Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

APOLIPOPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479460
Hospital Revenue Code	301
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

APOLIPOPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479460
Hospital Revenue Code	301
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$57.36
Rate for Payer: Aetna Medicare Advantage	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: Cigna Medicare Advantage	$21.09
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Medicare Advantage	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

APOLIPOPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38472021
Hospital Revenue Code	301
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

APOLIPOPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38472021
Hospital Revenue Code	301
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$57.36
Rate for Payer: Aetna Medicare Advantage	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: Cigna Medicare Advantage	$21.09
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Medicare Advantage	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

APOLIPOPROTEIN E ISOFORM PLASM

Facility

$550.00

Service Code	HCPCS 82542
Hospital Charge Code	401112563
Hospital Revenue Code	301
Min. Negotiated Rate	$15.62
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$65.52
Rate for Payer: Aetna Medicare Advantage	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.39
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: Cigna Medicare Advantage	$24.09
Rate for Payer: Clover Medicare Advantage	$22.89
Rate for Payer: EmblemHealth Commercial	$72.27
Rate for Payer: Humana Medicare Advantage	$24.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$19.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.09
Rate for Payer: Wellcare Medicare Advantage	$24.09
Rate for Payer: Wellpoint Medicaid Managed Care	$15.62

APOLIPOPROTEIN E ISOFORM PLASM

Facility

$550.00

Service Code	HCPCS 82542
Hospital Charge Code	401112563
Hospital Revenue Code	301
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

APOLIPOPROTEIN EVALUATION

Facility

$390.00

Service Code	HCPCS 82172
Hospital Charge Code	401082172
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

APOLIPOPROTEIN EVALUATION

Facility

$390.00

Service Code	HCPCS 82172
Hospital Charge Code	401082172
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$57.36
Rate for Payer: Aetna Medicare Advantage	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$21.09
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.09
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	$16.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Medicare Advantage	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

APOLIPROTEIN A-1

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479409
Hospital Revenue Code	301
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

APOLIPROTEIN A-1

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479409
Hospital Revenue Code	301
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$57.36
Rate for Payer: Aetna Medicare Advantage	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: Cigna Medicare Advantage	$21.09
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Medicare Advantage	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

APOLIPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479410
Hospital Revenue Code	301
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

APOLIPROTEIN B

Facility

$109.00

Service Code	HCPCS 82172
Hospital Charge Code	38479410
Hospital Revenue Code	301
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$57.36
Rate for Payer: Aetna Medicare Advantage	$68.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: Cigna Medicare Advantage	$21.09
Rate for Payer: Clover Medicare Advantage	$20.04
Rate for Payer: EmblemHealth Commercial	$63.27
Rate for Payer: Humana Medicare Advantage	$21.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.09
Rate for Payer: Wellcare Medicare Advantage	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

APOLLO RF

Facility

$775.00

Hospital Charge Code	270682020
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

APOLLO RF

Facility

$775.00

Hospital Charge Code	270682020
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

AP PARAESOPHAG HERN REPAIR

Facility

$39,439.32

Service Code	HCPCS 43281
Hospital Charge Code	16000744
Hospital Revenue Code	360
Min. Negotiated Rate	$1,120.08
Max. Negotiated Rate	$45,809.96
Rate for Payer: Aetna Commercial	$34,349.57
Rate for Payer: Aetna Medicare Advantage	$40,916.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,809.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,809.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,628.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,809.96
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: Cigna Medicare Advantage	$12,628.52
Rate for Payer: Clover Medicare Advantage	$11,997.09
Rate for Payer: EmblemHealth Commercial	$37,885.56
Rate for Payer: Humana Medicare Advantage	$13,007.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,628.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,254.22
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,915.90
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,246.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,628.52
Rate for Payer: Wellcare Medicare Advantage	$12,628.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1,120.08

AP PARAESOPHAG HERN REPAIR

Facility

$39,439.32

Service Code	HCPCS 43281
Hospital Charge Code	16000744
Hospital Revenue Code	360
Min. Negotiated Rate	$5,915.90
Max. Negotiated Rate	$5,915.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,915.90

APPENDECTOMY,LAPAROSCOPIC

Facility

$43,334.60

Service Code	HCPCS 44970
Hospital Charge Code	16000587
Hospital Revenue Code	360
Min. Negotiated Rate	$6,500.19
Max. Negotiated Rate	$6,500.19
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19

APPENDECTOMY,LAPAROSCOPIC

Facility

$43,334.60

Service Code	HCPCS 44970
Hospital Charge Code	16000587
Hospital Revenue Code	360
Min. Negotiated Rate	$1,230.70
Max. Negotiated Rate	$26,053.61
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,053.61
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,267.00
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,500.19
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,369.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1,230.70

APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$18,254.11

Service Code	APR-DRG 2332
Min. Negotiated Rate	$17,896.19
Max. Negotiated Rate	$18,254.11
Rate for Payer: UnitedHealthcare Community & State	$17,896.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,254.11
Rate for Payer: Wellpoint Medicaid Managed Care	$17,896.19

APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$14,279.75

Service Code	APR-DRG 2331
Min. Negotiated Rate	$13,999.75
Max. Negotiated Rate	$14,279.75
Rate for Payer: UnitedHealthcare Community & State	$13,999.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,279.75
Rate for Payer: Wellpoint Medicaid Managed Care	$13,999.75

APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$25,663.66

Service Code	APR-DRG 2333
Min. Negotiated Rate	$25,160.45
Max. Negotiated Rate	$25,663.66
Rate for Payer: UnitedHealthcare Community & State	$25,160.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,663.66
Rate for Payer: Wellpoint Medicaid Managed Care	$25,160.45

APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$40,044.52

Service Code	APR-DRG 2334
Min. Negotiated Rate	$39,259.33
Max. Negotiated Rate	$40,044.52
Rate for Payer: UnitedHealthcare Community & State	$39,259.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,044.52
Rate for Payer: Wellpoint Medicaid Managed Care	$39,259.33

APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$36,658.56

Service Code	APR-DRG 2344
Min. Negotiated Rate	$35,939.76
Max. Negotiated Rate	$36,658.56
Rate for Payer: UnitedHealthcare Community & State	$35,939.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,658.56
Rate for Payer: Wellpoint Medicaid Managed Care	$35,939.76

APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$14,587.31

Service Code	APR-DRG 2342
Min. Negotiated Rate	$14,301.28
Max. Negotiated Rate	$14,587.31
Rate for Payer: UnitedHealthcare Community & State	$14,301.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,587.31
Rate for Payer: Wellpoint Medicaid Managed Care	$14,301.28

APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$21,267.95

Service Code	APR-DRG 2343
Min. Negotiated Rate	$20,850.93
Max. Negotiated Rate	$21,267.95
Rate for Payer: UnitedHealthcare Community & State	$20,850.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,267.95
Rate for Payer: Wellpoint Medicaid Managed Care	$20,850.93

Know your out-of-pocket cost for care.

All Charges