Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$14,310.61

Service Code	APR-DRG 8433
Min. Negotiated Rate	$14,030.01
Max. Negotiated Rate	$14,310.61
Rate for Payer: UnitedHealthcare Community & State	$14,030.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,310.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14,030.01

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$9,316.66

Service Code	APR-DRG 8432
Min. Negotiated Rate	$9,133.98
Max. Negotiated Rate	$9,316.66
Rate for Payer: UnitedHealthcare Community & State	$9,133.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,316.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9,133.98

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$6,669.43

Service Code	APR-DRG 8431
Min. Negotiated Rate	$6,538.66
Max. Negotiated Rate	$6,669.43
Rate for Payer: UnitedHealthcare Community & State	$6,538.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,669.43
Rate for Payer: Wellpoint Medicaid Managed Care	$6,538.66

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$25,878.55

Service Code	APR-DRG 8412
Min. Negotiated Rate	$25,371.13
Max. Negotiated Rate	$25,878.55
Rate for Payer: UnitedHealthcare Community & State	$25,371.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,878.55
Rate for Payer: Wellpoint Medicaid Managed Care	$25,371.13

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$240,869.65

Service Code	APR-DRG 8414
Min. Negotiated Rate	$236,146.72
Max. Negotiated Rate	$240,869.65
Rate for Payer: UnitedHealthcare Community & State	$236,146.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$240,869.65
Rate for Payer: Wellpoint Medicaid Managed Care	$236,146.72

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$79,179.02

Service Code	APR-DRG 8413
Min. Negotiated Rate	$77,626.49
Max. Negotiated Rate	$79,179.02
Rate for Payer: UnitedHealthcare Community & State	$77,626.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$79,179.02
Rate for Payer: Wellpoint Medicaid Managed Care	$77,626.49

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$22,734.13

Service Code	APR-DRG 8411
Min. Negotiated Rate	$22,288.36
Max. Negotiated Rate	$22,734.13
Rate for Payer: UnitedHealthcare Community & State	$22,288.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,734.13
Rate for Payer: Wellpoint Medicaid Managed Care	$22,288.36

EXTENSOR TENDON REALIGNMENT

Facility

$12,289.60

Service Code	HCPCS 26437
Hospital Charge Code	16000620
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.44
Max. Negotiated Rate	$1,843.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44

EXTENSOR TENDON REALIGNMENT

Facility

$12,289.60

Service Code	HCPCS 26437
Hospital Charge Code	16000620
Hospital Revenue Code	360
Min. Negotiated Rate	$349.02
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,195.30
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$388.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$349.02

EXTENSOR TENDON REPAIR EACH

Facility

$15,596.70

Service Code	HCPCS 26418
Hospital Charge Code	1600000803
Hospital Revenue Code	360
Min. Negotiated Rate	$442.95
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,055.14
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,339.51
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$492.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$442.95

EXTENSOR TENDON REPAIR EACH

Facility

$15,596.70

Service Code	HCPCS 26418
Hospital Charge Code	1600000803
Hospital Revenue Code	360
Min. Negotiated Rate	$2,339.51
Max. Negotiated Rate	$2,339.51
Rate for Payer: Qualcare PPO/HMO/WC	$2,339.51

EXTERNAL DRAINAGE AND

Facility

$1,683.00

Hospital Charge Code	270659525
Hospital Revenue Code	270
Min. Negotiated Rate	$47.80
Max. Negotiated Rate	$841.50
Rate for Payer: Aetna Commercial	$639.54
Rate for Payer: Aetna Medicare Advantage	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$429.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$429.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$429.17
Rate for Payer: Cigna Commercial	$841.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$437.58
Rate for Payer: Oxford Commercial	$336.60
Rate for Payer: Qualcare PPO/HMO/WC	$252.45
Rate for Payer: UnitedHealthcare Commercial	$336.60
Rate for Payer: UnitedHealthcare Community & State	$53.18
Rate for Payer: Wellpoint Medicaid Managed Care	$47.80

EXTERNAL DRAINAGE AND

Facility

$1,683.00

Hospital Charge Code	270659525
Hospital Revenue Code	270
Min. Negotiated Rate	$252.45
Max. Negotiated Rate	$252.45
Rate for Payer: Qualcare PPO/HMO/WC	$252.45

EXTERNAL DRAINAGE&MONITORING

Facility

$319.00

Hospital Charge Code	270335584
Hospital Revenue Code	272
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$159.50
Rate for Payer: Aetna Commercial	$121.22
Rate for Payer: Aetna Medicare Advantage	$95.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.34
Rate for Payer: Cigna Commercial	$159.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.94
Rate for Payer: Oxford Commercial	$63.80
Rate for Payer: Qualcare PPO/HMO/WC	$47.85
Rate for Payer: UnitedHealthcare Commercial	$63.80
Rate for Payer: UnitedHealthcare Community & State	$10.08
Rate for Payer: Wellpoint Medicaid Managed Care	$9.06

EXTERNAL DRAINAGE&MONITORING

Facility

$319.00

Hospital Charge Code	270335584
Hospital Revenue Code	272
Min. Negotiated Rate	$47.85
Max. Negotiated Rate	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.85

EXTERNAL FIXATOR APPLICATION

Facility

$12,744.00

Hospital Charge Code	270335559
Hospital Revenue Code	272
Min. Negotiated Rate	$361.93
Max. Negotiated Rate	$6,372.00
Rate for Payer: Aetna Commercial	$4,842.72
Rate for Payer: Aetna Medicare Advantage	$3,823.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,249.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,249.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,249.72
Rate for Payer: Cigna Commercial	$6,372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,313.44
Rate for Payer: Oxford Commercial	$2,548.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,911.60
Rate for Payer: UnitedHealthcare Commercial	$2,548.80
Rate for Payer: UnitedHealthcare Community & State	$402.71
Rate for Payer: Wellpoint Medicaid Managed Care	$361.93

EXTERNAL FIXATOR APPLICATION

Facility

$12,744.00

Hospital Charge Code	270335559
Hospital Revenue Code	272
Min. Negotiated Rate	$1,911.60
Max. Negotiated Rate	$1,911.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,911.60

EXTERNAL HEART ASSIST DEVICES

Facility

$81,462.55

Service Code	APR-DRG 1783
Min. Negotiated Rate	$79,865.25
Max. Negotiated Rate	$81,462.55
Rate for Payer: UnitedHealthcare Community & State	$79,865.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$81,462.55
Rate for Payer: Wellpoint Medicaid Managed Care	$79,865.25

EXTERNAL HEART ASSIST DEVICES

Facility

$106,313.09

Service Code	APR-DRG 1784
Min. Negotiated Rate	$104,228.52
Max. Negotiated Rate	$106,313.09
Rate for Payer: UnitedHealthcare Community & State	$104,228.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$106,313.09
Rate for Payer: Wellpoint Medicaid Managed Care	$104,228.52

EXTERNAL HEART ASSIST DEVICES

Facility

$66,100.04

Service Code	APR-DRG 1781
Min. Negotiated Rate	$64,803.96
Max. Negotiated Rate	$66,100.04
Rate for Payer: UnitedHealthcare Community & State	$64,803.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$66,100.04
Rate for Payer: Wellpoint Medicaid Managed Care	$64,803.96

EXTERNAL HEART ASSIST DEVICES

Facility

$72,303.14

Service Code	APR-DRG 1782
Min. Negotiated Rate	$70,885.43
Max. Negotiated Rate	$72,303.14
Rate for Payer: UnitedHealthcare Community & State	$70,885.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,303.14
Rate for Payer: Wellpoint Medicaid Managed Care	$70,885.43

EXTERNAL NEUROSTIMULATOR

Facility

$2,000.00

Hospital Charge Code	270671694
Hospital Revenue Code	272
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

EXTERNAL NEUROSTIMULATOR

Facility

$2,000.00

Hospital Charge Code	270671694
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

EXTERNAL TRIAL STIMULATOR

Facility

$1,100.00

Service Code	HCPCS C1778
Hospital Charge Code	270702026
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

EXTERNAL TRIAL STIMULATOR

Facility

$1,100.00

Service Code	HCPCS C1778
Hospital Charge Code	270702026
Hospital Revenue Code	278
Min. Negotiated Rate	$31.24
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Community & State	$34.76
Rate for Payer: Wellpoint Medicaid Managed Care	$31.24

Know your out-of-pocket cost for care.

All Charges