Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBING CANNULA 02 NASAL W/34

Facility

$1.57

Hospital Charge Code	270649217
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

TUBING CO2 EXT PENTAX

Facility

$105.00

Hospital Charge Code	270677703
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

TUBING CO2 EXT PENTAX

Facility

$105.00

Hospital Charge Code	270677703
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

TUBING COLLECTION SET DISP

Facility

$34.19

Hospital Charge Code	270649222
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$17.09
Rate for Payer: Aetna Commercial	$12.99
Rate for Payer: Aetna Medicare Advantage	$10.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.72
Rate for Payer: Cigna Commercial	$17.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.89
Rate for Payer: Oxford Commercial	$6.84
Rate for Payer: Qualcare PPO/HMO/WC	$5.13
Rate for Payer: UnitedHealthcare Commercial	$6.84
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

TUBING COLLECTION SET DISP

Facility

$34.19

Hospital Charge Code	270649222
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$5.13

TUBING CONNECTING

Facility

$4.00

Hospital Charge Code	270600662
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUBING CONNECTING

Facility

$4.00

Hospital Charge Code	270600662
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TUBING CONNECTING 10' L

Facility

$7.25

Hospital Charge Code	270061425
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBING CONNECTING 10' L

Facility

$7.25

Hospital Charge Code	270061425
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

TUBING CONNECTOR COIL 60 IN

Facility

$18.75

Hospital Charge Code	270690353
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$9.38
Rate for Payer: Aetna Commercial	$7.12
Rate for Payer: Aetna Medicare Advantage	$5.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.78
Rate for Payer: Cigna Commercial	$9.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.88
Rate for Payer: Oxford Commercial	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.81
Rate for Payer: UnitedHealthcare Commercial	$3.75
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

TUBING CONNECTOR COIL 60 IN

Facility

$18.75

Hospital Charge Code	270690353
Hospital Revenue Code	272
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.81

TUBING CONNECTOR EMPOWERCTA

Facility

$22.60

Hospital Charge Code	270690355
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.30
Rate for Payer: Aetna Commercial	$8.59
Rate for Payer: Aetna Medicare Advantage	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.76
Rate for Payer: Cigna Commercial	$11.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.88
Rate for Payer: Oxford Commercial	$4.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.39
Rate for Payer: UnitedHealthcare Commercial	$4.52
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

TUBING CONNECTOR EMPOWERCTA

Facility

$22.60

Hospital Charge Code	270690355
Hospital Revenue Code	272
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$3.39
Rate for Payer: Qualcare PPO/HMO/WC	$3.39

TUBING CONNECTORS NYLON 5540

Facility

$25.00

Hospital Charge Code	270331474
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

TUBING CONNECTORS NYLON 5540

Facility

$25.00

Hospital Charge Code	270331474
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.24
Rate for Payer: Oxford Commercial	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$8.65
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$10.65
Rate for Payer: Aetna Commercial	$8.09
Rate for Payer: Aetna Medicare Advantage	$6.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.43
Rate for Payer: Cigna Commercial	$10.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.54
Rate for Payer: Oxford Commercial	$4.26
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$4.26
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.60

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$27.49
Rate for Payer: Aetna Commercial	$20.89
Rate for Payer: Aetna Medicare Advantage	$16.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.02
Rate for Payer: Cigna Commercial	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.29
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$11.00
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.56

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$35.74
Max. Negotiated Rate	$35.74
Rate for Payer: Qualcare PPO/HMO/WC	$35.74

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$119.13
Rate for Payer: Aetna Commercial	$90.54
Rate for Payer: Aetna Medicare Advantage	$71.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.76
Rate for Payer: Cigna Commercial	$119.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.95
Rate for Payer: Oxford Commercial	$47.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.74
Rate for Payer: UnitedHealthcare Commercial	$47.65
Rate for Payer: UnitedHealthcare Community & State	$7.53
Rate for Payer: Wellpoint Medicaid Managed Care	$6.77

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$7.83
Rate for Payer: Aetna Commercial	$5.95
Rate for Payer: Aetna Medicare Advantage	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.07
Rate for Payer: Oxford Commercial	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$3.13
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

Know your out-of-pocket cost for care.

All Charges