Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HEP C AB W RFL HCV,RNA QNT PCR

Facility

$97.20

Hospital Charge Code	39708041
Hospital Revenue Code	306
Min. Negotiated Rate	$14.58
Max. Negotiated Rate	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$14.58

HEP STEIN BAR ANTI VCA

Facility

$239.00

Service Code	HCPCS 86665
Hospital Charge Code	38479495
Hospital Revenue Code	302
Min. Negotiated Rate	$35.85
Max. Negotiated Rate	$35.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.85

HEP STEIN BAR ANTI VCA

Facility

$239.00

Service Code	HCPCS 86665
Hospital Charge Code	38479495
Hospital Revenue Code	302
Min. Negotiated Rate	$6.79
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$49.34
Rate for Payer: Aetna Medicare Advantage	$58.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.80
Rate for Payer: Cigna Commercial	$119.50
Rate for Payer: Cigna Medicare Advantage	$18.14
Rate for Payer: Clover Medicare Advantage	$17.23
Rate for Payer: EmblemHealth Commercial	$54.42
Rate for Payer: Humana Medicare Advantage	$18.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.14
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$14.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.14
Rate for Payer: Wellcare Medicare Advantage	$18.14
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

HER2 PARAFFIN BLOCK 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061081
Hospital Revenue Code	310
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.34
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$86.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$30.74

HER2 PARAFFIN BLOCK 1ST

Facility

$1,082.30

Service Code	HCPCS 88342
Hospital Charge Code	397061081
Hospital Revenue Code	310
Min. Negotiated Rate	$162.34
Max. Negotiated Rate	$162.34
Rate for Payer: Qualcare PPO/HMO/WC	$162.34

HERBERT BONE SCREW

Facility

$681.00

Hospital Charge Code	270335016
Hospital Revenue Code	278
Min. Negotiated Rate	$19.34
Max. Negotiated Rate	$340.50
Rate for Payer: Aetna Commercial	$258.78
Rate for Payer: Aetna Medicare Advantage	$204.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.66
Rate for Payer: Cigna Commercial	$340.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.80
Rate for Payer: Qualcare PPO/HMO/WC	$102.15
Rate for Payer: UnitedHealthcare Community & State	$21.52
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

HERBERT BONE SCREW

Facility

$681.00

Hospital Charge Code	270335016
Hospital Revenue Code	278
Min. Negotiated Rate	$102.15
Max. Negotiated Rate	$164.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.80
Rate for Payer: Qualcare PPO/HMO/WC	$102.15

HEREDITARY COLON CA DISORDERS1

Facility

$744.90

Service Code	HCPCS 81435
Hospital Charge Code	401181435A
Hospital Revenue Code	310
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$4,730.08
Rate for Payer: Aetna Commercial	$3,546.74
Rate for Payer: Aetna Medicare Advantage	$4,224.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,730.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,730.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,303.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,730.08
Rate for Payer: Cigna Commercial	$372.45
Rate for Payer: Cigna Medicare Advantage	$1,303.95
Rate for Payer: Clover Medicare Advantage	$1,238.75
Rate for Payer: EmblemHealth Commercial	$3,911.85
Rate for Payer: Humana Medicare Advantage	$1,343.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,303.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$467.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,303.95
Rate for Payer: Wellcare Medicare Advantage	$1,303.95
Rate for Payer: Wellpoint Medicaid Managed Care	$21.16

HEREDITARY COLON CA DISORDERS1

Facility

$744.90

Service Code	HCPCS 81435
Hospital Charge Code	401181435A
Hospital Revenue Code	310
Min. Negotiated Rate	$111.73
Max. Negotiated Rate	$111.73
Rate for Payer: Qualcare PPO/HMO/WC	$111.73

HEREDITARY COLON CA DISORDERS2

Facility

$744.90

Service Code	HCPCS 81436
Hospital Charge Code	401181436B
Hospital Revenue Code	310
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$372.45
Rate for Payer: Aetna Commercial	$283.06
Rate for Payer: Aetna Medicare Advantage	$223.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.95
Rate for Payer: Cigna Commercial	$372.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.67
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$23.54
Rate for Payer: Wellpoint Medicaid Managed Care	$21.16

HEREDITARY COLON CA DISORDERS2

Facility

$744.90

Service Code	HCPCS 81436
Hospital Charge Code	401181436B
Hospital Revenue Code	310
Min. Negotiated Rate	$111.73
Max. Negotiated Rate	$111.73
Rate for Payer: Qualcare PPO/HMO/WC	$111.73

HEREDITARY HEMOCHROM DNA

Facility

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$68.37
Rate for Payer: Qualcare PPO/HMO/WC	$68.37

HEREDITARY HEMOCHROM DNA

Facility

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$237.09
Rate for Payer: Aetna Commercial	$177.78
Rate for Payer: Aetna Medicare Advantage	$211.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.09
Rate for Payer: Cigna Commercial	$227.90
Rate for Payer: Cigna Medicare Advantage	$65.36
Rate for Payer: Clover Medicare Advantage	$62.09
Rate for Payer: EmblemHealth Commercial	$196.08
Rate for Payer: Humana Medicare Advantage	$67.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$65.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.51
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.37
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$52.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$65.36
Rate for Payer: Wellcare Medicare Advantage	$65.36
Rate for Payer: Wellpoint Medicaid Managed Care	$12.94

HERNIA MESH 3D

Facility

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$135.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

HERNIA MESH 3D

Facility

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$15.93
Max. Negotiated Rate	$280.50
Rate for Payer: Aetna Commercial	$213.18
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: Qualcare PPO/HMO/WC	$84.15
Rate for Payer: UnitedHealthcare Community & State	$17.73
Rate for Payer: Wellpoint Medicaid Managed Care	$15.93

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$1,173.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$137.74
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,843.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: Qualcare PPO/HMO/WC	$727.50
Rate for Payer: UnitedHealthcare Community & State	$153.26
Rate for Payer: Wellpoint Medicaid Managed Care	$137.74

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$172.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$20.28
Max. Negotiated Rate	$357.00
Rate for Payer: Aetna Commercial	$271.32
Rate for Payer: Aetna Medicare Advantage	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.07
Rate for Payer: Cigna Commercial	$357.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: Qualcare PPO/HMO/WC	$107.10
Rate for Payer: UnitedHealthcare Community & State	$22.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.28

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility

$72,617.66

Service Code	MSDRG 354
Min. Negotiated Rate	$22,111.15
Max. Negotiated Rate	$72,617.66
Rate for Payer: Aetna Commercial	$53,577.64
Rate for Payer: Aetna Medicare Advantage	$72,617.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,652.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,652.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,274.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,652.60
Rate for Payer: Cigna Commercial	$37,505.74
Rate for Payer: Cigna Medicare Advantage	$23,274.89
Rate for Payer: Clover Medicare Advantage	$22,111.15
Rate for Payer: EmblemHealth Commercial	$69,824.67
Rate for Payer: Humana Medicare Advantage	$23,973.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,274.89
Rate for Payer: Oxford Commercial	$29,643.89
Rate for Payer: UnitedHealthcare Commercial	$39,679.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,274.89
Rate for Payer: Wellcare Medicare Advantage	$23,274.89

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

Facility

$111,149.16

Service Code	MSDRG 353
Min. Negotiated Rate	$33,843.49
Max. Negotiated Rate	$111,149.16
Rate for Payer: Aetna Commercial	$81,020.22
Rate for Payer: Aetna Medicare Advantage	$111,149.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,898.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,898.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,624.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,898.60
Rate for Payer: Cigna Commercial	$64,694.29
Rate for Payer: Cigna Medicare Advantage	$35,624.73
Rate for Payer: Clover Medicare Advantage	$33,843.49
Rate for Payer: EmblemHealth Commercial	$106,874.19
Rate for Payer: Humana Medicare Advantage	$36,693.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35,624.73
Rate for Payer: Oxford Commercial	$51,133.24
Rate for Payer: UnitedHealthcare Commercial	$68,443.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,624.73
Rate for Payer: Wellcare Medicare Advantage	$35,624.73

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility

$61,958.02

Service Code	MSDRG 355
Min. Negotiated Rate	$18,865.42
Max. Negotiated Rate	$61,958.02
Rate for Payer: Aetna Commercial	$45,985.72
Rate for Payer: Aetna Medicare Advantage	$61,958.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,678.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,678.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,858.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,678.80
Rate for Payer: Cigna Commercial	$29,984.08
Rate for Payer: Cigna Medicare Advantage	$19,858.34
Rate for Payer: Clover Medicare Advantage	$18,865.42
Rate for Payer: EmblemHealth Commercial	$59,575.02
Rate for Payer: Humana Medicare Advantage	$20,454.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,858.34
Rate for Payer: Oxford Commercial	$23,698.90
Rate for Payer: UnitedHealthcare Commercial	$31,721.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,858.34
Rate for Payer: Wellcare Medicare Advantage	$19,858.34

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$50,349.89

Service Code	APR-DRG 2274
Min. Negotiated Rate	$49,362.64
Max. Negotiated Rate	$50,349.89
Rate for Payer: UnitedHealthcare Community & State	$49,362.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,349.89
Rate for Payer: Wellpoint Medicaid Managed Care	$49,362.64

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$15,594.22

Service Code	APR-DRG 2271
Min. Negotiated Rate	$15,288.45
Max. Negotiated Rate	$15,594.22
Rate for Payer: UnitedHealthcare Community & State	$15,288.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,594.22
Rate for Payer: Wellpoint Medicaid Managed Care	$15,288.45

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$19,022.34

Service Code	APR-DRG 2272
Min. Negotiated Rate	$18,649.35
Max. Negotiated Rate	$19,022.34
Rate for Payer: UnitedHealthcare Community & State	$18,649.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,022.34
Rate for Payer: Wellpoint Medicaid Managed Care	$18,649.35

Know your out-of-pocket cost for care.

All Charges