Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROBE/CRITTER COVERS

Facility

$142.25

Hospital Charge Code	270662651
Hospital Revenue Code	270
Min. Negotiated Rate	$21.34
Max. Negotiated Rate	$21.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.34

PROBE CURETTE TITANIUM WITH VA

Facility

$2,425.00

Hospital Charge Code	270679597
Hospital Revenue Code	272
Min. Negotiated Rate	$68.87
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$921.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.50
Rate for Payer: Oxford Commercial	$485.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Commercial	$485.00
Rate for Payer: UnitedHealthcare Community & State	$76.63
Rate for Payer: Wellpoint Medicaid Managed Care	$68.87

PROBE CURETTE TITANIUM WITH VA

Facility

$2,425.00

Hospital Charge Code	270679597
Hospital Revenue Code	272
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$363.75
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

PROBE CURVED BLADE 5MM-32CM

Facility

$522.00

Hospital Charge Code	270335401
Hospital Revenue Code	272
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$78.30
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

PROBE CURVED BLADE 5MM-32CM

Facility

$522.00

Hospital Charge Code	270335401
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$198.36
Rate for Payer: Aetna Medicare Advantage	$156.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.11
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.72
Rate for Payer: Oxford Commercial	$104.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.30
Rate for Payer: UnitedHealthcare Commercial	$104.40
Rate for Payer: UnitedHealthcare Community & State	$16.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.82

PROBE CYLINDERICAL TI

Facility

$2,025.00

Hospital Charge Code	270678536
Hospital Revenue Code	272
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$63.99
Rate for Payer: Wellpoint Medicaid Managed Care	$57.51

PROBE CYLINDERICAL TI

Facility

$2,025.00

Hospital Charge Code	270678536
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

PROBE DISPOSABLE ADULT

Facility

$28.00

Hospital Charge Code	270669532
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

PROBE DISPOSABLE ADULT

Facility

$28.00

Hospital Charge Code	270669532
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

PROBE DISPOSABLE VTI DOPPLER

Facility

$499.00

Hospital Charge Code	270657530
Hospital Revenue Code	270
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$74.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.85

PROBE DISPOSABLE VTI DOPPLER

Facility

$499.00

Hospital Charge Code	270657530
Hospital Revenue Code	270
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$249.50
Rate for Payer: Aetna Commercial	$189.62
Rate for Payer: Aetna Medicare Advantage	$149.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.25
Rate for Payer: Cigna Commercial	$249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.74
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$74.85
Rate for Payer: UnitedHealthcare Commercial	$99.80
Rate for Payer: UnitedHealthcare Community & State	$15.77
Rate for Payer: Wellpoint Medicaid Managed Care	$14.17

PROBE DPPLR PENCIL 7' 9.2 MHZ

Facility

$720.00

Hospital Charge Code	270658140
Hospital Revenue Code	270
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

PROBE DPPLR PENCIL 7' 9.2 MHZ

Facility

$720.00

Hospital Charge Code	270658140
Hospital Revenue Code	270
Min. Negotiated Rate	$20.45
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.20
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$144.00
Rate for Payer: UnitedHealthcare Community & State	$22.75
Rate for Payer: Wellpoint Medicaid Managed Care	$20.45

PROBE EFLEX INTEGRATED CABLE

Facility

$2,620.00

Hospital Charge Code	270670485
Hospital Revenue Code	272
Min. Negotiated Rate	$74.41
Max. Negotiated Rate	$1,310.00
Rate for Payer: Aetna Commercial	$995.60
Rate for Payer: Aetna Medicare Advantage	$786.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$668.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$668.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$668.10
Rate for Payer: Cigna Commercial	$1,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$681.20
Rate for Payer: Oxford Commercial	$524.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.00
Rate for Payer: UnitedHealthcare Commercial	$524.00
Rate for Payer: UnitedHealthcare Community & State	$82.79
Rate for Payer: Wellpoint Medicaid Managed Care	$74.41

PROBE EFLEX INTEGRATED CABLE

Facility

$2,620.00

Hospital Charge Code	270670485
Hospital Revenue Code	272
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.00

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$92.30
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$845.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$102.70
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$191.90
Max. Negotiated Rate	$191.90
Rate for Payer: Qualcare PPO/HMO/WC	$191.90

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$36.33
Max. Negotiated Rate	$639.65
Rate for Payer: Aetna Commercial	$486.13
Rate for Payer: Aetna Medicare Advantage	$383.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.22
Rate for Payer: Cigna Commercial	$639.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.62
Rate for Payer: Oxford Commercial	$255.86
Rate for Payer: Qualcare PPO/HMO/WC	$191.90
Rate for Payer: UnitedHealthcare Commercial	$255.86
Rate for Payer: UnitedHealthcare Community & State	$40.43
Rate for Payer: Wellpoint Medicaid Managed Care	$36.33

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$9.45
Rate for Payer: Aetna Commercial	$7.18
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.82
Rate for Payer: Cigna Commercial	$9.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$3.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$3.78
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.09
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$36.72
Rate for Payer: Wellpoint Medicaid Managed Care	$33.00

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.09
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$36.72
Rate for Payer: Wellpoint Medicaid Managed Care	$33.00

Know your out-of-pocket cost for care.

All Charges