Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349
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	270675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
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 STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$506.82
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.77
Rate for Payer: Oxford Commercial	$266.75
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: UnitedHealthcare Community & State	$42.15
Rate for Payer: Wellpoint Medicaid Managed Care	$37.88

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$506.82
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.77
Rate for Payer: Oxford Commercial	$266.75
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: UnitedHealthcare Community & State	$42.15
Rate for Payer: Wellpoint Medicaid Managed Care	$37.88

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$31.94
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.44
Rate for Payer: Oxford Commercial	$224.95
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Commercial	$224.95
Rate for Payer: UnitedHealthcare Community & State	$35.54
Rate for Payer: Wellpoint Medicaid Managed Care	$31.94

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$168.71
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$34.92
Max. Negotiated Rate	$614.88
Rate for Payer: Aetna Commercial	$467.31
Rate for Payer: Aetna Medicare Advantage	$368.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.59
Rate for Payer: Cigna Commercial	$614.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.74
Rate for Payer: Oxford Commercial	$245.95
Rate for Payer: Qualcare PPO/HMO/WC	$184.46
Rate for Payer: UnitedHealthcare Commercial	$245.95
Rate for Payer: UnitedHealthcare Community & State	$38.86
Rate for Payer: Wellpoint Medicaid Managed Care	$34.92

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$184.46
Max. Negotiated Rate	$184.46
Rate for Payer: Qualcare PPO/HMO/WC	$184.46

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$30.34
Max. Negotiated Rate	$534.12
Rate for Payer: Aetna Commercial	$405.94
Rate for Payer: Aetna Medicare Advantage	$320.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.40
Rate for Payer: Cigna Commercial	$534.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.75
Rate for Payer: Oxford Commercial	$213.65
Rate for Payer: Qualcare PPO/HMO/WC	$160.24
Rate for Payer: UnitedHealthcare Commercial	$213.65
Rate for Payer: UnitedHealthcare Community & State	$33.76
Rate for Payer: Wellpoint Medicaid Managed Care	$30.34

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$160.24
Max. Negotiated Rate	$160.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.24

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$93.23
Max. Negotiated Rate	$93.23
Rate for Payer: Qualcare PPO/HMO/WC	$93.23

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$17.65
Max. Negotiated Rate	$310.77
Rate for Payer: Aetna Commercial	$236.19
Rate for Payer: Aetna Medicare Advantage	$186.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.50
Rate for Payer: Cigna Commercial	$310.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.60
Rate for Payer: Oxford Commercial	$124.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.23
Rate for Payer: UnitedHealthcare Commercial	$124.31
Rate for Payer: UnitedHealthcare Community & State	$19.64
Rate for Payer: Wellpoint Medicaid Managed Care	$17.65

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$34.27
Max. Negotiated Rate	$603.40
Rate for Payer: Aetna Commercial	$458.58
Rate for Payer: Aetna Medicare Advantage	$362.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.73
Rate for Payer: Cigna Commercial	$603.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.77
Rate for Payer: Oxford Commercial	$241.36
Rate for Payer: Qualcare PPO/HMO/WC	$181.02
Rate for Payer: UnitedHealthcare Commercial	$241.36
Rate for Payer: UnitedHealthcare Community & State	$38.13
Rate for Payer: Wellpoint Medicaid Managed Care	$34.27

PROBE INJECTION GOLD 6015

Facility

$1,075.00

Hospital Charge Code	270603932
Hospital Revenue Code	272
Min. Negotiated Rate	$30.53
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$33.97
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

PROBE INJECTION GOLD 6015

Facility

$1,075.00

Hospital Charge Code	270603932
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

PROBE KIT HIP SYSTEM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270673016
Hospital Revenue Code	278
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) NJ Health	$750.00
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	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Community & State	$118.50
Rate for Payer: Wellpoint Medicaid Managed Care	$106.50

PROBE KIT HIP SYSTEM

Facility

$3,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270673016
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

PROBE KIT RF ABLATION

Facility

$21,075.00

Service Code	HCPCS C1886
Hospital Charge Code	270690464
Hospital Revenue Code	278
Min. Negotiated Rate	$3,161.25
Max. Negotiated Rate	$5,100.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,100.15
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25

Know your out-of-pocket cost for care.

All Charges