negotiated Rate	$56.68
Rate for Payer: Qualcare PPO/HMO/WC	$56.68

TUBERCULIN INJ 1TU/0.1ML 5ML

Facility

$1,375.24

Service Code	NDC 49281075222
Hospital Charge Code	60627882
Hospital Revenue Code	250
Min. Negotiated Rate	$206.29
Max. Negotiated Rate	$206.29
Rate for Payer: Qualcare PPO/HMO/WC	$206.29

TUBERCULIN INJ 1TU/0.1ML 5ML

Facility

$1,375.24

Service Code	NDC 49281075222
Hospital Charge Code	60627882
Hospital Revenue Code	250
Min. Negotiated Rate	$39.06
Max. Negotiated Rate	$687.62
Rate for Payer: Aetna Commercial	$522.59
Rate for Payer: Aetna Medicare Advantage	$412.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.69
Rate for Payer: Cigna Commercial	$687.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.56
Rate for Payer: Oxford Commercial	$275.05
Rate for Payer: Qualcare PPO/HMO/WC	$206.29
Rate for Payer: UnitedHealthcare Commercial	$275.05
Rate for Payer: UnitedHealthcare Community & State	$43.46
Rate for Payer: Wellpoint Medicaid Managed Care	$39.06

TUBERCULOSIS PPD INTRDERM TEST

Facility

$390.00

Service Code	HCPCS 86580
Hospital Charge Code	9400185
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TUBERCULOSIS PPD INTRDERM TEST

Facility

$390.00

Service Code	HCPCS 86580
Hospital Charge Code	9400185
Hospital Revenue Code	302
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$93.46
Rate for Payer: Aetna Medicare Advantage	$111.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.64
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$34.36
Rate for Payer: Clover Medicare Advantage	$32.64
Rate for Payer: EmblemHealth Commercial	$103.08
Rate for Payer: Humana Medicare Advantage	$35.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$8.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.36
Rate for Payer: Wellcare Medicare Advantage	$34.36
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

TUBE REPLACEMENT

Facility

$1,000.00

Hospital Charge Code	1001161
Hospital Revenue Code	360
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

TUBE REPLACEMENT

Facility

$1,000.00

Hospital Charge Code	1001161
Hospital Revenue Code	360
Min. Negotiated Rate	$28.40
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$28.40

TUBE SALEM SUMP 06200046180

Facility

$18.29

Hospital Charge Code	270302275
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$9.14
Rate for Payer: Aetna Commercial	$6.95
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.66
Rate for Payer: Cigna Commercial	$9.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.76
Rate for Payer: Oxford Commercial	$3.66
Rate for Payer: Qualcare PPO/HMO/WC	$2.74
Rate for Payer: UnitedHealthcare Commercial	$3.66
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

Know your out-of-pocket cost for care.

All Charges