Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBING PVC PRESSURE 72

Facility

$9.25

Hospital Charge Code	270660928S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

TUBING REG BLOOD ADM SET V2500

Facility

$12.03

Hospital Charge Code	270040270
Hospital Revenue Code	270
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$6.01
Rate for Payer: Aetna Commercial	$4.57
Rate for Payer: Aetna Medicare Advantage	$3.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.07
Rate for Payer: Cigna Commercial	$6.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$2.41
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.41
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

TUBING REG BLOOD ADM SET V2500

Facility

$12.03

Hospital Charge Code	270040270
Hospital Revenue Code	270
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

TUBING SAFELINE BASC IV NF1150

Facility

$11.03

Hospital Charge Code	270040240
Hospital Revenue Code	270
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.51
Rate for Payer: Aetna Commercial	$4.19
Rate for Payer: Aetna Medicare Advantage	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.21
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

TUBING SAFELINE BASC IV NF1150

Facility

$11.03

Hospital Charge Code	270040240
Hospital Revenue Code	270
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

TUBING SAFELINE EXT SET NF1370

Facility

$11.08

Hospital Charge Code	270617764
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.66

TUBING SAFELINE EXT SET NF1370

Facility

$11.08

Hospital Charge Code	270617764
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$5.54
Rate for Payer: Aetna Commercial	$4.21
Rate for Payer: Aetna Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.88
Rate for Payer: Oxford Commercial	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.66
Rate for Payer: UnitedHealthcare Commercial	$2.22
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

TUBING SAFELIN PUMP SET NF3140

Facility

$22.37

Hospital Charge Code	270040266
Hospital Revenue Code	270
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

TUBING SAFELIN PUMP SET NF3140

Facility

$22.37

Hospital Charge Code	270040266
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$11.19
Rate for Payer: Aetna Commercial	$8.50
Rate for Payer: Aetna Medicare Advantage	$6.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.70
Rate for Payer: Cigna Commercial	$11.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$4.47
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.47
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

TUBING SECONDARY IV 14230-28

Facility

$5.25

Hospital Charge Code	270649233
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

TUBING SECONDARY IV 14230-28

Facility

$5.25

Hospital Charge Code	270649233
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$2.00
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$1.05
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

TUBING SECONDARY IV PIGGYBACK

Facility

$4.11

Hospital Charge Code	270650121
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

TUBING SECONDARY IV PIGGYBACK

Facility

$4.11

Hospital Charge Code	270650121
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.06
Rate for Payer: Aetna Commercial	$1.56
Rate for Payer: Aetna Medicare Advantage	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.05
Rate for Payer: Cigna Commercial	$2.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.07
Rate for Payer: Oxford Commercial	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$0.82
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

TUBING SECONDARY IV SET NF1430

Facility

$7.25

Hospital Charge Code	270040260
Hospital Revenue Code	270
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 SECONDARY IV SET NF1430

Facility

$7.25

Hospital Charge Code	270040260
Hospital Revenue Code	270
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBING SET BLOOD N/VENTED

Facility

$16.41

Hospital Charge Code	270649235
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

TUBING SET BLOOD N/VENTED

Facility

$16.41

Hospital Charge Code	270649235
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$8.21
Rate for Payer: Aetna Commercial	$6.24
Rate for Payer: Aetna Medicare Advantage	$4.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.18
Rate for Payer: Cigna Commercial	$8.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.27
Rate for Payer: Oxford Commercial	$3.28
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$3.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$17.08

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$56.94
Rate for Payer: Aetna Commercial	$43.27
Rate for Payer: Aetna Medicare Advantage	$34.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.04
Rate for Payer: Cigna Commercial	$56.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.61
Rate for Payer: Oxford Commercial	$22.78
Rate for Payer: Qualcare PPO/HMO/WC	$17.08
Rate for Payer: UnitedHealthcare Commercial	$22.78
Rate for Payer: UnitedHealthcare Community & State	$3.60
Rate for Payer: Wellpoint Medicaid Managed Care	$3.23

TUBING STATLOCK PICC PLUS

Facility

$21.12

Hospital Charge Code	270649237
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

Know your out-of-pocket cost for care.

All Charges