Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457R
Hospital Revenue Code	272
Min. Negotiated Rate	$188.06
Max. Negotiated Rate	$188.06
Rate for Payer: Qualcare PPO/HMO/WC	$188.06

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457
Hospital Revenue Code	272
Min. Negotiated Rate	$35.61
Max. Negotiated Rate	$626.88
Rate for Payer: Aetna Commercial	$476.43
Rate for Payer: Aetna Medicare Advantage	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.71
Rate for Payer: Cigna Commercial	$626.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.98
Rate for Payer: Oxford Commercial	$250.75
Rate for Payer: Qualcare PPO/HMO/WC	$188.06
Rate for Payer: UnitedHealthcare Commercial	$250.75
Rate for Payer: UnitedHealthcare Community & State	$39.62
Rate for Payer: Wellpoint Medicaid Managed Care	$35.61

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457R
Hospital Revenue Code	272
Min. Negotiated Rate	$35.61
Max. Negotiated Rate	$626.88
Rate for Payer: Aetna Commercial	$476.43
Rate for Payer: Aetna Medicare Advantage	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.71
Rate for Payer: Cigna Commercial	$626.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.98
Rate for Payer: Oxford Commercial	$250.75
Rate for Payer: Qualcare PPO/HMO/WC	$188.06
Rate for Payer: UnitedHealthcare Commercial	$250.75
Rate for Payer: UnitedHealthcare Community & State	$39.62
Rate for Payer: Wellpoint Medicaid Managed Care	$35.61

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457
Hospital Revenue Code	272
Min. Negotiated Rate	$188.06
Max. Negotiated Rate	$188.06
Rate for Payer: Qualcare PPO/HMO/WC	$188.06

PROBE 40CM

Facility

$3,750.00

Hospital Charge Code	270688484
Hospital Revenue Code	272
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$750.00
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

PROBE 40CM

Facility

$3,750.00

Hospital Charge Code	270688484
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

PROBE 50S XL

Facility

$1,205.00

Hospital Charge Code	270685910
Hospital Revenue Code	272
Min. Negotiated Rate	$34.22
Max. Negotiated Rate	$602.50
Rate for Payer: Aetna Commercial	$457.90
Rate for Payer: Aetna Medicare Advantage	$361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.27
Rate for Payer: Cigna Commercial	$602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.30
Rate for Payer: Oxford Commercial	$241.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.75
Rate for Payer: UnitedHealthcare Commercial	$241.00
Rate for Payer: UnitedHealthcare Community & State	$38.08
Rate for Payer: Wellpoint Medicaid Managed Care	$34.22

PROBE 50S XL

Facility

$1,205.00

Hospital Charge Code	270685910
Hospital Revenue Code	272
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$180.75
Rate for Payer: Qualcare PPO/HMO/WC	$180.75

PROBE 5MM LAPAROSCOPIC ABC

Facility

$511.50

Hospital Charge Code	270685469
Hospital Revenue Code	272
Min. Negotiated Rate	$76.72
Max. Negotiated Rate	$76.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.72

PROBE 5MM LAPAROSCOPIC ABC

Facility

$511.50

Hospital Charge Code	270685469
Hospital Revenue Code	272
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$255.75
Rate for Payer: Aetna Commercial	$194.37
Rate for Payer: Aetna Medicare Advantage	$153.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.43
Rate for Payer: Cigna Commercial	$255.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.99
Rate for Payer: Oxford Commercial	$102.30
Rate for Payer: Qualcare PPO/HMO/WC	$76.72
Rate for Payer: UnitedHealthcare Commercial	$102.30
Rate for Payer: UnitedHealthcare Community & State	$16.16
Rate for Payer: Wellpoint Medicaid Managed Care	$14.53

PROBE 6.0F 2.0 SWISS LH 840220

Facility

$2,875.00

Hospital Charge Code	270627732
Hospital Revenue Code	272
Min. Negotiated Rate	$81.65
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$90.85
Rate for Payer: Wellpoint Medicaid Managed Care	$81.65

PROBE 6.0F 2.0 SWISS LH 840220

Facility

$2,875.00

Hospital Charge Code	270627732
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

PROBE 90 DEGREE ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689119
Hospital Revenue Code	272
Min. Negotiated Rate	$53.26
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$712.69
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.63
Rate for Payer: Oxford Commercial	$375.10
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$375.10
Rate for Payer: UnitedHealthcare Community & State	$59.27
Rate for Payer: Wellpoint Medicaid Managed Care	$53.26

PROBE 90 DEGREE ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689119
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE 90-S XL

Facility

$876.85

Hospital Charge Code	270685569
Hospital Revenue Code	272
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$438.43
Rate for Payer: Aetna Commercial	$333.20
Rate for Payer: Aetna Medicare Advantage	$263.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.60
Rate for Payer: Cigna Commercial	$438.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.98
Rate for Payer: Oxford Commercial	$175.37
Rate for Payer: Qualcare PPO/HMO/WC	$131.53
Rate for Payer: UnitedHealthcare Commercial	$175.37
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$24.90

PROBE 90-S XL

Facility

$876.85

Hospital Charge Code	270685569
Hospital Revenue Code	272
Min. Negotiated Rate	$131.53
Max. Negotiated Rate	$131.53
Rate for Payer: Qualcare PPO/HMO/WC	$131.53

PROBE ANTERIOR LUCENT L 180MM

Facility

$3,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270694866
Hospital Revenue Code	272
Min. Negotiated Rate	$480.00
Max. Negotiated Rate	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00

PROBE ANTERIOR LUCENT L 180MM

Facility

$3,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270694866
Hospital Revenue Code	272
Min. Negotiated Rate	$90.88
Max. Negotiated Rate	$1,600.00
Rate for Payer: Aetna Commercial	$1,216.00
Rate for Payer: Aetna Medicare Advantage	$960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$816.00
Rate for Payer: Cigna Commercial	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.00
Rate for Payer: Oxford Commercial	$640.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00
Rate for Payer: UnitedHealthcare Commercial	$640.00
Rate for Payer: UnitedHealthcare Community & State	$101.12
Rate for Payer: Wellpoint Medicaid Managed Care	$90.88

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$76.68
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$540.00
Rate for Payer: UnitedHealthcare Community & State	$85.32
Rate for Payer: Wellpoint Medicaid Managed Care	$76.68

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$60.92
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.70
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$67.78
Rate for Payer: Wellpoint Medicaid Managed Care	$60.92

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

PROBE/CRITTER COVERS

Facility

$142.25

Hospital Charge Code	270662651
Hospital Revenue Code	270
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$71.12
Rate for Payer: Aetna Commercial	$54.05
Rate for Payer: Aetna Medicare Advantage	$42.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.27
Rate for Payer: Cigna Commercial	$71.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.98
Rate for Payer: Oxford Commercial	$28.45
Rate for Payer: Qualcare PPO/HMO/WC	$21.34
Rate for Payer: UnitedHealthcare Commercial	$28.45
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.04

Know your out-of-pocket cost for care.

All Charges