Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

HYPERTENSION

Facility

$20,415.50

Service Code	APR-DRG 1994
Min. Negotiated Rate	$20,015.20
Max. Negotiated Rate	$20,415.50
Rate for Payer: UnitedHealthcare Community & State	$20,015.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,415.50
Rate for Payer: Wellpoint Medicaid Managed Care	$20,015.20

HYPERTENSION WITH MCC

Facility

$57,060.99

Service Code	MSDRG 304
Min. Negotiated Rate	$17,374.34
Max. Negotiated Rate	$57,060.99
Rate for Payer: Aetna Commercial	$42,498.01
Rate for Payer: Aetna Medicare Advantage	$57,060.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,860.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,860.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,288.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,860.75
Rate for Payer: Cigna Commercial	$26,528.67
Rate for Payer: Cigna Medicare Advantage	$18,288.78
Rate for Payer: Clover Medicare Advantage	$17,374.34
Rate for Payer: EmblemHealth Commercial	$54,866.34
Rate for Payer: Humana Medicare Advantage	$18,837.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,288.78
Rate for Payer: Oxford Commercial	$20,967.80
Rate for Payer: UnitedHealthcare Commercial	$28,066.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,288.78
Rate for Payer: Wellcare Medicare Advantage	$18,288.78

HYPERTENSION WITHOUT MCC

Facility

$43,320.95

Service Code	MSDRG 305
Min. Negotiated Rate	$13,190.67
Max. Negotiated Rate	$43,320.95
Rate for Payer: Aetna Commercial	$32,712.17
Rate for Payer: Aetna Medicare Advantage	$43,320.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,884.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,778.75
Rate for Payer: Cigna Commercial	$16,833.44
Rate for Payer: Cigna Medicare Advantage	$13,884.92
Rate for Payer: Clover Medicare Advantage	$13,190.67
Rate for Payer: EmblemHealth Commercial	$41,654.76
Rate for Payer: Humana Medicare Advantage	$14,301.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,884.92
Rate for Payer: Oxford Commercial	$13,304.86
Rate for Payer: UnitedHealthcare Commercial	$17,809.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,884.92
Rate for Payer: Wellcare Medicare Advantage	$13,884.92

HYPERTENSIVE ENCEPHALOPATHY WITH CC

Facility

$28,259.10

Service Code	MSDRG 078
Min. Negotiated Rate	$28,259.10
Max. Negotiated Rate	$28,259.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,259.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,259.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,259.10

HYPERTENSIVE ENCEPHALOPATHY WITH MCC

Facility

$41,834.55

Service Code	MSDRG 077
Min. Negotiated Rate	$41,834.55
Max. Negotiated Rate	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,834.55

HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC

Facility

$20,501.70

Service Code	MSDRG 079
Min. Negotiated Rate	$20,501.70
Max. Negotiated Rate	$20,501.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,501.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,501.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,501.70

HYPNOTHERAPY

Facility

$6,800.00

Service Code	HCPCS 90880
Hospital Charge Code	94810155
Hospital Revenue Code	900
Min. Negotiated Rate	$1,020.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00

HYPNOTHERAPY

Facility

$6,800.00

Service Code	HCPCS 90880
Hospital Charge Code	94810155
Hospital Revenue Code	900
Min. Negotiated Rate	$55.69
Max. Negotiated Rate	$3,080.00
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.00
Rate for Payer: Oxford Commercial	$2,715.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00
Rate for Payer: UnitedHealthcare Commercial	$3,080.00
Rate for Payer: UnitedHealthcare Community & State	$214.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$193.12

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4822522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4822522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4511522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4535522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4502522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4502522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4832522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4504522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4509522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4509522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4535522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4832522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4818522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4818522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4504522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4511522
Hospital Revenue Code	914
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$437.80
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.80
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$23.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellpoint Medicaid Managed Care	$21.30

HYPNOTHERAPY CHILD

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4518518
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges