Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIDNEY TRANSPLANT

Facility

$60,724.06

Service Code	APR-DRG 4401
Min. Negotiated Rate	$59,533.39
Max. Negotiated Rate	$60,724.06
Rate for Payer: UnitedHealthcare Community & State	$59,533.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,724.06
Rate for Payer: Wellpoint Medicaid Managed Care	$59,533.39

KIDNEY TRANSPLANT

Facility

$123,268.15

Service Code	APR-DRG 4404
Min. Negotiated Rate	$120,851.13
Max. Negotiated Rate	$123,268.15
Rate for Payer: UnitedHealthcare Community & State	$120,851.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$123,268.15
Rate for Payer: Wellpoint Medicaid Managed Care	$120,851.13

KIDNEY TRANSPLANT

Facility

$121,496.01

Service Code	MSDRG 652
Min. Negotiated Rate	$36,993.98
Max. Negotiated Rate	$121,496.01
Rate for Payer: Aetna Commercial	$88,389.38
Rate for Payer: Aetna Medicare Advantage	$121,496.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83,115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,941.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83,115.00
Rate for Payer: Cigna Commercial	$71,995.24
Rate for Payer: Cigna Medicare Advantage	$38,941.03
Rate for Payer: Clover Medicare Advantage	$36,993.98
Rate for Payer: EmblemHealth Commercial	$116,823.09
Rate for Payer: Humana Medicare Advantage	$40,109.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$38,941.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,941.03
Rate for Payer: Wellcare Medicare Advantage	$38,941.03

KIDNEY TRANSPLANT

Facility

$67,723.47

Service Code	APR-DRG 4402
Min. Negotiated Rate	$66,395.56
Max. Negotiated Rate	$67,723.47
Rate for Payer: UnitedHealthcare Community & State	$66,395.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,723.47
Rate for Payer: Wellpoint Medicaid Managed Care	$66,395.56

KIDNEY TRANSPLANT

Facility

$77,027.53

Service Code	APR-DRG 4403
Min. Negotiated Rate	$75,517.19
Max. Negotiated Rate	$77,027.53
Rate for Payer: UnitedHealthcare Community & State	$75,517.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$77,027.53
Rate for Payer: Wellpoint Medicaid Managed Care	$75,517.19

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility

$167,998.62

Service Code	MSDRG 650
Min. Negotiated Rate	$51,153.42
Max. Negotiated Rate	$167,998.62
Rate for Payer: Aetna Commercial	$121,509.06
Rate for Payer: Aetna Medicare Advantage	$167,998.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124,672.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124,672.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$53,845.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124,672.50
Rate for Payer: Cigna Commercial	$104,808.31
Rate for Payer: Cigna Medicare Advantage	$53,845.71
Rate for Payer: Clover Medicare Advantage	$51,153.42
Rate for Payer: EmblemHealth Commercial	$161,537.13
Rate for Payer: Humana Medicare Advantage	$55,461.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$53,845.71
Rate for Payer: Oxford Commercial	$82,838.67
Rate for Payer: UnitedHealthcare Commercial	$110,882.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$53,845.71
Rate for Payer: Wellcare Medicare Advantage	$53,845.71

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility

$136,544.09

Service Code	MSDRG 651
Min. Negotiated Rate	$41,575.92
Max. Negotiated Rate	$136,544.09
Rate for Payer: Aetna Commercial	$99,106.76
Rate for Payer: Aetna Medicare Advantage	$136,544.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,859.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,859.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43,764.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,859.30
Rate for Payer: Cigna Commercial	$82,613.40
Rate for Payer: Cigna Medicare Advantage	$43,764.13
Rate for Payer: Clover Medicare Advantage	$41,575.92
Rate for Payer: EmblemHealth Commercial	$131,292.39
Rate for Payer: Humana Medicare Advantage	$45,077.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$43,764.13
Rate for Payer: Oxford Commercial	$65,296.20
Rate for Payer: UnitedHealthcare Commercial	$87,401.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$43,764.13
Rate for Payer: Wellcare Medicare Advantage	$43,764.13

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.48
Rate for Payer: Aetna Commercial	$1.88
Rate for Payer: Aetna Medicare Advantage	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.26
Rate for Payer: Cigna Commercial	$2.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.29
Rate for Payer: Oxford Commercial	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.74
Rate for Payer: UnitedHealthcare Commercial	$0.99
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Qualcare PPO/HMO/WC	$0.74

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$136.20
Rate for Payer: Aetna Commercial	$103.51
Rate for Payer: Aetna Medicare Advantage	$81.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.46
Rate for Payer: Cigna Commercial	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.82
Rate for Payer: Oxford Commercial	$54.48
Rate for Payer: Qualcare PPO/HMO/WC	$40.86
Rate for Payer: UnitedHealthcare Commercial	$54.48
Rate for Payer: UnitedHealthcare Community & State	$8.61
Rate for Payer: Wellpoint Medicaid Managed Care	$7.74

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$40.86
Max. Negotiated Rate	$40.86
Rate for Payer: Qualcare PPO/HMO/WC	$40.86

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$64.05
Max. Negotiated Rate	$103.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$12.13
Max. Negotiated Rate	$213.50
Rate for Payer: Aetna Commercial	$162.26
Rate for Payer: Aetna Medicare Advantage	$128.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.89
Rate for Payer: Cigna Commercial	$213.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05
Rate for Payer: UnitedHealthcare Community & State	$13.49
Rate for Payer: Wellpoint Medicaid Managed Care	$12.13

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$308.14
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$4,123.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50
Rate for Payer: UnitedHealthcare Community & State	$342.86
Rate for Payer: Wellpoint Medicaid Managed Care	$308.14

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$308.14
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$4,123.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50
Rate for Payer: UnitedHealthcare Community & State	$342.86
Rate for Payer: Wellpoint Medicaid Managed Care	$308.14

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$19.75
Rate for Payer: Aetna Commercial	$15.01
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.27
Rate for Payer: Oxford Commercial	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$7.90
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

KIRBY BAUER

Facility

$124.00

Service Code	HCPCS 87184
Hospital Charge Code	38475029
Hospital Revenue Code	309
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

KIRBY BAUER

Facility

$124.00

Service Code	HCPCS 87184
Hospital Charge Code	38475029
Hospital Revenue Code	309
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$20.35
Rate for Payer: Aetna Medicare Advantage	$24.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.13
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: Cigna Medicare Advantage	$7.48
Rate for Payer: Clover Medicare Advantage	$7.11
Rate for Payer: EmblemHealth Commercial	$22.44
Rate for Payer: Humana Medicare Advantage	$7.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.48
Rate for Payer: Wellcare Medicare Advantage	$7.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.52

KIRSCHER WIRE 0.45

Facility

$61.92

Hospital Charge Code	270656387
Hospital Revenue Code	270
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$9.29
Rate for Payer: Qualcare PPO/HMO/WC	$9.29

KIRSCHER WIRE 0.45

Facility

$61.92

Hospital Charge Code	270656387
Hospital Revenue Code	270
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$30.96
Rate for Payer: Aetna Commercial	$23.53
Rate for Payer: Aetna Medicare Advantage	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.79
Rate for Payer: Cigna Commercial	$30.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.10
Rate for Payer: Oxford Commercial	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.29
Rate for Payer: UnitedHealthcare Commercial	$12.38
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

KIRSCHNER WIRE 0.35

Facility

$71.50

Hospital Charge Code	270656388
Hospital Revenue Code	270
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$10.72
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

KIRSCHNER WIRE 0.35

Facility

$71.50

Hospital Charge Code	270656388
Hospital Revenue Code	270
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$35.75
Rate for Payer: Aetna Commercial	$27.17
Rate for Payer: Aetna Medicare Advantage	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.23
Rate for Payer: Cigna Commercial	$35.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.59
Rate for Payer: Oxford Commercial	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72
Rate for Payer: UnitedHealthcare Commercial	$14.30
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.03

Know your out-of-pocket cost for care.

All Charges