Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$9,603.18

Service Code	APR-DRG 8942
Min. Negotiated Rate	$9,414.88
Max. Negotiated Rate	$9,603.18
Rate for Payer: UnitedHealthcare Community & State	$9,414.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,603.18
Rate for Payer: Wellpoint Medicaid Managed Care	$9,414.88

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$20,852.28

Service Code	APR-DRG 8944
Min. Negotiated Rate	$20,443.41
Max. Negotiated Rate	$20,852.28
Rate for Payer: UnitedHealthcare Community & State	$20,443.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,852.28
Rate for Payer: Wellpoint Medicaid Managed Care	$20,443.41

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$13,573.33

Service Code	APR-DRG 8943
Min. Negotiated Rate	$13,307.19
Max. Negotiated Rate	$13,573.33
Rate for Payer: UnitedHealthcare Community & State	$13,307.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,573.33
Rate for Payer: Wellpoint Medicaid Managed Care	$13,307.19

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$7,736.76

Service Code	APR-DRG 8941
Min. Negotiated Rate	$7,585.06
Max. Negotiated Rate	$7,736.76
Rate for Payer: UnitedHealthcare Community & State	$7,585.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,736.76
Rate for Payer: Wellpoint Medicaid Managed Care	$7,585.06

HIV WITH OR WITHOUT OTHER RELATED CONDITION

Facility

$60,463.60

Service Code	MSDRG 977
Min. Negotiated Rate	$18,410.39
Max. Negotiated Rate	$60,463.60
Rate for Payer: Aetna Commercial	$44,921.39
Rate for Payer: Aetna Medicare Advantage	$60,463.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,379.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,341.10
Rate for Payer: Cigna Commercial	$28,258.61
Rate for Payer: Cigna Medicare Advantage	$19,379.36
Rate for Payer: Clover Medicare Advantage	$18,410.39
Rate for Payer: EmblemHealth Commercial	$58,138.08
Rate for Payer: Humana Medicare Advantage	$19,960.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,379.36
Rate for Payer: Oxford Commercial	$22,335.11
Rate for Payer: UnitedHealthcare Commercial	$29,896.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,379.36
Rate for Payer: Wellcare Medicare Advantage	$19,379.36

HLA A,B,C TYPING

Facility

$408.00

Service Code	HCPCS 86813
Hospital Charge Code	38476274
Hospital Revenue Code	302
Min. Negotiated Rate	$11.59
Max. Negotiated Rate	$210.40
Rate for Payer: Aetna Commercial	$157.76
Rate for Payer: Aetna Medicare Advantage	$187.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.40
Rate for Payer: Cigna Commercial	$204.00
Rate for Payer: Cigna Medicare Advantage	$58.00
Rate for Payer: Clover Medicare Advantage	$55.10
Rate for Payer: EmblemHealth Commercial	$174.00
Rate for Payer: Humana Medicare Advantage	$59.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$58.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.08
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.20
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$46.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$58.00
Rate for Payer: Wellcare Medicare Advantage	$58.00
Rate for Payer: Wellpoint Medicaid Managed Care	$11.59

HLA A,B,C TYPING

Facility

$408.00

Service Code	HCPCS 86813
Hospital Charge Code	38476274
Hospital Revenue Code	302
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$61.20

HLA-B27

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	39900262
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HLA-B27

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	39900262
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$83.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.63
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.81
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.81
Rate for Payer: Wellcare Medicare Advantage	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$23.95
Max. Negotiated Rate	$421.68
Rate for Payer: Aetna Commercial	$202.18
Rate for Payer: Aetna Medicare Advantage	$240.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.63
Rate for Payer: Cigna Commercial	$421.68
Rate for Payer: Cigna Medicare Advantage	$74.33
Rate for Payer: Clover Medicare Advantage	$70.61
Rate for Payer: EmblemHealth Commercial	$222.99
Rate for Payer: Humana Medicare Advantage	$76.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$74.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.27
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$59.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$74.33
Rate for Payer: Wellcare Medicare Advantage	$74.33
Rate for Payer: Wellpoint Medicaid Managed Care	$23.95

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$126.50

HLA-B5701 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900321
Hospital Revenue Code	310
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$63.73
Rate for Payer: Qualcare PPO/HMO/WC	$63.73

HLA-B5701 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900321
Hospital Revenue Code	310
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$616.31
Rate for Payer: Aetna Commercial	$462.13
Rate for Payer: Aetna Medicare Advantage	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$616.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$616.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$169.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$616.31
Rate for Payer: Cigna Commercial	$212.43
Rate for Payer: Cigna Medicare Advantage	$169.90
Rate for Payer: Clover Medicare Advantage	$161.41
Rate for Payer: EmblemHealth Commercial	$509.70
Rate for Payer: Humana Medicare Advantage	$175.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$169.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$135.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$169.90
Rate for Payer: Wellcare Medicare Advantage	$169.90
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

HLA-B57 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900024
Hospital Revenue Code	310
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$63.73
Rate for Payer: Qualcare PPO/HMO/WC	$63.73

HLA-B57 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900024
Hospital Revenue Code	310
Min. Negotiated Rate	$12.07
Max. Negotiated Rate	$616.31
Rate for Payer: Aetna Commercial	$462.13
Rate for Payer: Aetna Medicare Advantage	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$616.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$616.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$169.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$616.31
Rate for Payer: Cigna Commercial	$212.43
Rate for Payer: Cigna Medicare Advantage	$169.90
Rate for Payer: Clover Medicare Advantage	$161.41
Rate for Payer: EmblemHealth Commercial	$509.70
Rate for Payer: Humana Medicare Advantage	$175.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$169.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.46
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.73
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$135.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$169.90
Rate for Payer: Wellcare Medicare Advantage	$169.90
Rate for Payer: Wellpoint Medicaid Managed Care	$12.07

HLA DQB1 LOW RES TYPING

Facility

$809.40

Service Code	HCPCS 81376
Hospital Charge Code	401081376
Hospital Revenue Code	310
Min. Negotiated Rate	$121.41
Max. Negotiated Rate	$121.41
Rate for Payer: Qualcare PPO/HMO/WC	$121.41

HLA DQB1 LOW RES TYPING

Facility

$809.40

Service Code	HCPCS 81376
Hospital Charge Code	401081376
Hospital Revenue Code	310
Min. Negotiated Rate	$22.99
Max. Negotiated Rate	$443.35
Rate for Payer: Aetna Commercial	$332.44
Rate for Payer: Aetna Medicare Advantage	$395.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.35
Rate for Payer: Cigna Commercial	$404.70
Rate for Payer: Cigna Medicare Advantage	$122.22
Rate for Payer: Clover Medicare Advantage	$116.11
Rate for Payer: EmblemHealth Commercial	$366.66
Rate for Payer: Humana Medicare Advantage	$125.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.41
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$97.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$122.22
Rate for Payer: Wellcare Medicare Advantage	$122.22
Rate for Payer: Wellpoint Medicaid Managed Care	$22.99

HLA - DR4

Facility

$196.00

Service Code	HCPCS 86816
Hospital Charge Code	38476301
Hospital Revenue Code	302
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$29.40

HLA - DR4

Facility

$196.00

Service Code	HCPCS 86816
Hospital Charge Code	38476301
Hospital Revenue Code	302
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$82.06
Rate for Payer: Aetna Medicare Advantage	$97.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.44
Rate for Payer: Cigna Commercial	$98.00
Rate for Payer: Cigna Medicare Advantage	$30.17
Rate for Payer: Clover Medicare Advantage	$28.66
Rate for Payer: EmblemHealth Commercial	$90.51
Rate for Payer: Humana Medicare Advantage	$31.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$24.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$30.17
Rate for Payer: Wellcare Medicare Advantage	$30.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

HLA DR/DQ,MULTIPLE ANTIGENS

Facility

$453.00

Service Code	HCPCS 86817
Hospital Charge Code	38476276
Hospital Revenue Code	302
Min. Negotiated Rate	$67.95
Max. Negotiated Rate	$67.95
Rate for Payer: Qualcare PPO/HMO/WC	$67.95

HLA DR/DQ,MULTIPLE ANTIGENS

Facility

$453.00

Service Code	HCPCS 86817
Hospital Charge Code	38476276
Hospital Revenue Code	302
Min. Negotiated Rate	$12.87
Max. Negotiated Rate	$385.02
Rate for Payer: Aetna Commercial	$288.70
Rate for Payer: Aetna Medicare Advantage	$343.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$385.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$385.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$106.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$385.02
Rate for Payer: Cigna Commercial	$226.50
Rate for Payer: Cigna Medicare Advantage	$106.14
Rate for Payer: Clover Medicare Advantage	$100.83
Rate for Payer: EmblemHealth Commercial	$318.42
Rate for Payer: Humana Medicare Advantage	$109.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$106.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.78
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$84.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$106.14
Rate for Payer: Wellcare Medicare Advantage	$106.14
Rate for Payer: Wellpoint Medicaid Managed Care	$12.87

HLA TYPING; A,B,C SINGLE ANTG

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	38473042
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HLA TYPING; A,B,C SINGLE ANTG

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	38473042
Hospital Revenue Code	302
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$83.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.63
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.81
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$20.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.81
Rate for Payer: Wellcare Medicare Advantage	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

HLA TYPING CELIAC DISEASE I

Facility

$833.70

Service Code	HCPCS 81376
Hospital Charge Code	39990155A
Hospital Revenue Code	310
Min. Negotiated Rate	$23.68
Max. Negotiated Rate	$443.35
Rate for Payer: Aetna Commercial	$332.44
Rate for Payer: Aetna Medicare Advantage	$395.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.35
Rate for Payer: Cigna Commercial	$416.85
Rate for Payer: Cigna Medicare Advantage	$122.22
Rate for Payer: Clover Medicare Advantage	$116.11
Rate for Payer: EmblemHealth Commercial	$366.66
Rate for Payer: Humana Medicare Advantage	$125.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.76
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$125.06
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$97.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$122.22
Rate for Payer: Wellcare Medicare Advantage	$122.22
Rate for Payer: Wellpoint Medicaid Managed Care	$23.68

HLA TYPING CELIAC DISEASE I

Facility

$833.70

Service Code	HCPCS 81376
Hospital Charge Code	39990155A
Hospital Revenue Code	310
Min. Negotiated Rate	$125.06
Max. Negotiated Rate	$125.06
Rate for Payer: Qualcare PPO/HMO/WC	$125.06

Know your out-of-pocket cost for care.

All Charges