Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421
Hospital Revenue Code	272
Min. Negotiated Rate	$598.53
Max. Negotiated Rate	$10,537.50
Rate for Payer: Aetna Commercial	$8,008.50
Rate for Payer: Aetna Medicare Advantage	$6,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,374.12
Rate for Payer: Cigna Commercial	$10,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,479.50
Rate for Payer: Oxford Commercial	$4,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25
Rate for Payer: UnitedHealthcare Commercial	$4,215.00
Rate for Payer: UnitedHealthcare Community & State	$665.97
Rate for Payer: Wellpoint Medicaid Managed Care	$598.53

PROBE RF ABLATION DUAL 10MM

Facility

$21,075.00

Hospital Charge Code	270686421O
Hospital Revenue Code	272
Min. Negotiated Rate	$598.53
Max. Negotiated Rate	$10,537.50
Rate for Payer: Aetna Commercial	$8,008.50
Rate for Payer: Aetna Medicare Advantage	$6,322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,374.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,374.12
Rate for Payer: Cigna Commercial	$10,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,479.50
Rate for Payer: Oxford Commercial	$4,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,161.25
Rate for Payer: UnitedHealthcare Commercial	$4,215.00
Rate for Payer: UnitedHealthcare Community & State	$665.97
Rate for Payer: Wellpoint Medicaid Managed Care	$598.53

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887
Hospital Revenue Code	272
Min. Negotiated Rate	$413.93
Max. Negotiated Rate	$7,287.50
Rate for Payer: Aetna Commercial	$5,538.50
Rate for Payer: Aetna Medicare Advantage	$4,372.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,716.62
Rate for Payer: Cigna Commercial	$7,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,789.50
Rate for Payer: Oxford Commercial	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25
Rate for Payer: UnitedHealthcare Commercial	$2,915.00
Rate for Payer: UnitedHealthcare Community & State	$460.57
Rate for Payer: Wellpoint Medicaid Managed Care	$413.93

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887
Hospital Revenue Code	272
Min. Negotiated Rate	$2,186.25
Max. Negotiated Rate	$2,186.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887O
Hospital Revenue Code	272
Min. Negotiated Rate	$413.93
Max. Negotiated Rate	$7,287.50
Rate for Payer: Aetna Commercial	$5,538.50
Rate for Payer: Aetna Medicare Advantage	$4,372.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,716.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,716.62
Rate for Payer: Cigna Commercial	$7,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,789.50
Rate for Payer: Oxford Commercial	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25
Rate for Payer: UnitedHealthcare Commercial	$2,915.00
Rate for Payer: UnitedHealthcare Community & State	$460.57
Rate for Payer: Wellpoint Medicaid Managed Care	$413.93

PROBE RF ABLATION SINGLE 7MM

Facility

$14,575.00

Hospital Charge Code	270683887O
Hospital Revenue Code	272
Min. Negotiated Rate	$2,186.25
Max. Negotiated Rate	$2,186.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,186.25

PROBE SAFEOP STIM. BALL TIP

Facility

$4,468.75

Hospital Charge Code	270698068
Hospital Revenue Code	272
Min. Negotiated Rate	$126.91
Max. Negotiated Rate	$2,234.38
Rate for Payer: Aetna Commercial	$1,698.12
Rate for Payer: Aetna Medicare Advantage	$1,340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.53
Rate for Payer: Cigna Commercial	$2,234.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.88
Rate for Payer: Oxford Commercial	$893.75
Rate for Payer: Qualcare PPO/HMO/WC	$670.31
Rate for Payer: UnitedHealthcare Commercial	$893.75
Rate for Payer: UnitedHealthcare Community & State	$141.21
Rate for Payer: Wellpoint Medicaid Managed Care	$126.91

PROBE SAFEOP STIM. BALL TIP

Facility

$4,468.75

Hospital Charge Code	270698068
Hospital Revenue Code	272
Min. Negotiated Rate	$670.31
Max. Negotiated Rate	$670.31
Rate for Payer: Qualcare PPO/HMO/WC	$670.31

PROBE SERAFS 50-S SUPER

Facility

$640.60

Hospital Charge Code	270677430
Hospital Revenue Code	272
Min. Negotiated Rate	$96.09
Max. Negotiated Rate	$96.09
Rate for Payer: Qualcare PPO/HMO/WC	$96.09

PROBE SERAFS 50-S SUPER

Facility

$640.60

Hospital Charge Code	270677430
Hospital Revenue Code	272
Min. Negotiated Rate	$18.19
Max. Negotiated Rate	$320.30
Rate for Payer: Aetna Commercial	$243.43
Rate for Payer: Aetna Medicare Advantage	$192.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.35
Rate for Payer: Cigna Commercial	$320.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.56
Rate for Payer: Oxford Commercial	$128.12
Rate for Payer: Qualcare PPO/HMO/WC	$96.09
Rate for Payer: UnitedHealthcare Commercial	$128.12
Rate for Payer: UnitedHealthcare Community & State	$20.24
Rate for Payer: Wellpoint Medicaid Managed Care	$18.19

PROBE SERF 90-S SUPER279351300

Facility

$845.10

Hospital Charge Code	270641986
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$422.55
Rate for Payer: Aetna Commercial	$321.14
Rate for Payer: Aetna Medicare Advantage	$253.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.50
Rate for Payer: Cigna Commercial	$422.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.73
Rate for Payer: Oxford Commercial	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$126.77
Rate for Payer: UnitedHealthcare Commercial	$169.02
Rate for Payer: UnitedHealthcare Community & State	$26.71
Rate for Payer: Wellpoint Medicaid Managed Care	$24.00

PROBE SERF 90-S SUPER279351300

Facility

$845.10

Hospital Charge Code	270641986
Hospital Revenue Code	272
Min. Negotiated Rate	$126.77
Max. Negotiated Rate	$126.77
Rate for Payer: Qualcare PPO/HMO/WC	$126.77

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$103.34
Max. Negotiated Rate	$103.34
Rate for Payer: Qualcare PPO/HMO/WC	$103.34

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$19.57
Max. Negotiated Rate	$344.48
Rate for Payer: Aetna Commercial	$261.80
Rate for Payer: Aetna Medicare Advantage	$206.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.68
Rate for Payer: Cigna Commercial	$344.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.13
Rate for Payer: Oxford Commercial	$137.79
Rate for Payer: Qualcare PPO/HMO/WC	$103.34
Rate for Payer: UnitedHealthcare Commercial	$137.79
Rate for Payer: UnitedHealthcare Community & State	$21.77
Rate for Payer: Wellpoint Medicaid Managed Care	$19.57

PROBE SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
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 SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
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 SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$456.25
Rate for Payer: Aetna Commercial	$346.75
Rate for Payer: Aetna Medicare Advantage	$273.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.69
Rate for Payer: Cigna Commercial	$456.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.25
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$136.88
Rate for Payer: UnitedHealthcare Commercial	$182.50
Rate for Payer: UnitedHealthcare Community & State	$28.84
Rate for Payer: Wellpoint Medicaid Managed Care	$25.91

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$136.88
Max. Negotiated Rate	$136.88
Rate for Payer: Qualcare PPO/HMO/WC	$136.88

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
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 STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

PROBE STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

Know your out-of-pocket cost for care.

All Charges