Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANESTHESIA AX BLOCK W US

Facility

$700.00

Hospital Charge Code	1650055
Hospital Revenue Code	370
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

ANESTHESIA BRC PLEXUS BLOCK

Facility

$600.00

Hospital Charge Code	1650080
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA BRC PLEXUS BLOCK

Facility

$600.00

Hospital Charge Code	1650080
Hospital Revenue Code	370
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

ANESTHESIA BRC PLEXUS BLOCK US

Facility

$700.00

Hospital Charge Code	1650085
Hospital Revenue Code	370
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

ANESTHESIA BRC PLEXUS BLOCK US

Facility

$700.00

Hospital Charge Code	1650085
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	1650035
Hospital Revenue Code	370
Min. Negotiated Rate	$69.10
Max. Negotiated Rate	$1,216.60
Rate for Payer: Aetna Commercial	$924.62
Rate for Payer: Aetna Medicare Advantage	$729.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$620.47
Rate for Payer: Cigna Commercial	$1,216.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.63
Rate for Payer: Oxford Commercial	$486.64
Rate for Payer: Qualcare PPO/HMO/WC	$364.98
Rate for Payer: UnitedHealthcare Commercial	$486.64
Rate for Payer: UnitedHealthcare Community & State	$76.89
Rate for Payer: Wellpoint Medicaid Managed Care	$69.10

ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	1650035
Hospital Revenue Code	370
Min. Negotiated Rate	$364.98
Max. Negotiated Rate	$364.98
Rate for Payer: Qualcare PPO/HMO/WC	$364.98

ANESTHESIA EPIDURAL 1ST HR

Facility

$1,824.90

Hospital Charge Code	1650112
Hospital Revenue Code	370
Min. Negotiated Rate	$51.83
Max. Negotiated Rate	$912.45
Rate for Payer: Aetna Commercial	$693.46
Rate for Payer: Aetna Medicare Advantage	$547.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.35
Rate for Payer: Cigna Commercial	$912.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.47
Rate for Payer: Oxford Commercial	$364.98
Rate for Payer: Qualcare PPO/HMO/WC	$273.74
Rate for Payer: UnitedHealthcare Commercial	$364.98
Rate for Payer: UnitedHealthcare Community & State	$57.67
Rate for Payer: Wellpoint Medicaid Managed Care	$51.83

ANESTHESIA EPIDURAL 1ST HR

Facility

$1,824.90

Hospital Charge Code	1650112
Hospital Revenue Code	370
Min. Negotiated Rate	$273.74
Max. Negotiated Rate	$273.74
Rate for Payer: Qualcare PPO/HMO/WC	$273.74

ANESTHESIA EPIDURAL EA ADD HR

Facility

$608.30

Hospital Charge Code	1650113
Hospital Revenue Code	370
Min. Negotiated Rate	$91.25
Max. Negotiated Rate	$91.25
Rate for Payer: Qualcare PPO/HMO/WC	$91.25

ANESTHESIA EPIDURAL EA ADD HR

Facility

$608.30

Hospital Charge Code	1650113
Hospital Revenue Code	370
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$304.15
Rate for Payer: Aetna Commercial	$231.15
Rate for Payer: Aetna Medicare Advantage	$182.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.12
Rate for Payer: Cigna Commercial	$304.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.16
Rate for Payer: Oxford Commercial	$121.66
Rate for Payer: Qualcare PPO/HMO/WC	$91.25
Rate for Payer: UnitedHealthcare Commercial	$121.66
Rate for Payer: UnitedHealthcare Community & State	$19.22
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

ANESTHESIA FEM NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650060
Hospital Revenue Code	370
Min. Negotiated Rate	$17.04
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

ANESTHESIA FEM NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650060
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA FEM NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650065
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA FEM NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650065
Hospital Revenue Code	370
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	1650010
Hospital Revenue Code	370
Min. Negotiated Rate	$475.86
Max. Negotiated Rate	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$475.86

ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	1650010
Hospital Revenue Code	370
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$1,586.20
Rate for Payer: Aetna Commercial	$1,205.51
Rate for Payer: Aetna Medicare Advantage	$951.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.96
Rate for Payer: Cigna Commercial	$1,586.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.82
Rate for Payer: Oxford Commercial	$634.48
Rate for Payer: Qualcare PPO/HMO/WC	$475.86
Rate for Payer: UnitedHealthcare Commercial	$634.48
Rate for Payer: UnitedHealthcare Community & State	$100.25
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

ANESTHESIA GENERAL 1ST HR

Facility

$2,379.30

Hospital Charge Code	1650102
Hospital Revenue Code	370
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$1,189.65
Rate for Payer: Aetna Commercial	$904.13
Rate for Payer: Aetna Medicare Advantage	$713.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.72
Rate for Payer: Cigna Commercial	$1,189.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$618.62
Rate for Payer: Oxford Commercial	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$356.89
Rate for Payer: UnitedHealthcare Commercial	$475.86
Rate for Payer: UnitedHealthcare Community & State	$75.19
Rate for Payer: Wellpoint Medicaid Managed Care	$67.57

ANESTHESIA GENERAL 1ST HR

Facility

$2,379.30

Hospital Charge Code	1650102
Hospital Revenue Code	370
Min. Negotiated Rate	$356.89
Max. Negotiated Rate	$356.89
Rate for Payer: Qualcare PPO/HMO/WC	$356.89

ANESTHESIA GENERAL EA ADD HR

Facility

$793.10

Hospital Charge Code	1650103
Hospital Revenue Code	370
Min. Negotiated Rate	$118.97
Max. Negotiated Rate	$118.97
Rate for Payer: Qualcare PPO/HMO/WC	$118.97

ANESTHESIA GENERAL EA ADD HR

Facility

$793.10

Hospital Charge Code	1650103
Hospital Revenue Code	370
Min. Negotiated Rate	$22.52
Max. Negotiated Rate	$396.55
Rate for Payer: Aetna Commercial	$301.38
Rate for Payer: Aetna Medicare Advantage	$237.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.24
Rate for Payer: Cigna Commercial	$396.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.21
Rate for Payer: Oxford Commercial	$158.62
Rate for Payer: Qualcare PPO/HMO/WC	$118.97
Rate for Payer: UnitedHealthcare Commercial	$158.62
Rate for Payer: UnitedHealthcare Community & State	$25.06
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

ANESTHESIA IV GENERAL

Facility

$3,172.40

Hospital Charge Code	1650011
Hospital Revenue Code	370
Min. Negotiated Rate	$475.86
Max. Negotiated Rate	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$475.86

ANESTHESIA IV GENERAL

Facility

$3,172.40

Hospital Charge Code	1650011
Hospital Revenue Code	370
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$1,586.20
Rate for Payer: Aetna Commercial	$1,205.51
Rate for Payer: Aetna Medicare Advantage	$951.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.96
Rate for Payer: Cigna Commercial	$1,586.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.82
Rate for Payer: Oxford Commercial	$634.48
Rate for Payer: Qualcare PPO/HMO/WC	$475.86
Rate for Payer: UnitedHealthcare Commercial	$634.48
Rate for Payer: UnitedHealthcare Community & State	$100.25
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

ANESTHESIA IV GENERAL 1ST HR

Facility

$2,379.30

Hospital Charge Code	1650104
Hospital Revenue Code	370
Min. Negotiated Rate	$356.89
Max. Negotiated Rate	$356.89
Rate for Payer: Qualcare PPO/HMO/WC	$356.89

ANESTHESIA IV GENERAL 1ST HR

Facility

$2,379.30

Hospital Charge Code	1650104
Hospital Revenue Code	370
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$1,189.65
Rate for Payer: Aetna Commercial	$904.13
Rate for Payer: Aetna Medicare Advantage	$713.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$606.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$606.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$606.72
Rate for Payer: Cigna Commercial	$1,189.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$618.62
Rate for Payer: Oxford Commercial	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$356.89
Rate for Payer: UnitedHealthcare Commercial	$475.86
Rate for Payer: UnitedHealthcare Community & State	$75.19
Rate for Payer: Wellpoint Medicaid Managed Care	$67.57

Know your out-of-pocket cost for care.

All Charges