Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$11,617.00

Service Code	APR-DRG 0592
Min. Negotiated Rate	$11,389.22
Max. Negotiated Rate	$11,617.00
Rate for Payer: UnitedHealthcare Community & State	$11,389.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,617.00
Rate for Payer: Wellpoint Medicaid Managed Care	$11,389.22

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$134.90
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$134.90

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$165.90
Rate for Payer: Wellpoint Medicaid Managed Care	$149.10

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$66.12
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Community & State	$5.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.94

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

ANTENNA EMPRINT REINFORCD 30CM

Facility

$17,975.00

Hospital Charge Code	270692897
Hospital Revenue Code	272
Min. Negotiated Rate	$510.49
Max. Negotiated Rate	$8,987.50
Rate for Payer: Aetna Commercial	$6,830.50
Rate for Payer: Aetna Medicare Advantage	$5,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,583.62
Rate for Payer: Cigna Commercial	$8,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,673.50
Rate for Payer: Oxford Commercial	$3,595.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,696.25
Rate for Payer: UnitedHealthcare Commercial	$3,595.00
Rate for Payer: UnitedHealthcare Community & State	$568.01
Rate for Payer: Wellpoint Medicaid Managed Care	$510.49

ANTENNA EMPRINT REINFORCD 30CM

Facility

$17,975.00

Hospital Charge Code	270692897
Hospital Revenue Code	272
Min. Negotiated Rate	$2,696.25
Max. Negotiated Rate	$2,696.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,696.25

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$12.64
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$467.89
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,283.50
Rate for Payer: Oxford Commercial	$3,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$3,295.00
Rate for Payer: UnitedHealthcare Community & State	$520.61
Rate for Payer: Wellpoint Medicaid Managed Care	$467.89

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$467.89
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,283.50
Rate for Payer: Oxford Commercial	$3,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$3,295.00
Rate for Payer: UnitedHealthcare Community & State	$520.61
Rate for Payer: Wellpoint Medicaid Managed Care	$467.89

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$32,342.91

Service Code	APR-DRG 5474
Min. Negotiated Rate	$31,708.74
Max. Negotiated Rate	$32,342.91
Rate for Payer: UnitedHealthcare Community & State	$31,708.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,342.91
Rate for Payer: Wellpoint Medicaid Managed Care	$31,708.74

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$8,176.31

Service Code	APR-DRG 5471
Min. Negotiated Rate	$8,015.99
Max. Negotiated Rate	$8,176.31
Rate for Payer: UnitedHealthcare Community & State	$8,015.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,176.31
Rate for Payer: Wellpoint Medicaid Managed Care	$8,015.99

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$11,626.84

Service Code	APR-DRG 5472
Min. Negotiated Rate	$11,398.86
Max. Negotiated Rate	$11,626.84
Rate for Payer: UnitedHealthcare Community & State	$11,398.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,626.84
Rate for Payer: Wellpoint Medicaid Managed Care	$11,398.86

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$17,841.29

Service Code	APR-DRG 5473
Min. Negotiated Rate	$17,491.46
Max. Negotiated Rate	$17,841.29
Rate for Payer: UnitedHealthcare Community & State	$17,491.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,841.29
Rate for Payer: Wellpoint Medicaid Managed Care	$17,491.46

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$6,503.67

Service Code	APR-DRG 5663
Min. Negotiated Rate	$6,376.15
Max. Negotiated Rate	$6,503.67
Rate for Payer: UnitedHealthcare Community & State	$6,376.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,503.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6,376.15

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$4,347.96

Service Code	APR-DRG 5662
Min. Negotiated Rate	$4,262.71
Max. Negotiated Rate	$4,347.96
Rate for Payer: UnitedHealthcare Community & State	$4,262.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,347.96
Rate for Payer: Wellpoint Medicaid Managed Care	$4,262.71

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$3,230.11

Service Code	APR-DRG 5661
Min. Negotiated Rate	$3,166.77
Max. Negotiated Rate	$3,230.11
Rate for Payer: UnitedHealthcare Community & State	$3,166.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,230.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3,166.77

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$14,675.75

Service Code	APR-DRG 5664
Min. Negotiated Rate	$14,387.99
Max. Negotiated Rate	$14,675.75
Rate for Payer: UnitedHealthcare Community & State	$14,387.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,675.75
Rate for Payer: Wellpoint Medicaid Managed Care	$14,387.99

ANTERIOR CERVICAL LAMINECTEMY

Facility

$6,484.00

Hospital Charge Code	270335597
Hospital Revenue Code	272
Min. Negotiated Rate	$972.60
Max. Negotiated Rate	$972.60
Rate for Payer: Qualcare PPO/HMO/WC	$972.60

ANTERIOR CERVICAL LAMINECTEMY

Facility

$6,484.00

Hospital Charge Code	270335597
Hospital Revenue Code	272
Min. Negotiated Rate	$184.15
Max. Negotiated Rate	$3,242.00
Rate for Payer: Aetna Commercial	$2,463.92
Rate for Payer: Aetna Medicare Advantage	$1,945.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,653.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,653.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,653.42
Rate for Payer: Cigna Commercial	$3,242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,685.84
Rate for Payer: Oxford Commercial	$1,296.80
Rate for Payer: Qualcare PPO/HMO/WC	$972.60
Rate for Payer: UnitedHealthcare Commercial	$1,296.80
Rate for Payer: UnitedHealthcare Community & State	$204.89
Rate for Payer: Wellpoint Medicaid Managed Care	$184.15

Know your out-of-pocket cost for care.

All Charges