Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PROGESTERONE RECEPTOR ASSAY

Facility

$770.00

Service Code	HCPCS 84234
Hospital Charge Code	38474007
Hospital Revenue Code	301
Min. Negotiated Rate	$21.87
Max. Negotiated Rate	$385.00
Rate for Payer: Aetna Commercial	$176.47
Rate for Payer: Aetna Medicare Advantage	$210.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.35
Rate for Payer: Cigna Commercial	$385.00
Rate for Payer: Cigna Medicare Advantage	$64.88
Rate for Payer: Clover Medicare Advantage	$61.64
Rate for Payer: EmblemHealth Commercial	$194.64
Rate for Payer: Humana Medicare Advantage	$66.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$64.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.20
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$51.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$64.88
Rate for Payer: Wellcare Medicare Advantage	$64.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.87

PROGESTERONE RECEPTOR ASSAY

Facility

$770.00

Service Code	HCPCS 84234
Hospital Charge Code	38474007
Hospital Revenue Code	301
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.50

PROGRAF GRANULES 1MG/PKT

Facility

$63.65

Service Code	HCPCS J7507
Hospital Charge Code	606390478
Hospital Revenue Code	636
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$31.82
Rate for Payer: Aetna Commercial	$24.19
Rate for Payer: Aetna Medicare Advantage	$19.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.23
Rate for Payer: Cigna Commercial	$31.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.55
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.81

PROGRAF GRANULES 1MG/PKT

Facility

$63.65

Service Code	HCPCS J7507
Hospital Charge Code	606390478
Hospital Revenue Code	636
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.55

PROGRAMMER

Facility

$8,125.00

Service Code	HCPCS C1787
Hospital Charge Code	270675088
Hospital Revenue Code	272
Min. Negotiated Rate	$1,218.75
Max. Negotiated Rate	$1,218.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75

PROGRAMMER

Facility

$8,125.00

Service Code	HCPCS C1787
Hospital Charge Code	270675088
Hospital Revenue Code	272
Min. Negotiated Rate	$230.75
Max. Negotiated Rate	$4,062.50
Rate for Payer: Aetna Commercial	$3,087.50
Rate for Payer: Aetna Medicare Advantage	$2,437.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,071.88
Rate for Payer: Cigna Commercial	$4,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,112.50
Rate for Payer: Oxford Commercial	$1,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75
Rate for Payer: UnitedHealthcare Commercial	$1,625.00
Rate for Payer: UnitedHealthcare Community & State	$256.75
Rate for Payer: Wellpoint Medicaid Managed Care	$230.75

PROGRAMMER/MEDTRONIC 7435

Facility

$2,600.00

Hospital Charge Code	270335408
Hospital Revenue Code	278
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$629.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

PROGRAMMER/MEDTRONIC 7435

Facility

$2,600.00

Hospital Charge Code	270335408
Hospital Revenue Code	278
Min. Negotiated Rate	$73.84
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Community & State	$82.16
Rate for Payer: Wellpoint Medicaid Managed Care	$73.84

PROGRAMMER PATIENT

Facility

$11,975.00

Service Code	HCPCS C1787
Hospital Charge Code	270683893
Hospital Revenue Code	272
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$1,796.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

PROGRAMMER PATIENT

Facility

$11,975.00

Service Code	HCPCS C1787
Hospital Charge Code	270683893
Hospital Revenue Code	272
Min. Negotiated Rate	$340.09
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$4,550.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,113.50
Rate for Payer: Oxford Commercial	$2,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25
Rate for Payer: UnitedHealthcare Commercial	$2,395.00
Rate for Payer: UnitedHealthcare Community & State	$378.41
Rate for Payer: Wellpoint Medicaid Managed Care	$340.09

PROGRAMMER PATIENT EON MINI

Facility

$8,125.00

Service Code	HCPCS C1787
Hospital Charge Code	270642325
Hospital Revenue Code	278
Min. Negotiated Rate	$1,218.75
Max. Negotiated Rate	$1,966.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,966.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75

PROGRAMMER PATIENT EON MINI

Facility

$8,125.00

Service Code	HCPCS C1787
Hospital Charge Code	270642325
Hospital Revenue Code	278
Min. Negotiated Rate	$230.75
Max. Negotiated Rate	$4,062.50
Rate for Payer: Aetna Commercial	$3,087.50
Rate for Payer: Aetna Medicare Advantage	$2,437.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,071.88
Rate for Payer: Cigna Commercial	$4,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,966.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75
Rate for Payer: UnitedHealthcare Community & State	$256.75
Rate for Payer: Wellpoint Medicaid Managed Care	$230.75

PROGRAMMER POCKET

Facility

$7,500.00

Service Code	HCPCS C1787
Hospital Charge Code	270683892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PROGRAMMER POCKET

Facility

$7,500.00

Service Code	HCPCS C1787
Hospital Charge Code	270683892
Hospital Revenue Code	272
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,950.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$237.00
Rate for Payer: Wellpoint Medicaid Managed Care	$213.00

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$783.75
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$148.39
Max. Negotiated Rate	$2,612.50
Rate for Payer: Aetna Commercial	$1,985.50
Rate for Payer: Aetna Medicare Advantage	$1,567.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.38
Rate for Payer: Cigna Commercial	$2,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,358.50
Rate for Payer: Oxford Commercial	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.75
Rate for Payer: UnitedHealthcare Commercial	$1,045.00
Rate for Payer: UnitedHealthcare Community & State	$165.11
Rate for Payer: Wellpoint Medicaid Managed Care	$148.39

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$142.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$158.00
Rate for Payer: Wellpoint Medicaid Managed Care	$142.00

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$282.64
Max. Negotiated Rate	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.64

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$53.51
Max. Negotiated Rate	$942.15
Rate for Payer: Aetna Commercial	$716.03
Rate for Payer: Aetna Medicare Advantage	$565.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.50
Rate for Payer: Cigna Commercial	$942.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.64
Rate for Payer: UnitedHealthcare Community & State	$59.54
Rate for Payer: Wellpoint Medicaid Managed Care	$53.51

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$55.45
Max. Negotiated Rate	$976.25
Rate for Payer: Aetna Commercial	$741.95
Rate for Payer: Aetna Medicare Advantage	$585.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.89
Rate for Payer: Cigna Commercial	$976.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.65
Rate for Payer: Oxford Commercial	$390.50
Rate for Payer: Qualcare PPO/HMO/WC	$292.88
Rate for Payer: UnitedHealthcare Commercial	$390.50
Rate for Payer: UnitedHealthcare Community & State	$61.70
Rate for Payer: Wellpoint Medicaid Managed Care	$55.45

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$292.88
Max. Negotiated Rate	$292.88
Rate for Payer: Qualcare PPO/HMO/WC	$292.88

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$46.86
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$52.14
Rate for Payer: Wellpoint Medicaid Managed Care	$46.86

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
Hospital Revenue Code	278
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

Know your out-of-pocket cost for care.

All Charges