Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE TEFLON

Facility

$1,404.05

Hospital Charge Code	270661243
Hospital Revenue Code	272
Min. Negotiated Rate	$39.88
Max. Negotiated Rate	$702.02
Rate for Payer: Aetna Commercial	$533.54
Rate for Payer: Aetna Medicare Advantage	$421.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.03
Rate for Payer: Cigna Commercial	$702.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$365.05
Rate for Payer: Oxford Commercial	$280.81
Rate for Payer: Qualcare PPO/HMO/WC	$210.61
Rate for Payer: UnitedHealthcare Commercial	$280.81
Rate for Payer: UnitedHealthcare Community & State	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$39.88

TUBE TEFLON

Facility

$1,404.05

Hospital Charge Code	270661243
Hospital Revenue Code	272
Min. Negotiated Rate	$210.61
Max. Negotiated Rate	$210.61
Rate for Payer: Qualcare PPO/HMO/WC	$210.61

TUBE TRACH #6DCT

Facility

$194.55

Hospital Charge Code	270649905
Hospital Revenue Code	272
Min. Negotiated Rate	$29.18
Max. Negotiated Rate	$29.18
Rate for Payer: Qualcare PPO/HMO/WC	$29.18

TUBE TRACH #6DCT

Facility

$194.55

Hospital Charge Code	270649905
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$97.28
Rate for Payer: Aetna Commercial	$73.93
Rate for Payer: Aetna Medicare Advantage	$58.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.61
Rate for Payer: Cigna Commercial	$97.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.58
Rate for Payer: Oxford Commercial	$38.91
Rate for Payer: Qualcare PPO/HMO/WC	$29.18
Rate for Payer: UnitedHealthcare Commercial	$38.91
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$5.53

TUBE TRACH 8.0 DBL CUFF 531080

Facility

$325.00

Hospital Charge Code	270617486
Hospital Revenue Code	272
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

TUBE TRACH 8.0 DBL CUFF 531080

Facility

$325.00

Hospital Charge Code	270617486
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

TUBE TRACH CUFFED 7MM

Facility

$549.85

Service Code	HCPCS A7521
Hospital Charge Code	270699906
Hospital Revenue Code	272
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$274.93
Rate for Payer: Aetna Commercial	$208.94
Rate for Payer: Aetna Medicare Advantage	$164.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.21
Rate for Payer: Cigna Commercial	$274.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.96
Rate for Payer: Oxford Commercial	$109.97
Rate for Payer: Qualcare PPO/HMO/WC	$82.48
Rate for Payer: UnitedHealthcare Commercial	$109.97
Rate for Payer: UnitedHealthcare Community & State	$17.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

TUBE TRACH CUFFED 7MM

Facility

$549.85

Service Code	HCPCS A7521
Hospital Charge Code	270699906
Hospital Revenue Code	272
Min. Negotiated Rate	$82.48
Max. Negotiated Rate	$82.48
Rate for Payer: Qualcare PPO/HMO/WC	$82.48

TUBE TRACH CUFFED FEN SZ6

Facility

$250.55

Hospital Charge Code	270649903
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$125.28
Rate for Payer: Aetna Commercial	$95.21
Rate for Payer: Aetna Medicare Advantage	$75.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.89
Rate for Payer: Cigna Commercial	$125.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.14
Rate for Payer: Oxford Commercial	$50.11
Rate for Payer: Qualcare PPO/HMO/WC	$37.58
Rate for Payer: UnitedHealthcare Commercial	$50.11
Rate for Payer: UnitedHealthcare Community & State	$7.92
Rate for Payer: Wellpoint Medicaid Managed Care	$7.12

TUBE TRACH CUFFED FEN SZ6

Facility

$250.55

Hospital Charge Code	270649903
Hospital Revenue Code	272
Min. Negotiated Rate	$37.58
Max. Negotiated Rate	$37.58
Rate for Payer: Qualcare PPO/HMO/WC	$37.58

TUBE TRACH CUFF FENEST SZ8

Facility

$184.50

Hospital Charge Code	270649307
Hospital Revenue Code	272
Min. Negotiated Rate	$27.68
Max. Negotiated Rate	$27.68
Rate for Payer: Qualcare PPO/HMO/WC	$27.68

TUBE TRACH CUFF FENEST SZ8

Facility

$184.50

Hospital Charge Code	270649307
Hospital Revenue Code	272
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$92.25
Rate for Payer: Aetna Commercial	$70.11
Rate for Payer: Aetna Medicare Advantage	$55.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.05
Rate for Payer: Cigna Commercial	$92.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.97
Rate for Payer: Oxford Commercial	$36.90
Rate for Payer: Qualcare PPO/HMO/WC	$27.68
Rate for Payer: UnitedHealthcare Commercial	$36.90
Rate for Payer: UnitedHealthcare Community & State	$5.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.24

TUBE TRACH CUFFL #4 NON-FEN

Facility

$338.85

Hospital Charge Code	270600037
Hospital Revenue Code	272
Min. Negotiated Rate	$50.83
Max. Negotiated Rate	$50.83
Rate for Payer: Qualcare PPO/HMO/WC	$50.83

TUBE TRACH CUFFL #4 NON-FEN

Facility

$338.85

Hospital Charge Code	270600037
Hospital Revenue Code	272
Min. Negotiated Rate	$9.62
Max. Negotiated Rate	$169.43
Rate for Payer: Aetna Commercial	$128.76
Rate for Payer: Aetna Medicare Advantage	$101.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.41
Rate for Payer: Cigna Commercial	$169.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.10
Rate for Payer: Oxford Commercial	$67.77
Rate for Payer: Qualcare PPO/HMO/WC	$50.83
Rate for Payer: UnitedHealthcare Commercial	$67.77
Rate for Payer: UnitedHealthcare Community & State	$10.71
Rate for Payer: Wellpoint Medicaid Managed Care	$9.62

TUBE TRACH CUFFLESS FENS 6DCFN

Facility

$232.05

Hospital Charge Code	270302422
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$116.03
Rate for Payer: Aetna Commercial	$88.18
Rate for Payer: Aetna Medicare Advantage	$69.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.17
Rate for Payer: Cigna Commercial	$116.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Oxford Commercial	$46.41
Rate for Payer: Qualcare PPO/HMO/WC	$34.81
Rate for Payer: UnitedHealthcare Commercial	$46.41
Rate for Payer: UnitedHealthcare Community & State	$7.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

TUBE TRACH CUFFLESS FENS 6DCFN

Facility

$232.05

Hospital Charge Code	270302422
Hospital Revenue Code	272
Min. Negotiated Rate	$34.81
Max. Negotiated Rate	$34.81
Rate for Payer: Qualcare PPO/HMO/WC	$34.81

TUBE TRACH CUFFLESS FNES 4DCFN

Facility

$229.85

Hospital Charge Code	270302421
Hospital Revenue Code	272
Min. Negotiated Rate	$34.48
Max. Negotiated Rate	$34.48
Rate for Payer: Qualcare PPO/HMO/WC	$34.48

TUBE TRACH CUFFLESS FNES 4DCFN

Facility

$229.85

Hospital Charge Code	270302421
Hospital Revenue Code	272
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$114.92
Rate for Payer: Aetna Commercial	$87.34
Rate for Payer: Aetna Medicare Advantage	$68.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.61
Rate for Payer: Cigna Commercial	$114.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Oxford Commercial	$45.97
Rate for Payer: Qualcare PPO/HMO/WC	$34.48
Rate for Payer: UnitedHealthcare Commercial	$45.97
Rate for Payer: UnitedHealthcare Community & State	$7.26
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

TUBE TRACH CUFF SZ 4 4DCT

Facility

$232.05

Hospital Charge Code	270649306
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$116.03
Rate for Payer: Aetna Commercial	$88.18
Rate for Payer: Aetna Medicare Advantage	$69.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.17
Rate for Payer: Cigna Commercial	$116.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.33
Rate for Payer: Oxford Commercial	$46.41
Rate for Payer: Qualcare PPO/HMO/WC	$34.81
Rate for Payer: UnitedHealthcare Commercial	$46.41
Rate for Payer: UnitedHealthcare Community & State	$7.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

TUBE TRACH CUFF SZ 4 4DCT

Facility

$232.05

Hospital Charge Code	270649306
Hospital Revenue Code	272
Min. Negotiated Rate	$34.81
Max. Negotiated Rate	$34.81
Rate for Payer: Qualcare PPO/HMO/WC	$34.81

TUBE TRACHEOSTOMY #10

Facility

$229.85

Hospital Charge Code	270650076
Hospital Revenue Code	270
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$114.92
Rate for Payer: Aetna Commercial	$87.34
Rate for Payer: Aetna Medicare Advantage	$68.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.61
Rate for Payer: Cigna Commercial	$114.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.76
Rate for Payer: Oxford Commercial	$45.97
Rate for Payer: Qualcare PPO/HMO/WC	$34.48
Rate for Payer: UnitedHealthcare Commercial	$45.97
Rate for Payer: UnitedHealthcare Community & State	$7.26
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

TUBE TRACHEOSTOMY #10

Facility

$229.85

Hospital Charge Code	270650076
Hospital Revenue Code	270
Min. Negotiated Rate	$34.48
Max. Negotiated Rate	$34.48
Rate for Payer: Qualcare PPO/HMO/WC	$34.48

TUBE TRACH FENEST SZ 8

Facility

$308.15

Hospital Charge Code	270302420
Hospital Revenue Code	272
Min. Negotiated Rate	$46.22
Max. Negotiated Rate	$46.22
Rate for Payer: Qualcare PPO/HMO/WC	$46.22

TUBE TRACH FENEST SZ 8

Facility

$308.15

Hospital Charge Code	270302420
Hospital Revenue Code	272
Min. Negotiated Rate	$8.75
Max. Negotiated Rate	$154.07
Rate for Payer: Aetna Commercial	$117.10
Rate for Payer: Aetna Medicare Advantage	$92.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.58
Rate for Payer: Cigna Commercial	$154.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.12
Rate for Payer: Oxford Commercial	$61.63
Rate for Payer: Qualcare PPO/HMO/WC	$46.22
Rate for Payer: UnitedHealthcare Commercial	$61.63
Rate for Payer: UnitedHealthcare Community & State	$9.74
Rate for Payer: Wellpoint Medicaid Managed Care	$8.75

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$48.70
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.32
Rate for Payer: Oxford Commercial	$25.63
Rate for Payer: Qualcare PPO/HMO/WC	$19.22
Rate for Payer: UnitedHealthcare Commercial	$25.63
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

Know your out-of-pocket cost for care.

All Charges