Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$53,664.66

Service Code	MSDRG 596
Min. Negotiated Rate	$16,340.20
Max. Negotiated Rate	$53,664.66
Rate for Payer: Aetna Commercial	$40,079.09
Rate for Payer: Aetna Medicare Advantage	$53,664.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,200.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,982.05
Rate for Payer: Cigna Commercial	$24,132.17
Rate for Payer: Cigna Medicare Advantage	$17,200.21
Rate for Payer: Clover Medicare Advantage	$16,340.20
Rate for Payer: EmblemHealth Commercial	$51,600.63
Rate for Payer: Humana Medicare Advantage	$17,716.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,200.21
Rate for Payer: Oxford Commercial	$19,073.65
Rate for Payer: UnitedHealthcare Commercial	$25,530.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,200.21
Rate for Payer: Wellcare Medicare Advantage	$17,200.21

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$95,200.72

Service Code	MSDRG 330
Min. Negotiated Rate	$28,987.40
Max. Negotiated Rate	$95,200.72
Rate for Payer: Aetna Commercial	$69,661.57
Rate for Payer: Aetna Medicare Advantage	$95,200.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,660.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,660.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,513.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,660.85
Rate for Payer: Cigna Commercial	$53,440.78
Rate for Payer: Cigna Medicare Advantage	$30,513.05
Rate for Payer: Clover Medicare Advantage	$28,987.40
Rate for Payer: EmblemHealth Commercial	$91,539.15
Rate for Payer: Humana Medicare Advantage	$31,428.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30,513.05
Rate for Payer: Oxford Commercial	$42,238.66
Rate for Payer: UnitedHealthcare Commercial	$56,537.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,513.05
Rate for Payer: Wellcare Medicare Advantage	$30,513.05

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$164,684.46

Service Code	MSDRG 329
Min. Negotiated Rate	$50,144.31
Max. Negotiated Rate	$164,684.46
Rate for Payer: Aetna Commercial	$119,148.67
Rate for Payer: Aetna Medicare Advantage	$164,684.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125,226.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125,226.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,783.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125,226.60
Rate for Payer: Cigna Commercial	$102,469.77
Rate for Payer: Cigna Medicare Advantage	$52,783.48
Rate for Payer: Clover Medicare Advantage	$50,144.31
Rate for Payer: EmblemHealth Commercial	$158,350.44
Rate for Payer: Humana Medicare Advantage	$54,366.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$52,783.48
Rate for Payer: Oxford Commercial	$80,990.33
Rate for Payer: UnitedHealthcare Commercial	$108,408.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,783.48
Rate for Payer: Wellcare Medicare Advantage	$52,783.48

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$72,633.48

Service Code	MSDRG 331
Min. Negotiated Rate	$22,115.96
Max. Negotiated Rate	$72,633.48
Rate for Payer: Aetna Commercial	$53,588.88
Rate for Payer: Aetna Medicare Advantage	$72,633.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,267.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,267.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,279.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,267.35
Rate for Payer: Cigna Commercial	$37,516.89
Rate for Payer: Cigna Medicare Advantage	$23,279.96
Rate for Payer: Clover Medicare Advantage	$22,115.96
Rate for Payer: EmblemHealth Commercial	$69,839.88
Rate for Payer: Humana Medicare Advantage	$23,978.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,279.96
Rate for Payer: Oxford Commercial	$29,652.70
Rate for Payer: UnitedHealthcare Commercial	$39,691.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,279.96
Rate for Payer: Wellcare Medicare Advantage	$23,279.96

MAJOR SMALL BOWEL PROCEDURES

Facility

$18,084.21

Service Code	APR-DRG 2301
Min. Negotiated Rate	$17,729.62
Max. Negotiated Rate	$18,084.21
Rate for Payer: UnitedHealthcare Community & State	$17,729.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,084.21
Rate for Payer: Wellpoint Medicaid Managed Care	$17,729.62

MAJOR SMALL BOWEL PROCEDURES

Facility

$64,157.78

Service Code	APR-DRG 2304
Min. Negotiated Rate	$62,899.78
Max. Negotiated Rate	$64,157.78
Rate for Payer: UnitedHealthcare Community & State	$62,899.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$64,157.78
Rate for Payer: Wellpoint Medicaid Managed Care	$62,899.78

MAJOR SMALL BOWEL PROCEDURES

Facility

$35,977.40

Service Code	APR-DRG 2303
Min. Negotiated Rate	$35,271.96
Max. Negotiated Rate	$35,977.40
Rate for Payer: UnitedHealthcare Community & State	$35,271.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,977.40
Rate for Payer: Wellpoint Medicaid Managed Care	$35,271.96

MAJOR SMALL BOWEL PROCEDURES

Facility

$24,752.26

Service Code	APR-DRG 2302
Min. Negotiated Rate	$24,266.92
Max. Negotiated Rate	$24,752.26
Rate for Payer: UnitedHealthcare Community & State	$24,266.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,752.26
Rate for Payer: Wellpoint Medicaid Managed Care	$24,266.92

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$76,249.49

Service Code	APR-DRG 2204
Min. Negotiated Rate	$74,754.40
Max. Negotiated Rate	$76,249.49
Rate for Payer: UnitedHealthcare Community & State	$74,754.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$76,249.49
Rate for Payer: Wellpoint Medicaid Managed Care	$74,754.40

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$19,551.78

Service Code	APR-DRG 2201
Min. Negotiated Rate	$19,168.41
Max. Negotiated Rate	$19,551.78
Rate for Payer: UnitedHealthcare Community & State	$19,168.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,551.78
Rate for Payer: Wellpoint Medicaid Managed Care	$19,168.41

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$27,318.03

Service Code	APR-DRG 2202
Min. Negotiated Rate	$26,782.38
Max. Negotiated Rate	$27,318.03
Rate for Payer: UnitedHealthcare Community & State	$26,782.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,318.03
Rate for Payer: Wellpoint Medicaid Managed Care	$26,782.38

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$40,991.09

Service Code	APR-DRG 2203
Min. Negotiated Rate	$40,187.34
Max. Negotiated Rate	$40,991.09
Rate for Payer: UnitedHealthcare Community & State	$40,187.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,991.09
Rate for Payer: Wellpoint Medicaid Managed Care	$40,187.34

MAJOR THUMB OR JOINT PROCEDURES

Facility

$62,090.71

Service Code	MSDRG 506
Min. Negotiated Rate	$18,905.83
Max. Negotiated Rate	$62,090.71
Rate for Payer: Aetna Commercial	$46,080.22
Rate for Payer: Aetna Medicare Advantage	$62,090.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,449.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,449.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,900.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,449.30
Rate for Payer: Cigna Commercial	$26,742.68
Rate for Payer: Cigna Medicare Advantage	$19,900.87
Rate for Payer: Clover Medicare Advantage	$18,905.83
Rate for Payer: EmblemHealth Commercial	$59,702.61
Rate for Payer: Humana Medicare Advantage	$20,497.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,900.87
Rate for Payer: Oxford Commercial	$21,136.95
Rate for Payer: UnitedHealthcare Commercial	$28,292.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,900.87
Rate for Payer: Wellcare Medicare Advantage	$19,900.87

MAKO BLADE SAGITTAL NARROW

Facility

$1,525.00

Hospital Charge Code	270690810
Hospital Revenue Code	272
Min. Negotiated Rate	$43.31
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.50
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$305.00
Rate for Payer: UnitedHealthcare Community & State	$48.19
Rate for Payer: Wellpoint Medicaid Managed Care	$43.31

MAKO BLADE SAGITTAL NARROW

Facility

$1,525.00

Hospital Charge Code	270690810
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

MAKO BLADE SAGITTAL ST

Facility

$1,525.00

Hospital Charge Code	270690809
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

MAKO BLADE SAGITTAL ST

Facility

$1,525.00

Hospital Charge Code	270690809
Hospital Revenue Code	272
Min. Negotiated Rate	$43.31
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.50
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$305.00
Rate for Payer: UnitedHealthcare Community & State	$48.19
Rate for Payer: Wellpoint Medicaid Managed Care	$43.31

MAKOPLASTY HIP CONSUMABLES

Facility

$5,150.00

Hospital Charge Code	270668072
Hospital Revenue Code	278
Min. Negotiated Rate	$146.26
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,957.00
Rate for Payer: Aetna Medicare Advantage	$1,545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.25
Rate for Payer: Cigna Commercial	$2,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50
Rate for Payer: UnitedHealthcare Community & State	$162.74
Rate for Payer: Wellpoint Medicaid Managed Care	$146.26

MAKOPLASTY HIP CONSUMABLES

Facility

$5,150.00

Hospital Charge Code	270668072
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$1,246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,223.20

Service Code	HCPCS C1713
Hospital Charge Code	270704053
Hospital Revenue Code	278
Min. Negotiated Rate	$633.48
Max. Negotiated Rate	$1,022.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.01
Rate for Payer: Qualcare PPO/HMO/WC	$633.48

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,223.20

Service Code	HCPCS C1713
Hospital Charge Code	270704053
Hospital Revenue Code	278
Min. Negotiated Rate	$119.94
Max. Negotiated Rate	$2,111.60
Rate for Payer: Aetna Commercial	$1,604.82
Rate for Payer: Aetna Medicare Advantage	$1,266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.92
Rate for Payer: Cigna Commercial	$2,111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.01
Rate for Payer: Qualcare PPO/HMO/WC	$633.48
Rate for Payer: UnitedHealthcare Community & State	$133.45
Rate for Payer: Wellpoint Medicaid Managed Care	$119.94

MALARIA SMEAR

Facility

$146.00

Service Code	HCPCS 87207
Hospital Charge Code	38473021
Hospital Revenue Code	309
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

MALARIA SMEAR

Facility

$146.00

Service Code	HCPCS 87207
Hospital Charge Code	38473021
Hospital Revenue Code	309
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.29
Rate for Payer: Aetna Medicare Advantage	$19.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.73
Rate for Payer: Cigna Commercial	$73.00
Rate for Payer: Cigna Medicare Advantage	$5.99
Rate for Payer: Clover Medicare Advantage	$5.69
Rate for Payer: EmblemHealth Commercial	$17.97
Rate for Payer: Humana Medicare Advantage	$6.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.99
Rate for Payer: Wellcare Medicare Advantage	$5.99
Rate for Payer: Wellpoint Medicaid Managed Care	$4.15

MALARONE 250-100MG TAB

Facility

$54.14

Service Code	NDC 173067501
Hospital Charge Code	60635430
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$27.07
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$16.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.81
Rate for Payer: Cigna Commercial	$27.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.08
Rate for Payer: Oxford Commercial	$10.83
Rate for Payer: Qualcare PPO/HMO/WC	$8.12
Rate for Payer: UnitedHealthcare Commercial	$10.83
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

MALARONE 250-100MG TAB

Facility

$54.14

Service Code	NDC 173067501
Hospital Charge Code	60635430
Hospital Revenue Code	250
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Qualcare PPO/HMO/WC	$8.12

Know your out-of-pocket cost for care.

All Charges