Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.80
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$2.00
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$5.78
Rate for Payer: Aetna Commercial	$4.39
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.95
Rate for Payer: Cigna Commercial	$5.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$6.59
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$3.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$3.47
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$51.04
Rate for Payer: Aetna Commercial	$38.79
Rate for Payer: Aetna Medicare Advantage	$30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.03
Rate for Payer: Cigna Commercial	$51.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.54
Rate for Payer: Oxford Commercial	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$20.42
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$94.33
Rate for Payer: Aetna Commercial	$71.69
Rate for Payer: Aetna Medicare Advantage	$56.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.11
Rate for Payer: Cigna Commercial	$94.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.05
Rate for Payer: Oxford Commercial	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$37.73
Rate for Payer: UnitedHealthcare Community & State	$5.96
Rate for Payer: Wellpoint Medicaid Managed Care	$5.36

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.46
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$39.35
Max. Negotiated Rate	$39.35
Rate for Payer: Qualcare PPO/HMO/WC	$39.35

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$131.18
Rate for Payer: Aetna Commercial	$99.69
Rate for Payer: Aetna Medicare Advantage	$78.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.90
Rate for Payer: Cigna Commercial	$131.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.21
Rate for Payer: Oxford Commercial	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$39.35
Rate for Payer: UnitedHealthcare Commercial	$52.47
Rate for Payer: UnitedHealthcare Community & State	$8.29
Rate for Payer: Wellpoint Medicaid Managed Care	$7.45

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.20
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Commercial	$54.00
Rate for Payer: UnitedHealthcare Community & State	$8.53
Rate for Payer: Wellpoint Medicaid Managed Care	$7.67

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$5.58
Rate for Payer: Aetna Commercial	$4.24
Rate for Payer: Aetna Medicare Advantage	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.84
Rate for Payer: Cigna Commercial	$5.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$2.23
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$11.81
Rate for Payer: Aetna Commercial	$8.98
Rate for Payer: Aetna Medicare Advantage	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.03
Rate for Payer: Cigna Commercial	$11.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$4.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.73
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBING PEND SUCTION PA2010

Facility

$82.25

Hospital Charge Code	270638391
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$41.12
Rate for Payer: Aetna Commercial	$31.25
Rate for Payer: Aetna Medicare Advantage	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.97
Rate for Payer: Cigna Commercial	$41.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.39
Rate for Payer: Oxford Commercial	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.34
Rate for Payer: UnitedHealthcare Commercial	$16.45
Rate for Payer: UnitedHealthcare Community & State	$2.60
Rate for Payer: Wellpoint Medicaid Managed Care	$2.34

TUBING PEND SUCTION PA2010

Facility

$82.25

Hospital Charge Code	270638391
Hospital Revenue Code	272
Min. Negotiated Rate	$12.34
Max. Negotiated Rate	$12.34
Rate for Payer: Qualcare PPO/HMO/WC	$12.34

TUBING PLUM 4.0

Facility

$103.50

Hospital Charge Code	270662866
Hospital Revenue Code	272
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$51.75
Rate for Payer: Aetna Commercial	$39.33
Rate for Payer: Aetna Medicare Advantage	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.39
Rate for Payer: Cigna Commercial	$51.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$15.53
Rate for Payer: UnitedHealthcare Commercial	$20.70
Rate for Payer: UnitedHealthcare Community & State	$3.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.94

TUBING PLUM 4.0

Facility

$103.50

Hospital Charge Code	270662866
Hospital Revenue Code	272
Min. Negotiated Rate	$15.53
Max. Negotiated Rate	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$15.53

TUBING PLUME AWAY 4.0MM

Facility

$147.50

Hospital Charge Code	270683502
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$73.75
Rate for Payer: Aetna Commercial	$56.05
Rate for Payer: Aetna Medicare Advantage	$44.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.61
Rate for Payer: Cigna Commercial	$73.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.35
Rate for Payer: Oxford Commercial	$29.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.12
Rate for Payer: UnitedHealthcare Commercial	$29.50
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

Know your out-of-pocket cost for care.

All Charges