Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GENDER RELATED PROCEDURES

Facility

$25,545.66

Service Code	APR-DRG 8512
Min. Negotiated Rate	$25,044.76
Max. Negotiated Rate	$25,545.66
Rate for Payer: UnitedHealthcare Community & State	$25,044.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,545.66
Rate for Payer: Wellpoint Medicaid Managed Care	$25,044.76

GENDER RELATED PROCEDURES

Facility

$37,595.29

Service Code	APR-DRG 8513
Min. Negotiated Rate	$36,858.13
Max. Negotiated Rate	$37,595.29
Rate for Payer: UnitedHealthcare Community & State	$36,858.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,595.29
Rate for Payer: Wellpoint Medicaid Managed Care	$36,858.13

GENDER RELATED PROCEDURES

Facility

$22,183.57

Service Code	APR-DRG 8511
Min. Negotiated Rate	$21,748.60
Max. Negotiated Rate	$22,183.57
Rate for Payer: UnitedHealthcare Community & State	$21,748.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,183.57
Rate for Payer: Wellpoint Medicaid Managed Care	$21,748.60

GENDER RELATED PROCEDURES

Facility

$115,746.29

Service Code	APR-DRG 8514
Min. Negotiated Rate	$113,476.75
Max. Negotiated Rate	$115,746.29
Rate for Payer: UnitedHealthcare Community & State	$113,476.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$115,746.29
Rate for Payer: Wellpoint Medicaid Managed Care	$113,476.75

GENERAL CYTOLOGY (NON-GYN)

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	38474025
Hospital Revenue Code	311
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$160.95
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.95
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$61.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

GENERAL CYTOLOGY (NON-GYN)

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	38474025
Hospital Revenue Code	311
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GENERAL MIS INSTRUMENT SET

Facility

$625.00

Hospital Charge Code	270684550
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

GENERAL MIS INSTRUMENT SET

Facility

$625.00

Hospital Charge Code	270684550
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

GENERATOR DUAL LV PACEMAKER

Facility

$30,400.00

Service Code	HCPCS C2619
Hospital Charge Code	270668041
Hospital Revenue Code	275
Min. Negotiated Rate	$863.36
Max. Negotiated Rate	$15,200.00
Rate for Payer: Aetna Commercial	$11,552.00
Rate for Payer: Aetna Medicare Advantage	$9,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,752.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,752.00
Rate for Payer: Cigna Commercial	$15,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00
Rate for Payer: UnitedHealthcare Community & State	$960.64
Rate for Payer: Wellpoint Medicaid Managed Care	$863.36

GENERATOR DUAL LV PACEMAKER

Facility

$30,400.00

Service Code	HCPCS C2619
Hospital Charge Code	270668041
Hospital Revenue Code	275
Min. Negotiated Rate	$4,560.00
Max. Negotiated Rate	$7,356.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,356.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,560.00

GENERATOR EON IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1767
Hospital Charge Code	270675086
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$25,395.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR EON IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1767
Hospital Charge Code	270675086
Hospital Revenue Code	278
Min. Negotiated Rate	$2,980.30
Max. Negotiated Rate	$52,470.00
Rate for Payer: Aetna Commercial	$39,877.20
Rate for Payer: Aetna Medicare Advantage	$31,482.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,759.70
Rate for Payer: Cigna Commercial	$52,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00
Rate for Payer: UnitedHealthcare Community & State	$3,316.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2,980.30

GENERATOR EON MINI IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270642321
Hospital Revenue Code	278
Min. Negotiated Rate	$2,980.30
Max. Negotiated Rate	$52,470.00
Rate for Payer: Aetna Commercial	$39,877.20
Rate for Payer: Aetna Medicare Advantage	$31,482.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,759.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,759.70
Rate for Payer: Cigna Commercial	$52,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00
Rate for Payer: UnitedHealthcare Community & State	$3,316.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2,980.30

GENERATOR EON MINI IPG 16-CHAN

Facility

$104,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270642321
Hospital Revenue Code	278
Min. Negotiated Rate	$15,741.00
Max. Negotiated Rate	$25,395.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,988.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25,395.48
Rate for Payer: Qualcare PPO/HMO/WC	$15,741.00

GENERATOR, NEUROSTIMULATOR NON

Facility

$15,564.00

Hospital Charge Code	270335621
Hospital Revenue Code	278
Min. Negotiated Rate	$2,334.60
Max. Negotiated Rate	$3,766.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,112.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,766.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,334.60

GENERATOR, NEUROSTIMULATOR NON

Facility

$15,564.00

Hospital Charge Code	270335621
Hospital Revenue Code	278
Min. Negotiated Rate	$442.02
Max. Negotiated Rate	$7,782.00
Rate for Payer: Aetna Commercial	$5,914.32
Rate for Payer: Aetna Medicare Advantage	$4,669.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,968.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,968.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,112.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,968.82
Rate for Payer: Cigna Commercial	$7,782.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,766.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,334.60
Rate for Payer: UnitedHealthcare Community & State	$491.82
Rate for Payer: Wellpoint Medicaid Managed Care	$442.02

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$2,911.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$38,950.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00
Rate for Payer: UnitedHealthcare Community & State	$3,239.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2,911.00

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$18,141.00
Max. Negotiated Rate	$29,267.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$3,434.70
Max. Negotiated Rate	$60,470.00
Rate for Payer: Aetna Commercial	$45,957.20
Rate for Payer: Aetna Medicare Advantage	$36,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,839.70
Rate for Payer: Cigna Commercial	$60,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00
Rate for Payer: UnitedHealthcare Community & State	$3,821.70
Rate for Payer: Wellpoint Medicaid Managed Care	$3,434.70

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$3,577.69
Max. Negotiated Rate	$62,987.50
Rate for Payer: Aetna Commercial	$47,870.50
Rate for Payer: Aetna Medicare Advantage	$37,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,123.62
Rate for Payer: Cigna Commercial	$62,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25
Rate for Payer: UnitedHealthcare Community & State	$3,980.81
Rate for Payer: Wellpoint Medicaid Managed Care	$3,577.69

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$18,896.25
Max. Negotiated Rate	$30,485.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$2,911.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$38,950.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00
Rate for Payer: UnitedHealthcare Community & State	$3,239.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2,911.00

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,346.25
Max. Negotiated Rate	$7,011.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25

Know your out-of-pocket cost for care.

All Charges