Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.56
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$4.98

TUBE TRACH UNCUFFED SZ 6

Facility

$234.25

Hospital Charge Code	270649994
Hospital Revenue Code	270
Min. Negotiated Rate	$6.65
Max. Negotiated Rate	$117.12
Rate for Payer: Aetna Commercial	$89.02
Rate for Payer: Aetna Medicare Advantage	$70.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.73
Rate for Payer: Cigna Commercial	$117.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.91
Rate for Payer: Oxford Commercial	$46.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.14
Rate for Payer: UnitedHealthcare Commercial	$46.85
Rate for Payer: UnitedHealthcare Community & State	$7.40
Rate for Payer: Wellpoint Medicaid Managed Care	$6.65

TUBE TRACH UNCUFFED SZ 6

Facility

$234.25

Hospital Charge Code	270649994
Hospital Revenue Code	270
Min. Negotiated Rate	$35.14
Max. Negotiated Rate	$35.14
Rate for Payer: Qualcare PPO/HMO/WC	$35.14

TUBE TRACH W/CUFF SZ 6DCT

Facility

$232.05

Hospital Charge Code	270643781
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 W/CUFF SZ 6DCT

Facility

$232.05

Hospital Charge Code	270643781
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 W/CUFF SZ 8DCT

Facility

$232.05

Hospital Charge Code	270605857
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 W/CUFF SZ 8DCT

Facility

$232.05

Hospital Charge Code	270605857
Hospital Revenue Code	272
Min. Negotiated Rate	$34.81
Max. Negotiated Rate	$34.81
Rate for Payer: Qualcare PPO/HMO/WC	$34.81

TUBE TYMPANOST GROMMET BL 1.14

Facility

$70.83

Service Code	HCPCS A4649
Hospital Charge Code	270699382
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$35.41
Rate for Payer: Aetna Commercial	$26.92
Rate for Payer: Aetna Medicare Advantage	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.06
Rate for Payer: Cigna Commercial	$35.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.42
Rate for Payer: Oxford Commercial	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$10.62
Rate for Payer: UnitedHealthcare Commercial	$14.17
Rate for Payer: UnitedHealthcare Community & State	$2.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

TUBE TYMPANOST GROMMET BL 1.14

Facility

$70.83

Service Code	HCPCS A4649
Hospital Charge Code	270699382
Hospital Revenue Code	272
Min. Negotiated Rate	$10.62
Max. Negotiated Rate	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.62

TUBE VENT SHPHRD GROMM MYRING

Facility

$53.79

Hospital Charge Code	270601241
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$8.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.07

TUBE VENT SHPHRD GROMM MYRING

Facility

$53.79

Hospital Charge Code	270601241
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$26.89
Rate for Payer: Aetna Commercial	$20.44
Rate for Payer: Aetna Medicare Advantage	$16.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.72
Rate for Payer: Cigna Commercial	$26.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.99
Rate for Payer: Oxford Commercial	$10.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.07
Rate for Payer: UnitedHealthcare Commercial	$10.76
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

TUBE VINYL CONNECTING 40CM LNG

Facility

$63.75

Hospital Charge Code	270656104
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$31.88
Rate for Payer: Aetna Commercial	$24.23
Rate for Payer: Aetna Medicare Advantage	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.26
Rate for Payer: Cigna Commercial	$31.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.57
Rate for Payer: Oxford Commercial	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.56
Rate for Payer: UnitedHealthcare Commercial	$12.75
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.81

TUBE VINYL CONNECTING 40CM LNG

Facility

$63.75

Hospital Charge Code	270656104
Hospital Revenue Code	272
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$9.56
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

TUBE ViSiGi 3D FOR BYPASS 32FR

Facility

$848.00

Hospital Charge Code	270692086
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$322.24
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.48
Rate for Payer: Oxford Commercial	$169.60
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$169.60
Rate for Payer: UnitedHealthcare Community & State	$26.80
Rate for Payer: Wellpoint Medicaid Managed Care	$24.08

TUBE ViSiGi 3D FOR BYPASS 32FR

Facility

$848.00

Hospital Charge Code	270692086
Hospital Revenue Code	272
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

TUBE ViSiGi 3D FOR BYPASS 36FR

Facility

$848.00

Hospital Charge Code	270692087
Hospital Revenue Code	272
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

TUBE ViSiGi 3D FOR BYPASS 36FR

Facility

$848.00

Hospital Charge Code	270692087
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$322.24
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.48
Rate for Payer: Oxford Commercial	$169.60
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$169.60
Rate for Payer: UnitedHealthcare Community & State	$26.80
Rate for Payer: Wellpoint Medicaid Managed Care	$24.08

TUBE ViSiGi 3D FOR BYPASS 40FR

Facility

$848.00

Hospital Charge Code	270692088
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$322.24
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.48
Rate for Payer: Oxford Commercial	$169.60
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$169.60
Rate for Payer: UnitedHealthcare Community & State	$26.80
Rate for Payer: Wellpoint Medicaid Managed Care	$24.08

TUBE ViSiGi 3D FOR BYPASS 40FR

Facility

$848.00

Hospital Charge Code	270692088
Hospital Revenue Code	272
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

TUBE VISIGI W/BULB 32FR

Facility

$848.00

Hospital Charge Code	270692043
Hospital Revenue Code	272
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

TUBE VISIGI W/BULB 32FR

Facility

$848.00

Hospital Charge Code	270692043
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$322.24
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.48
Rate for Payer: Oxford Commercial	$169.60
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$169.60
Rate for Payer: UnitedHealthcare Community & State	$26.80
Rate for Payer: Wellpoint Medicaid Managed Care	$24.08

TUBE VISIGI W/BULB 36FR

Facility

$848.00

Hospital Charge Code	270692044
Hospital Revenue Code	272
Min. Negotiated Rate	$24.08
Max. Negotiated Rate	$424.00
Rate for Payer: Aetna Commercial	$322.24
Rate for Payer: Aetna Medicare Advantage	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.24
Rate for Payer: Cigna Commercial	$424.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.48
Rate for Payer: Oxford Commercial	$169.60
Rate for Payer: Qualcare PPO/HMO/WC	$127.20
Rate for Payer: UnitedHealthcare Commercial	$169.60
Rate for Payer: UnitedHealthcare Community & State	$26.80
Rate for Payer: Wellpoint Medicaid Managed Care	$24.08

TUBE VISIGI W/BULB 36FR

Facility

$848.00

Hospital Charge Code	270692044
Hospital Revenue Code	272
Min. Negotiated Rate	$127.20
Max. Negotiated Rate	$127.20
Rate for Payer: Qualcare PPO/HMO/WC	$127.20

Know your out-of-pocket cost for care.

All Charges