Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ELECTIVE KNEE JOINT REPLACEMENT

Facility

$30,330.39

Service Code	APR-DRG 3263
Min. Negotiated Rate	$29,735.68
Max. Negotiated Rate	$30,330.39
Rate for Payer: UnitedHealthcare Community & State	$29,735.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,330.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29,735.68

ELECTIVE KNEE JOINT REPLACEMENT

Facility

$41,354.85

Service Code	APR-DRG 3264
Min. Negotiated Rate	$40,543.97
Max. Negotiated Rate	$41,354.85
Rate for Payer: UnitedHealthcare Community & State	$40,543.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,354.85
Rate for Payer: Wellpoint Medicaid Managed Care	$40,543.97

ELECTIVE KNEE JOINT REPLACEMENT

Facility

$21,176.66

Service Code	APR-DRG 3262
Min. Negotiated Rate	$20,761.43
Max. Negotiated Rate	$21,176.66
Rate for Payer: UnitedHealthcare Community & State	$20,761.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,176.66
Rate for Payer: Wellpoint Medicaid Managed Care	$20,761.43

ELECTODE 22FR 25 DEG CUT LOOP

Facility

$560.00

Hospital Charge Code	270678698
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ELECTODE 22FR 25 DEG CUT LOOP

Facility

$560.00

Hospital Charge Code	270678698
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ELECTODE 22FR ANGLED CUTTING

Facility

$560.00

Hospital Charge Code	270678697
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ELECTODE 22FR ANGLED CUTTING

Facility

$560.00

Hospital Charge Code	270678697
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ELECTODE 22FR MONO ROLLER

Facility

$560.00

Hospital Charge Code	270678696
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

ELECTODE 22FR MONO ROLLER

Facility

$560.00

Hospital Charge Code	270678696
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.60
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ELECTODE LEEP FISHER

Facility

$585.00

Hospital Charge Code	270690458
Hospital Revenue Code	272
Min. Negotiated Rate	$16.61
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.10
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$117.00
Rate for Payer: UnitedHealthcare Community & State	$18.49
Rate for Payer: Wellpoint Medicaid Managed Care	$16.61

ELECTODE LEEP FISHER

Facility

$585.00

Hospital Charge Code	270690458
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

ELECTRICAL BONE STIMULATION

Facility

$617.50

Service Code	HCPCS 20974
Hospital Charge Code	1600000868
Hospital Revenue Code	360
Min. Negotiated Rate	$17.54
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$234.65
Rate for Payer: Aetna Medicare Advantage	$185.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.46
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	$157.46
Rate for Payer: Cigna Commercial	$308.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.55
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.62
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$19.51
Rate for Payer: Wellpoint Medicaid Managed Care	$17.54

ELECTRICAL BONE STIMULATION

Facility

$617.50

Service Code	HCPCS 20974
Hospital Charge Code	1600000868
Hospital Revenue Code	360
Min. Negotiated Rate	$92.62
Max. Negotiated Rate	$92.62
Rate for Payer: Qualcare PPO/HMO/WC	$92.62

ELECTRICAL STIM-UNATTENDED NT

Facility

$206.00

Service Code	HCPCS 97014GP
Hospital Charge Code	1008140
Hospital Revenue Code	420
Min. Negotiated Rate	$30.90
Max. Negotiated Rate	$30.90
Rate for Payer: Qualcare PPO/HMO/WC	$30.90

ELECTRICAL STIM-UNATTENDED NT

Facility

$206.00

Service Code	HCPCS 97014GP
Hospital Charge Code	9108060
Hospital Revenue Code	420
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$78.28
Rate for Payer: Aetna Medicare Advantage	$61.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.53
Rate for Payer: Cigna Commercial	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.56
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.90
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5.85

ELECTRICAL STIM-UNATTENDED NT

Facility

$206.00

Service Code	HCPCS 97014GP
Hospital Charge Code	1008140
Hospital Revenue Code	420
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$78.28
Rate for Payer: Aetna Medicare Advantage	$61.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.53
Rate for Payer: Cigna Commercial	$103.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.56
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.90
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5.85

ELECTRICAL STIM-UNATTENDED NT

Facility

$206.00

Service Code	HCPCS 97014GP
Hospital Charge Code	9108060
Hospital Revenue Code	420
Min. Negotiated Rate	$30.90
Max. Negotiated Rate	$30.90
Rate for Payer: Qualcare PPO/HMO/WC	$30.90

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Hospital Charge Code	1008375
Hospital Revenue Code	430
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0282GP
Hospital Charge Code	9108075
Hospital Revenue Code	420
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Hospital Charge Code	1008375
Hospital Revenue Code	430
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.66
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0282GP
Hospital Charge Code	9108075
Hospital Revenue Code	420
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.66
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0281GP
Hospital Charge Code	1008380
Hospital Revenue Code	420
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0281GP
Hospital Charge Code	1008380
Hospital Revenue Code	420
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.66
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0282GO
Hospital Charge Code	74203083
Hospital Revenue Code	430
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.66
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

ELECTRICAL STIM UNATTENDED/WC

Facility

$91.00

Service Code	HCPCS G0282GO
Hospital Charge Code	74203083
Hospital Revenue Code	430
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

Know your out-of-pocket cost for care.

All Charges