Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

EAR CARTILAGE GRAFT

Facility

$34,833.20

Service Code	HCPCS 21235
Hospital Charge Code	1600000717
Hospital Revenue Code	360
Min. Negotiated Rate	$989.26
Max. Negotiated Rate	$25,511.88
Rate for Payer: Aetna Commercial	$19,129.52
Rate for Payer: Aetna Medicare Advantage	$22,786.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,032.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,511.88
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: Cigna Medicare Advantage	$7,032.91
Rate for Payer: Clover Medicare Advantage	$6,681.26
Rate for Payer: EmblemHealth Commercial	$21,098.73
Rate for Payer: Humana Medicare Advantage	$7,243.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,032.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,056.63
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,224.98
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$1,100.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare Medicare Advantage	$7,032.91
Rate for Payer: Wellpoint Medicaid Managed Care	$989.26

EAR CARTILAGE GRAFT

Facility

$34,833.20

Service Code	HCPCS 21235
Hospital Charge Code	1600000717
Hospital Revenue Code	360
Min. Negotiated Rate	$5,224.98
Max. Negotiated Rate	$5,224.98
Rate for Payer: Qualcare PPO/HMO/WC	$5,224.98

EAR DRILL RENTAL

Facility

$867.00

Hospital Charge Code	270338804
Hospital Revenue Code	272
Min. Negotiated Rate	$130.05
Max. Negotiated Rate	$130.05
Rate for Payer: Qualcare PPO/HMO/WC	$130.05

EAR DRILL RENTAL

Facility

$750.00

Hospital Charge Code	270339437
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

EAR DRILL RENTAL

Facility

$750.00

Hospital Charge Code	270339437
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

EAR DRILL RENTAL

Facility

$867.00

Hospital Charge Code	270338804
Hospital Revenue Code	272
Min. Negotiated Rate	$24.62
Max. Negotiated Rate	$433.50
Rate for Payer: Aetna Commercial	$329.46
Rate for Payer: Aetna Medicare Advantage	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.09
Rate for Payer: Cigna Commercial	$433.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.42
Rate for Payer: Oxford Commercial	$173.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.05
Rate for Payer: UnitedHealthcare Commercial	$173.40
Rate for Payer: UnitedHealthcare Community & State	$27.40
Rate for Payer: Wellpoint Medicaid Managed Care	$24.62

EAR DRUM- MIDWEST EAR FOUNDTN

Facility

$1,664.00

Hospital Charge Code	270335717
Hospital Revenue Code	278
Min. Negotiated Rate	$249.60
Max. Negotiated Rate	$402.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$332.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$402.69
Rate for Payer: Qualcare PPO/HMO/WC	$249.60

EAR DRUM- MIDWEST EAR FOUNDTN

Facility

$1,664.00

Hospital Charge Code	270335717
Hospital Revenue Code	278
Min. Negotiated Rate	$47.26
Max. Negotiated Rate	$832.00
Rate for Payer: Aetna Commercial	$632.32
Rate for Payer: Aetna Medicare Advantage	$499.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$332.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.32
Rate for Payer: Cigna Commercial	$832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$402.69
Rate for Payer: Qualcare PPO/HMO/WC	$249.60
Rate for Payer: UnitedHealthcare Community & State	$52.58
Rate for Payer: Wellpoint Medicaid Managed Care	$47.26

EARLY INTERVENTION

Facility

$1,262.80

Service Code	HCPCS 90785
Hospital Charge Code	84504001
Hospital Revenue Code	900
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$3,080.00
Rate for Payer: Aetna Commercial	$479.86
Rate for Payer: Aetna Medicare Advantage	$378.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.01
Rate for Payer: Cigna Commercial	$631.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$328.33
Rate for Payer: Oxford Commercial	$2,715.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.42
Rate for Payer: UnitedHealthcare Commercial	$3,080.00
Rate for Payer: UnitedHealthcare Community & State	$39.90
Rate for Payer: Wellpoint Medicaid Managed Care	$35.86

EARLY INTERVENTION

Facility

$1,262.80

Service Code	HCPCS 90853
Hospital Charge Code	87506096
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$328.33
Rate for Payer: Qualcare PPO/HMO/WC	$189.42
Rate for Payer: UnitedHealthcare Community & State	$39.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48
Rate for Payer: Wellpoint Medicaid Managed Care	$35.86

EARLY INTERVENTION

Facility

$1,262.80

Service Code	HCPCS 90785
Hospital Charge Code	84504001
Hospital Revenue Code	900
Min. Negotiated Rate	$189.42
Max. Negotiated Rate	$189.42
Rate for Payer: Qualcare PPO/HMO/WC	$189.42

EARLY INTERVENTION

Facility

$1,262.80

Service Code	HCPCS 90853
Hospital Charge Code	87506096
Hospital Revenue Code	915
Min. Negotiated Rate	$189.42
Max. Negotiated Rate	$189.42
Rate for Payer: Qualcare PPO/HMO/WC	$189.42

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC

Facility

$59,635.87

Service Code	MSDRG 147
Min. Negotiated Rate	$18,158.36
Max. Negotiated Rate	$59,635.87
Rate for Payer: Aetna Commercial	$44,331.87
Rate for Payer: Aetna Medicare Advantage	$59,635.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,114.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,354.20
Rate for Payer: Cigna Commercial	$28,345.55
Rate for Payer: Cigna Medicare Advantage	$19,114.06
Rate for Payer: Clover Medicare Advantage	$18,158.36
Rate for Payer: EmblemHealth Commercial	$57,342.18
Rate for Payer: Humana Medicare Advantage	$19,687.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,114.06
Rate for Payer: Oxford Commercial	$22,403.83
Rate for Payer: UnitedHealthcare Commercial	$29,988.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,114.06
Rate for Payer: Wellcare Medicare Advantage	$19,114.06

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC

Facility

$86,360.88

Service Code	MSDRG 146
Min. Negotiated Rate	$26,295.78
Max. Negotiated Rate	$86,360.88
Rate for Payer: Aetna Commercial	$63,365.73
Rate for Payer: Aetna Medicare Advantage	$86,360.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,457.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,457.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,679.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,457.55
Rate for Payer: Cigna Commercial	$47,203.20
Rate for Payer: Cigna Medicare Advantage	$27,679.77
Rate for Payer: Clover Medicare Advantage	$26,295.78
Rate for Payer: EmblemHealth Commercial	$83,039.31
Rate for Payer: Humana Medicare Advantage	$28,510.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,679.77
Rate for Payer: Oxford Commercial	$37,308.59
Rate for Payer: UnitedHealthcare Commercial	$49,938.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,679.77
Rate for Payer: Wellcare Medicare Advantage	$27,679.77

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC

Facility

$44,647.86

Service Code	MSDRG 148
Min. Negotiated Rate	$13,594.70
Max. Negotiated Rate	$44,647.86
Rate for Payer: Aetna Commercial	$33,657.25
Rate for Payer: Aetna Medicare Advantage	$44,647.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,657.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,657.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,310.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,657.45
Rate for Payer: Cigna Commercial	$17,769.75
Rate for Payer: Cigna Medicare Advantage	$14,310.21
Rate for Payer: Clover Medicare Advantage	$13,594.70
Rate for Payer: EmblemHealth Commercial	$42,930.63
Rate for Payer: Humana Medicare Advantage	$14,739.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,310.21
Rate for Payer: Oxford Commercial	$14,044.90
Rate for Payer: UnitedHealthcare Commercial	$18,799.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,310.21
Rate for Payer: Wellcare Medicare Advantage	$14,310.21

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$28,142.36

Service Code	APR-DRG 1104
Min. Negotiated Rate	$27,590.55
Max. Negotiated Rate	$28,142.36
Rate for Payer: UnitedHealthcare Community & State	$27,590.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,142.36
Rate for Payer: Wellpoint Medicaid Managed Care	$27,590.55

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$16,244.51

Service Code	APR-DRG 1103
Min. Negotiated Rate	$15,925.99
Max. Negotiated Rate	$16,244.51
Rate for Payer: UnitedHealthcare Community & State	$15,925.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,244.51
Rate for Payer: Wellpoint Medicaid Managed Care	$15,925.99

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$9,860.15

Service Code	APR-DRG 1101
Min. Negotiated Rate	$9,666.81
Max. Negotiated Rate	$9,860.15
Rate for Payer: UnitedHealthcare Community & State	$9,666.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,860.15
Rate for Payer: Wellpoint Medicaid Managed Care	$9,666.81

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$11,154.98

Service Code	APR-DRG 1102
Min. Negotiated Rate	$10,936.25
Max. Negotiated Rate	$11,154.98
Rate for Payer: UnitedHealthcare Community & State	$10,936.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,154.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10,936.25

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$34.45
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$34.45
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$178.18
Max. Negotiated Rate	$3,136.97
Rate for Payer: Aetna Commercial	$2,384.10
Rate for Payer: Aetna Medicare Advantage	$1,882.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,599.86
Rate for Payer: Cigna Commercial	$3,136.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: Qualcare PPO/HMO/WC	$941.09
Rate for Payer: UnitedHealthcare Community & State	$198.26
Rate for Payer: Wellpoint Medicaid Managed Care	$178.18

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$941.09
Max. Negotiated Rate	$1,518.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: Qualcare PPO/HMO/WC	$941.09

Know your out-of-pocket cost for care.

All Charges