Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

L&D RECOVERY: 61-75 MIN

Facility

$827.00

Hospital Charge Code	7319055
Hospital Revenue Code	710
Min. Negotiated Rate	$124.05
Max. Negotiated Rate	$124.05
Rate for Payer: Qualcare PPO/HMO/WC	$124.05

L&D RECOVERY: 76-90 MIN

Facility

$992.00

Hospital Charge Code	7319057
Hospital Revenue Code	710
Min. Negotiated Rate	$148.80
Max. Negotiated Rate	$148.80
Rate for Payer: Qualcare PPO/HMO/WC	$148.80

L&D RECOVERY: 76-90 MIN

Facility

$992.00

Hospital Charge Code	7319057
Hospital Revenue Code	710
Min. Negotiated Rate	$28.17
Max. Negotiated Rate	$496.00
Rate for Payer: Aetna Commercial	$376.96
Rate for Payer: Aetna Medicare Advantage	$297.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.96
Rate for Payer: Cigna Commercial	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.92
Rate for Payer: Oxford Commercial	$198.40
Rate for Payer: Qualcare PPO/HMO/WC	$148.80
Rate for Payer: UnitedHealthcare Commercial	$198.40
Rate for Payer: UnitedHealthcare Community & State	$31.35
Rate for Payer: Wellpoint Medicaid Managed Care	$28.17

L&D RECOVERY: 91-105 MIN

Facility

$1,158.00

Hospital Charge Code	7319059
Hospital Revenue Code	710
Min. Negotiated Rate	$32.89
Max. Negotiated Rate	$579.00
Rate for Payer: Aetna Commercial	$440.04
Rate for Payer: Aetna Medicare Advantage	$347.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$295.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$295.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$295.29
Rate for Payer: Cigna Commercial	$579.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.08
Rate for Payer: Oxford Commercial	$231.60
Rate for Payer: Qualcare PPO/HMO/WC	$173.70
Rate for Payer: UnitedHealthcare Commercial	$231.60
Rate for Payer: UnitedHealthcare Community & State	$36.59
Rate for Payer: Wellpoint Medicaid Managed Care	$32.89

L&D RECOVERY: 91-105 MIN

Facility

$1,158.00

Hospital Charge Code	7319059
Hospital Revenue Code	710
Min. Negotiated Rate	$173.70
Max. Negotiated Rate	$173.70
Rate for Payer: Qualcare PPO/HMO/WC	$173.70

L&D RECOVERY ADDL 1/2 HOUR

Facility

$331.00

Hospital Charge Code	73190137
Hospital Revenue Code	710
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$165.50
Rate for Payer: Aetna Commercial	$125.78
Rate for Payer: Aetna Medicare Advantage	$99.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.41
Rate for Payer: Cigna Commercial	$165.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.06
Rate for Payer: Oxford Commercial	$66.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.65
Rate for Payer: UnitedHealthcare Commercial	$66.20
Rate for Payer: UnitedHealthcare Community & State	$10.46
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

L&D RECOVERY ADDL 1/2 HOUR

Facility

$331.00

Hospital Charge Code	73190137
Hospital Revenue Code	710
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$49.65

L&D RECOVERY UPTO ONE HOUR

Facility

$662.00

Hospital Charge Code	73190135
Hospital Revenue Code	710
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$331.00
Rate for Payer: Aetna Commercial	$251.56
Rate for Payer: Aetna Medicare Advantage	$198.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.81
Rate for Payer: Cigna Commercial	$331.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.12
Rate for Payer: Oxford Commercial	$132.40
Rate for Payer: Qualcare PPO/HMO/WC	$99.30
Rate for Payer: UnitedHealthcare Commercial	$132.40
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$18.80

L&D RECOVERY UPTO ONE HOUR

Facility

$662.00

Hospital Charge Code	73190135
Hospital Revenue Code	710
Min. Negotiated Rate	$99.30
Max. Negotiated Rate	$99.30
Rate for Payer: Qualcare PPO/HMO/WC	$99.30

L D SEROUS FL

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479476
Hospital Revenue Code	301
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$42.30

L D SEROUS FL

Facility

$282.00

Service Code	HCPCS 83615
Hospital Charge Code	38479476
Hospital Revenue Code	301
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$19.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.91
Rate for Payer: Cigna Commercial	$141.00
Rate for Payer: Cigna Medicare Advantage	$6.04
Rate for Payer: Clover Medicare Advantage	$5.74
Rate for Payer: EmblemHealth Commercial	$18.12
Rate for Payer: Humana Medicare Advantage	$6.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.30
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.04
Rate for Payer: Wellcare Medicare Advantage	$6.04
Rate for Payer: Wellpoint Medicaid Managed Care	$8.01

LEAD

Facility

$82.45

Hospital Charge Code	39990166C
Hospital Revenue Code	301
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.33
Rate for Payer: Aetna Medicare Advantage	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.02
Rate for Payer: Cigna Commercial	$41.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.44
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.37
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.61
Rate for Payer: Wellpoint Medicaid Managed Care	$2.34

LEAD

Facility

$390.00

Service Code	HCPCS 83655
Hospital Charge Code	401083018D
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

LEAD

Facility

$82.45

Hospital Charge Code	39990166C
Hospital Revenue Code	301
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$12.37

LEAD

Facility

$390.00

Service Code	HCPCS 83655
Hospital Charge Code	401083018D
Hospital Revenue Code	301
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.94
Rate for Payer: Aetna Medicare Advantage	$39.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.11
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	$43.93
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.11
Rate for Payer: Clover Medicare Advantage	$11.50
Rate for Payer: EmblemHealth Commercial	$36.33
Rate for Payer: Humana Medicare Advantage	$12.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.11
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	$9.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.11
Rate for Payer: Wellcare Medicare Advantage	$12.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

LEAD 12 CONTACT

Facility

$15,625.00

Service Code	HCPCS C1788
Hospital Charge Code	270683889
Hospital Revenue Code	278
Min. Negotiated Rate	$443.75
Max. Negotiated Rate	$7,812.50
Rate for Payer: Aetna Commercial	$5,937.50
Rate for Payer: Aetna Medicare Advantage	$4,687.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,984.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,984.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,984.38
Rate for Payer: Cigna Commercial	$7,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,781.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,343.75
Rate for Payer: UnitedHealthcare Community & State	$493.75
Rate for Payer: Wellpoint Medicaid Managed Care	$443.75

LEAD 12 CONTACT

Facility

$15,625.00

Service Code	HCPCS C1788
Hospital Charge Code	270683889
Hospital Revenue Code	278
Min. Negotiated Rate	$2,343.75
Max. Negotiated Rate	$3,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,781.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,343.75

LEAD 407458 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686930
Hospital Revenue Code	278
Min. Negotiated Rate	$79.38
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$1,062.10
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25
Rate for Payer: UnitedHealthcare Community & State	$88.32
Rate for Payer: Wellpoint Medicaid Managed Care	$79.38

LEAD 407458 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686930
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD 457453 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686929
Hospital Revenue Code	278
Min. Negotiated Rate	$79.38
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$1,062.10
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25
Rate for Payer: UnitedHealthcare Community & State	$88.32
Rate for Payer: Wellpoint Medicaid Managed Care	$79.38

LEAD 457453 PACE TRANSV

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270686929
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603
Hospital Revenue Code	272
Min. Negotiated Rate	$73.13
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$978.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$669.50
Rate for Payer: Oxford Commercial	$515.00
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Commercial	$515.00
Rate for Payer: UnitedHealthcare Community & State	$81.37
Rate for Payer: Wellpoint Medicaid Managed Care	$73.13

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603
Hospital Revenue Code	272
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$386.25
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603N
Hospital Revenue Code	275
Min. Negotiated Rate	$386.25
Max. Negotiated Rate	$623.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.15
Rate for Payer: Qualcare PPO/HMO/WC	$386.25

LEAD ADAPTER MEDTRONIC

Facility

$2,575.00

Service Code	HCPCS C1779
Hospital Charge Code	270681603N
Hospital Revenue Code	275
Min. Negotiated Rate	$73.13
Max. Negotiated Rate	$1,287.50
Rate for Payer: Aetna Commercial	$978.50
Rate for Payer: Aetna Medicare Advantage	$772.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.62
Rate for Payer: Cigna Commercial	$1,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.15
Rate for Payer: Qualcare PPO/HMO/WC	$386.25
Rate for Payer: UnitedHealthcare Community & State	$81.37
Rate for Payer: Wellpoint Medicaid Managed Care	$73.13

Know your out-of-pocket cost for care.

All Charges