Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$89,006.84

Service Code	APR-DRG 6804
Min. Negotiated Rate	$87,261.61
Max. Negotiated Rate	$89,006.84
Rate for Payer: UnitedHealthcare Community & State	$87,261.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$89,006.84
Rate for Payer: Wellpoint Medicaid Managed Care	$87,261.61

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$28,115.73

Service Code	APR-DRG 6802
Min. Negotiated Rate	$27,564.44
Max. Negotiated Rate	$28,115.73
Rate for Payer: UnitedHealthcare Community & State	$27,564.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,115.73
Rate for Payer: Wellpoint Medicaid Managed Care	$27,564.44

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$44,502.04

Service Code	APR-DRG 6803
Min. Negotiated Rate	$43,629.45
Max. Negotiated Rate	$44,502.04
Rate for Payer: UnitedHealthcare Community & State	$43,629.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,502.04
Rate for Payer: Wellpoint Medicaid Managed Care	$43,629.45

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$21,307.26

Service Code	APR-DRG 6801
Min. Negotiated Rate	$20,889.47
Max. Negotiated Rate	$21,307.26
Rate for Payer: UnitedHealthcare Community & State	$20,889.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,307.26
Rate for Payer: Wellpoint Medicaid Managed Care	$20,889.47

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$41,321.15

Service Code	APR-DRG 2603
Min. Negotiated Rate	$40,510.93
Max. Negotiated Rate	$41,321.15
Rate for Payer: UnitedHealthcare Community & State	$40,510.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,321.15
Rate for Payer: Wellpoint Medicaid Managed Care	$40,510.93

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$30,716.66

Service Code	APR-DRG 2602
Min. Negotiated Rate	$30,114.37
Max. Negotiated Rate	$30,716.66
Rate for Payer: UnitedHealthcare Community & State	$30,114.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,716.66
Rate for Payer: Wellpoint Medicaid Managed Care	$30,114.37

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$24,370.22

Service Code	APR-DRG 2601
Min. Negotiated Rate	$23,892.37
Max. Negotiated Rate	$24,370.22
Rate for Payer: UnitedHealthcare Community & State	$23,892.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,370.22
Rate for Payer: Wellpoint Medicaid Managed Care	$23,892.37

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$75,677.89

Service Code	APR-DRG 2604
Min. Negotiated Rate	$74,194.01
Max. Negotiated Rate	$75,677.89
Rate for Payer: UnitedHealthcare Community & State	$74,194.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$75,677.89
Rate for Payer: Wellpoint Medicaid Managed Care	$74,194.01

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.80
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$7.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.53

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$77,646.81

Service Code	APR-DRG 1204
Min. Negotiated Rate	$76,124.32
Max. Negotiated Rate	$77,646.81
Rate for Payer: UnitedHealthcare Community & State	$76,124.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$77,646.81
Rate for Payer: Wellpoint Medicaid Managed Care	$76,124.32

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$43,618.66

Service Code	APR-DRG 1203
Min. Negotiated Rate	$42,763.39
Max. Negotiated Rate	$43,618.66
Rate for Payer: UnitedHealthcare Community & State	$42,763.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,618.66
Rate for Payer: Wellpoint Medicaid Managed Care	$42,763.39

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$25,593.41

Service Code	APR-DRG 1201
Min. Negotiated Rate	$25,091.58
Max. Negotiated Rate	$25,593.41
Rate for Payer: UnitedHealthcare Community & State	$25,091.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,593.41
Rate for Payer: Wellpoint Medicaid Managed Care	$25,091.58

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$31,063.53

Service Code	APR-DRG 1202
Min. Negotiated Rate	$30,454.44
Max. Negotiated Rate	$31,063.53
Rate for Payer: UnitedHealthcare Community & State	$30,454.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,063.53
Rate for Payer: Wellpoint Medicaid Managed Care	$30,454.44

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$23,691.91

Service Code	APR-DRG 1374
Min. Negotiated Rate	$23,227.36
Max. Negotiated Rate	$23,691.91
Rate for Payer: UnitedHealthcare Community & State	$23,227.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,691.91
Rate for Payer: Wellpoint Medicaid Managed Care	$23,227.36

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$10,590.45

Service Code	APR-DRG 1372
Min. Negotiated Rate	$10,382.79
Max. Negotiated Rate	$10,590.45
Rate for Payer: UnitedHealthcare Community & State	$10,382.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,590.45
Rate for Payer: Wellpoint Medicaid Managed Care	$10,382.79

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$12,713.83

Service Code	APR-DRG 1373
Min. Negotiated Rate	$12,464.54
Max. Negotiated Rate	$12,713.83
Rate for Payer: UnitedHealthcare Community & State	$12,464.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,713.83
Rate for Payer: Wellpoint Medicaid Managed Care	$12,464.54

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$8,315.35

Service Code	APR-DRG 1371
Min. Negotiated Rate	$8,152.30
Max. Negotiated Rate	$8,315.35
Rate for Payer: UnitedHealthcare Community & State	$8,152.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,315.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8,152.30

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$76,535.25

Service Code	MSDRG 507
Min. Negotiated Rate	$23,304.00
Max. Negotiated Rate	$76,535.25
Rate for Payer: Aetna Commercial	$56,367.79
Rate for Payer: Aetna Medicare Advantage	$76,535.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,011.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,011.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,530.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,011.65
Rate for Payer: Cigna Commercial	$40,270.08
Rate for Payer: Cigna Medicare Advantage	$24,530.53
Rate for Payer: Clover Medicare Advantage	$23,304.00
Rate for Payer: EmblemHealth Commercial	$73,591.59
Rate for Payer: Humana Medicare Advantage	$25,266.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,530.53
Rate for Payer: Oxford Commercial	$31,828.77
Rate for Payer: UnitedHealthcare Commercial	$42,603.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,530.53
Rate for Payer: Wellcare Medicare Advantage	$24,530.53

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$67,309.91

Service Code	MSDRG 508
Min. Negotiated Rate	$20,495.01
Max. Negotiated Rate	$67,309.91
Rate for Payer: Aetna Commercial	$49,797.42
Rate for Payer: Aetna Medicare Advantage	$67,309.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,618.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,618.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,573.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,618.15
Rate for Payer: Cigna Commercial	$33,760.52
Rate for Payer: Cigna Medicare Advantage	$21,573.69
Rate for Payer: Clover Medicare Advantage	$20,495.01
Rate for Payer: EmblemHealth Commercial	$64,721.07
Rate for Payer: Humana Medicare Advantage	$22,220.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,573.69
Rate for Payer: Oxford Commercial	$26,683.73
Rate for Payer: UnitedHealthcare Commercial	$35,717.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,573.69
Rate for Payer: Wellcare Medicare Advantage	$21,573.69

MAJOR SKIN DISORDERS

Facility

$33,040.89

Service Code	APR-DRG 3814
Min. Negotiated Rate	$32,393.03
Max. Negotiated Rate	$33,040.89
Rate for Payer: UnitedHealthcare Community & State	$32,393.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,040.89
Rate for Payer: Wellpoint Medicaid Managed Care	$32,393.03

MAJOR SKIN DISORDERS

Facility

$5,103.51

Service Code	APR-DRG 3811
Min. Negotiated Rate	$5,003.44
Max. Negotiated Rate	$5,103.51
Rate for Payer: UnitedHealthcare Community & State	$5,003.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,103.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5,003.44

MAJOR SKIN DISORDERS

Facility

$8,288.63

Service Code	APR-DRG 3812
Min. Negotiated Rate	$8,126.11
Max. Negotiated Rate	$8,288.63
Rate for Payer: UnitedHealthcare Community & State	$8,126.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,288.63
Rate for Payer: Wellpoint Medicaid Managed Care	$8,126.11

MAJOR SKIN DISORDERS

Facility

$15,899.02

Service Code	APR-DRG 3813
Min. Negotiated Rate	$15,587.27
Max. Negotiated Rate	$15,899.02
Rate for Payer: UnitedHealthcare Community & State	$15,587.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,899.02
Rate for Payer: Wellpoint Medicaid Managed Care	$15,587.27

MAJOR SKIN DISORDERS WITH MCC

Facility

$86,465.12

Service Code	MSDRG 595
Min. Negotiated Rate	$26,327.52
Max. Negotiated Rate	$86,465.12
Rate for Payer: Aetna Commercial	$63,439.94
Rate for Payer: Aetna Medicare Advantage	$86,465.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,396.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,396.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,713.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,396.90
Rate for Payer: Cigna Commercial	$47,276.77
Rate for Payer: Cigna Medicare Advantage	$27,713.18
Rate for Payer: Clover Medicare Advantage	$26,327.52
Rate for Payer: EmblemHealth Commercial	$83,139.54
Rate for Payer: Humana Medicare Advantage	$28,544.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,713.18
Rate for Payer: Oxford Commercial	$37,366.73
Rate for Payer: UnitedHealthcare Commercial	$50,016.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,713.18
Rate for Payer: Wellcare Medicare Advantage	$27,713.18

Know your out-of-pocket cost for care.

All Charges