Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

LARYNGOSCOPE HANDLE MEDIUM

Facility

$105.00

Hospital Charge Code	270665161
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

LARYNGOSCOPE HANDLE MEDIUM

Facility

$105.00

Hospital Charge Code	270665161
Hospital Revenue Code	270
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

LARYNGOSCOPE HANDLE PEDIATRIC

Facility

$105.00

Hospital Charge Code	270665160
Hospital Revenue Code	270
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

LARYNGOSCOPE HANDLE PEDIATRIC

Facility

$105.00

Hospital Charge Code	270665160
Hospital Revenue Code	270
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

LARYNGOSCOPY DIAGNOSTIC

Facility

$753.10

Service Code	HCPCS 31575
Hospital Charge Code	85000900
Hospital Revenue Code	361
Min. Negotiated Rate	$23.80
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$645.02
Rate for Payer: Aetna Medicare Advantage	$768.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$237.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.23
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: Cigna Medicare Advantage	$237.14
Rate for Payer: Clover Medicare Advantage	$225.28
Rate for Payer: EmblemHealth Commercial	$711.42
Rate for Payer: Humana Medicare Advantage	$244.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$237.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.81
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.97
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$23.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$237.14
Rate for Payer: Wellcare Medicare Advantage	$237.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$528.97
Rate for Payer: Wellpoint Medicaid Managed Care	$518.60

LARYNGOSCOPY DIAGNOSTIC

Facility

$753.10

Service Code	HCPCS 31575
Hospital Charge Code	85000900
Hospital Revenue Code	361
Min. Negotiated Rate	$112.97
Max. Negotiated Rate	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$112.97

LARYNGOSCOPY W/BIOPSY

Facility

$22,334.60

Service Code	HCPCS 31535
Hospital Charge Code	1600000256
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNGOSCOPY W/BIOPSY

Facility

$22,334.60

Service Code	HCPCS 31535
Hospital Charge Code	1600000256
Hospital Revenue Code	360
Min. Negotiated Rate	$634.30
Max. Negotiated Rate	$16,067.54
Rate for Payer: Aetna Commercial	$12,047.89
Rate for Payer: Aetna Medicare Advantage	$14,351.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,429.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,067.54
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: Cigna Medicare Advantage	$4,429.37
Rate for Payer: Clover Medicare Advantage	$4,207.90
Rate for Payer: EmblemHealth Commercial	$13,288.11
Rate for Payer: Humana Medicare Advantage	$4,562.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,429.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,807.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$705.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,429.37
Rate for Payer: Wellcare Medicare Advantage	$4,429.37
Rate for Payer: Wellpoint Medicaid Managed Care	$634.30

LARYNGOSCOPY W/BX & OP SCOPE

Facility

$22,334.60

Service Code	HCPCS 31536
Hospital Charge Code	1600000350
Hospital Revenue Code	360
Min. Negotiated Rate	$634.30
Max. Negotiated Rate	$16,067.54
Rate for Payer: Aetna Commercial	$12,047.89
Rate for Payer: Aetna Medicare Advantage	$14,351.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,429.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,067.54
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: Cigna Medicare Advantage	$4,429.37
Rate for Payer: Clover Medicare Advantage	$4,207.90
Rate for Payer: EmblemHealth Commercial	$13,288.11
Rate for Payer: Humana Medicare Advantage	$4,562.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,429.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,807.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$705.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,429.37
Rate for Payer: Wellcare Medicare Advantage	$4,429.37
Rate for Payer: Wellpoint Medicaid Managed Care	$634.30

LARYNGOSCOPY W/BX & OP SCOPE

Facility

$22,334.60

Service Code	HCPCS 31536
Hospital Charge Code	1600000350
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNGOSCOPY W/FB REMOVAL

Facility

$7,223.25

Service Code	HCPCS 31530
Hospital Charge Code	5792260
Hospital Revenue Code	450
Min. Negotiated Rate	$1,083.49
Max. Negotiated Rate	$1,083.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.49

LARYNGOSCOPY W/FB REMOVAL

Facility

$7,223.25

Service Code	HCPCS 31530
Hospital Charge Code	5792260
Hospital Revenue Code	450
Min. Negotiated Rate	$133.10
Max. Negotiated Rate	$7,670.60
Rate for Payer: Aetna Commercial	$5,751.63
Rate for Payer: Aetna Medicare Advantage	$6,851.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,670.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,114.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,670.60
Rate for Payer: Cigna Commercial	$4,238.63
Rate for Payer: Cigna Medicare Advantage	$2,114.57
Rate for Payer: Clover Medicare Advantage	$2,008.84
Rate for Payer: EmblemHealth Commercial	$6,343.71
Rate for Payer: Humana Medicare Advantage	$2,178.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,114.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,878.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.49
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,114.57
Rate for Payer: Wellcare Medicare Advantage	$2,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$205.14

LARYNSCOP W/TUMR EXC + SCOPE

Facility

$22,334.60

Service Code	HCPCS 31541
Hospital Charge Code	1600000285
Hospital Revenue Code	360
Min. Negotiated Rate	$3,350.19
Max. Negotiated Rate	$3,350.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19

LARYNSCOP W/TUMR EXC + SCOPE

Facility

$22,334.60

Service Code	HCPCS 31541
Hospital Charge Code	1600000285
Hospital Revenue Code	360
Min. Negotiated Rate	$634.30
Max. Negotiated Rate	$16,067.54
Rate for Payer: Aetna Commercial	$12,047.89
Rate for Payer: Aetna Medicare Advantage	$14,351.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,067.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,429.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,067.54
Rate for Payer: Cigna Commercial	$8,878.66
Rate for Payer: Cigna Medicare Advantage	$4,429.37
Rate for Payer: Clover Medicare Advantage	$4,207.90
Rate for Payer: EmblemHealth Commercial	$13,288.11
Rate for Payer: Humana Medicare Advantage	$4,562.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,429.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,807.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,350.19
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$705.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,429.37
Rate for Payer: Wellcare Medicare Advantage	$4,429.37
Rate for Payer: Wellpoint Medicaid Managed Care	$634.30

LASER FIBER HOLMIUM 365 SURFLX

Facility

$1,180.00

Hospital Charge Code	270673928
Hospital Revenue Code	272
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.80
Rate for Payer: Oxford Commercial	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$236.00
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$33.51

LASER FIBER HOLMIUM 365 SURFLX

Facility

$1,180.00

Hospital Charge Code	270673928
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

LASER FIBER LIT PROFLEX 273 M

Facility

$1,785.00

Hospital Charge Code	270682487
Hospital Revenue Code	272
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

LASER FIBER LIT PROFLEX 273 M

Facility

$1,785.00

Hospital Charge Code	270682487
Hospital Revenue Code	272
Min. Negotiated Rate	$50.69
Max. Negotiated Rate	$892.50
Rate for Payer: Aetna Commercial	$678.30
Rate for Payer: Aetna Medicare Advantage	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.18
Rate for Payer: Cigna Commercial	$892.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.10
Rate for Payer: Oxford Commercial	$357.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.75
Rate for Payer: UnitedHealthcare Commercial	$357.00
Rate for Payer: UnitedHealthcare Community & State	$56.41
Rate for Payer: Wellpoint Medicaid Managed Care	$50.69

LASER FIBER LIT PROFLEX 365 M

Facility

$1,327.85

Hospital Charge Code	270682488
Hospital Revenue Code	272
Min. Negotiated Rate	$199.18
Max. Negotiated Rate	$199.18
Rate for Payer: Qualcare PPO/HMO/WC	$199.18

LASER FIBER LIT PROFLEX 365 M

Facility

$1,327.85

Hospital Charge Code	270682488
Hospital Revenue Code	272
Min. Negotiated Rate	$37.71
Max. Negotiated Rate	$663.92
Rate for Payer: Aetna Commercial	$504.58
Rate for Payer: Aetna Medicare Advantage	$398.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.60
Rate for Payer: Cigna Commercial	$663.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.24
Rate for Payer: Oxford Commercial	$265.57
Rate for Payer: Qualcare PPO/HMO/WC	$199.18
Rate for Payer: UnitedHealthcare Commercial	$265.57
Rate for Payer: UnitedHealthcare Community & State	$41.96
Rate for Payer: Wellpoint Medicaid Managed Care	$37.71

LASER FIBER LIT PROFLEX 550 M

Facility

$1,805.00

Hospital Charge Code	270682489
Hospital Revenue Code	272
Min. Negotiated Rate	$51.26
Max. Negotiated Rate	$902.50
Rate for Payer: Aetna Commercial	$685.90
Rate for Payer: Aetna Medicare Advantage	$541.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.27
Rate for Payer: Cigna Commercial	$902.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.30
Rate for Payer: Oxford Commercial	$361.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.75
Rate for Payer: UnitedHealthcare Commercial	$361.00
Rate for Payer: UnitedHealthcare Community & State	$57.04
Rate for Payer: Wellpoint Medicaid Managed Care	$51.26

LASER FIBER LIT PROFLEX 550 M

Facility

$1,805.00

Hospital Charge Code	270682489
Hospital Revenue Code	272
Min. Negotiated Rate	$270.75
Max. Negotiated Rate	$270.75
Rate for Payer: Qualcare PPO/HMO/WC	$270.75

LASER FIBER LIT PROFLEX 910 M

Facility

$3,175.00

Hospital Charge Code	270682490
Hospital Revenue Code	272
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$476.25
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LASER FIBER LIT PROFLEX 910 M

Facility

$3,175.00

Hospital Charge Code	270682490
Hospital Revenue Code	272
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$1,587.50
Rate for Payer: Aetna Commercial	$1,206.50
Rate for Payer: Aetna Medicare Advantage	$952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.62
Rate for Payer: Cigna Commercial	$1,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.50
Rate for Payer: Oxford Commercial	$635.00
Rate for Payer: Qualcare PPO/HMO/WC	$476.25
Rate for Payer: UnitedHealthcare Commercial	$635.00
Rate for Payer: UnitedHealthcare Community & State	$100.33
Rate for Payer: Wellpoint Medicaid Managed Care	$90.17

LASER FIBER SLIMLINE 550

Facility

$3,215.00

Hospital Charge Code	270670032
Hospital Revenue Code	272
Min. Negotiated Rate	$91.31
Max. Negotiated Rate	$1,607.50
Rate for Payer: Aetna Commercial	$1,221.70
Rate for Payer: Aetna Medicare Advantage	$964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$819.83
Rate for Payer: Cigna Commercial	$1,607.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$835.90
Rate for Payer: Oxford Commercial	$643.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.25
Rate for Payer: UnitedHealthcare Commercial	$643.00
Rate for Payer: UnitedHealthcare Community & State	$101.59
Rate for Payer: Wellpoint Medicaid Managed Care	$91.31

Know your out-of-pocket cost for care.

All Charges