Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$269.17
Rate for Payer: Oxford Commercial	$207.05
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$207.05
Rate for Payer: UnitedHealthcare Community & State	$32.71
Rate for Payer: Wellpoint Medicaid Managed Care	$29.40

PROBE TRIPLANE

Facility

$1,690.00

Hospital Charge Code	270700037
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$845.00
Rate for Payer: Aetna Commercial	$642.20
Rate for Payer: Aetna Medicare Advantage	$507.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$430.95
Rate for Payer: Cigna Commercial	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.40
Rate for Payer: Oxford Commercial	$338.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.50
Rate for Payer: UnitedHealthcare Commercial	$338.00
Rate for Payer: UnitedHealthcare Community & State	$53.40
Rate for Payer: Wellpoint Medicaid Managed Care	$48.00

PROBE TRIPLANE

Facility

$1,690.00

Hospital Charge Code	270700037
Hospital Revenue Code	272
Min. Negotiated Rate	$253.50
Max. Negotiated Rate	$253.50
Rate for Payer: Qualcare PPO/HMO/WC	$253.50

PROBE ULTRASONIC W/OSCILLATING

Facility

$1,260.00

Hospital Charge Code	270666889
Hospital Revenue Code	270
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

PROBE ULTRASONIC W/OSCILLATING

Facility

$1,260.00

Hospital Charge Code	270666889
Hospital Revenue Code	270
Min. Negotiated Rate	$35.78
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.60
Rate for Payer: Oxford Commercial	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Commercial	$252.00
Rate for Payer: UnitedHealthcare Community & State	$39.82
Rate for Payer: Wellpoint Medicaid Managed Care	$35.78

PROBE ULTRASOUND

Facility

$1,545.00

Hospital Charge Code	270690526
Hospital Revenue Code	270
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$587.10
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.70
Rate for Payer: Oxford Commercial	$309.00
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Commercial	$309.00
Rate for Payer: UnitedHealthcare Community & State	$48.82
Rate for Payer: Wellpoint Medicaid Managed Care	$43.88

PROBE ULTRASOUND

Facility

$1,545.00

Hospital Charge Code	270690526
Hospital Revenue Code	270
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

PROBE VACUUM LASER AMBER TIP

Facility

$69.00

Hospital Charge Code	270331178
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

PROBE VACUUM LASER AMBER TIP

Facility

$69.00

Hospital Charge Code	270331178
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$26.22
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.94
Rate for Payer: Oxford Commercial	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$13.80
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.96

PROBE VAPORFLEX 32CM

Facility

$2,490.00

Hospital Charge Code	270694898
Hospital Revenue Code	272
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$373.50
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

PROBE VAPORFLEX 32CM

Facility

$2,490.00

Hospital Charge Code	270694898
Hospital Revenue Code	272
Min. Negotiated Rate	$70.72
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$946.20
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.40
Rate for Payer: Oxford Commercial	$498.00
Rate for Payer: Qualcare PPO/HMO/WC	$373.50
Rate for Payer: UnitedHealthcare Commercial	$498.00
Rate for Payer: UnitedHealthcare Community & State	$78.68
Rate for Payer: Wellpoint Medicaid Managed Care	$70.72

PROBE VIT 23 GA

Facility

$7,402.50

Hospital Charge Code	270684101
Hospital Revenue Code	272
Min. Negotiated Rate	$1,110.38
Max. Negotiated Rate	$1,110.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,110.38

PROBE VIT 23 GA

Facility

$7,402.50

Hospital Charge Code	270684101
Hospital Revenue Code	272
Min. Negotiated Rate	$210.23
Max. Negotiated Rate	$3,701.25
Rate for Payer: Aetna Commercial	$2,812.95
Rate for Payer: Aetna Medicare Advantage	$2,220.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,887.64
Rate for Payer: Cigna Commercial	$3,701.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,924.65
Rate for Payer: Oxford Commercial	$1,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,110.38
Rate for Payer: UnitedHealthcare Commercial	$1,480.50
Rate for Payer: UnitedHealthcare Community & State	$233.92
Rate for Payer: Wellpoint Medicaid Managed Care	$210.23

PROBE WIDE HATCH

Facility

$2,400.00

Hospital Charge Code	270675677
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

PROBE WIDE HATCH

Facility

$2,400.00

Hospital Charge Code	270675677
Hospital Revenue Code	272
Min. Negotiated Rate	$68.16
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$75.84
Rate for Payer: Wellpoint Medicaid Managed Care	$68.16

PROBE XMD PROSE SITMUL 8225101

Facility

$541.00

Hospital Charge Code	270621756
Hospital Revenue Code	272
Min. Negotiated Rate	$81.15
Max. Negotiated Rate	$81.15
Rate for Payer: Qualcare PPO/HMO/WC	$81.15

PROBE XMD PROSE SITMUL 8225101

Facility

$541.00

Hospital Charge Code	270621756
Hospital Revenue Code	272
Min. Negotiated Rate	$15.36
Max. Negotiated Rate	$270.50
Rate for Payer: Aetna Commercial	$205.58
Rate for Payer: Aetna Medicare Advantage	$162.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.96
Rate for Payer: Cigna Commercial	$270.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.66
Rate for Payer: Oxford Commercial	$108.20
Rate for Payer: Qualcare PPO/HMO/WC	$81.15
Rate for Payer: UnitedHealthcare Commercial	$108.20
Rate for Payer: UnitedHealthcare Community & State	$17.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.36

PROBNP

Facility

$659.16

Service Code	HCPCS 83880
Hospital Charge Code	3038142
Hospital Revenue Code	301
Min. Negotiated Rate	$98.87
Max. Negotiated Rate	$98.87
Rate for Payer: Qualcare PPO/HMO/WC	$98.87

PROBNP

Facility

$659.16

Service Code	HCPCS 83880
Hospital Charge Code	3038142
Hospital Revenue Code	301
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$329.58
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.42
Rate for Payer: Cigna Commercial	$329.58
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.38
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.87
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$18.72

PROCAINAMIDE

Facility

$118.00

Service Code	HCPCS 80190
Hospital Charge Code	38472559
Hospital Revenue Code	301
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

PROCAINAMIDE

Facility

$118.00

Service Code	HCPCS 80190
Hospital Charge Code	38472559
Hospital Revenue Code	301
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$217.65
Rate for Payer: Aetna Commercial	$163.20
Rate for Payer: Aetna Medicare Advantage	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.65
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: Cigna Medicare Advantage	$60.00
Rate for Payer: Clover Medicare Advantage	$57.00
Rate for Payer: EmblemHealth Commercial	$180.00
Rate for Payer: Humana Medicare Advantage	$61.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$48.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$60.00
Rate for Payer: Wellcare Medicare Advantage	$60.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

PROCAINAMIDE 1000MG/2ML INJ

Facility

$365.75

Service Code	HCPCS J2690
Hospital Charge Code	60627590
Hospital Revenue Code	636
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$88.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.51
Rate for Payer: Qualcare PPO/HMO/WC	$54.86

PROCAINAMIDE 1000MG/2ML INJ

Facility

$365.75

Service Code	HCPCS J2690
Hospital Charge Code	60627590
Hospital Revenue Code	636
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$779.22
Rate for Payer: Aetna Commercial	$584.28
Rate for Payer: Aetna Medicare Advantage	$695.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$779.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$779.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$214.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$779.22
Rate for Payer: Cigna Medicare Advantage	$214.81
Rate for Payer: Clover Medicare Advantage	$204.07
Rate for Payer: EmblemHealth Commercial	$644.43
Rate for Payer: Humana Medicare Advantage	$221.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$214.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.51
Rate for Payer: Qualcare PPO/HMO/WC	$54.86
Rate for Payer: UnitedHealthcare Community & State	$11.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$214.81
Rate for Payer: Wellcare Medicare Advantage	$214.81
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

PROCAINAMIDE HCL 100MG/ML 10ML

Facility

$4.00

Service Code	HCPCS J2690
Hospital Charge Code	6063943312
Hospital Revenue Code	636
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$779.22
Rate for Payer: Aetna Commercial	$584.28
Rate for Payer: Aetna Medicare Advantage	$695.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$779.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$779.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$214.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$227.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$779.22
Rate for Payer: Cigna Medicare Advantage	$214.81
Rate for Payer: Clover Medicare Advantage	$204.07
Rate for Payer: EmblemHealth Commercial	$644.43
Rate for Payer: Humana Medicare Advantage	$221.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$214.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$214.81
Rate for Payer: Wellcare Medicare Advantage	$214.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

PROCAINAMIDE HCL 100MG/ML 10ML

Facility

$4.00

Service Code	HCPCS J2690
Hospital Charge Code	6063943312
Hospital Revenue Code	636
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges