Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MALECOT NEPHROSTOMY ACCESSC

Facility

$379.00

Hospital Charge Code	270331740
Hospital Revenue Code	278
Min. Negotiated Rate	$56.85
Max. Negotiated Rate	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85

MALECOT NEPHROSTOMY ACCESSC

Facility

$379.00

Hospital Charge Code	270331740
Hospital Revenue Code	278
Min. Negotiated Rate	$10.76
Max. Negotiated Rate	$189.50
Rate for Payer: Aetna Commercial	$144.02
Rate for Payer: Aetna Medicare Advantage	$113.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.64
Rate for Payer: Cigna Commercial	$189.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85
Rate for Payer: UnitedHealthcare Community & State	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.76

MALECOT NEPHROSTOMY CATHETER

Facility

$379.00

Hospital Charge Code	270332123
Hospital Revenue Code	278
Min. Negotiated Rate	$10.76
Max. Negotiated Rate	$189.50
Rate for Payer: Aetna Commercial	$144.02
Rate for Payer: Aetna Medicare Advantage	$113.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.64
Rate for Payer: Cigna Commercial	$189.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85
Rate for Payer: UnitedHealthcare Community & State	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.76

MALECOT NEPHROSTOMY CATHETER

Facility

$379.00

Hospital Charge Code	270332123
Hospital Revenue Code	278
Min. Negotiated Rate	$56.85
Max. Negotiated Rate	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85

MALECOT URET CATH 4 WING 38FR

Facility

$87.00

Hospital Charge Code	270332236
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

MALECOT URET CATH 4 WING 38FR

Facility

$87.00

Hospital Charge Code	270332236
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

MALECOT URETHRAL CATHETER 20F

Facility

$87.00

Hospital Charge Code	270332264
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

MALECOT URETHRAL CATHETER 20F

Facility

$87.00

Hospital Charge Code	270332264
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

MALE DRIVER HEXALOBE

Facility

$1,300.00

Hospital Charge Code	270696818
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

MALE DRIVER HEXALOBE

Facility

$1,300.00

Hospital Charge Code	270696818
Hospital Revenue Code	272
Min. Negotiated Rate	$36.92
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Commercial	$260.00
Rate for Payer: UnitedHealthcare Community & State	$41.08
Rate for Payer: Wellpoint Medicaid Managed Care	$36.92

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$6,266.36

Service Code	APR-DRG 5011
Min. Negotiated Rate	$6,143.49
Max. Negotiated Rate	$6,266.36
Rate for Payer: UnitedHealthcare Community & State	$6,143.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,266.36
Rate for Payer: Wellpoint Medicaid Managed Care	$6,143.49

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$24,683.39

Service Code	APR-DRG 5014
Min. Negotiated Rate	$24,199.40
Max. Negotiated Rate	$24,683.39
Rate for Payer: UnitedHealthcare Community & State	$24,199.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,683.39
Rate for Payer: Wellpoint Medicaid Managed Care	$24,199.40

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$8,353.27

Service Code	APR-DRG 5012
Min. Negotiated Rate	$8,189.48
Max. Negotiated Rate	$8,353.27
Rate for Payer: UnitedHealthcare Community & State	$8,189.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,353.27
Rate for Payer: Wellpoint Medicaid Managed Care	$8,189.48

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$12,324.88

Service Code	APR-DRG 5013
Min. Negotiated Rate	$12,083.22
Max. Negotiated Rate	$12,324.88
Rate for Payer: UnitedHealthcare Community & State	$12,083.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,324.88
Rate for Payer: Wellpoint Medicaid Managed Care	$12,083.22

MALERIA SCREEN

Facility

$390.00

Service Code	HCPCS 87207
Hospital Charge Code	39900508
Hospital Revenue Code	309
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$195.00
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	$195.00
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	$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	$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	$11.08

MALERIA SCREEN

Facility

$390.00

Service Code	HCPCS 87207
Hospital Charge Code	39900508
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MALE TO MALE CANNULA ADAPTOR

Facility

$112.00

Hospital Charge Code	270685045
Hospital Revenue Code	272
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

MALE TO MALE CANNULA ADAPTOR

Facility

$112.00

Hospital Charge Code	270685045
Hospital Revenue Code	272
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$42.56
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.12
Rate for Payer: Oxford Commercial	$22.40
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$22.40
Rate for Payer: UnitedHealthcare Community & State	$3.54
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$7,724.09

Service Code	APR-DRG 2521
Min. Negotiated Rate	$7,572.64
Max. Negotiated Rate	$7,724.09
Rate for Payer: UnitedHealthcare Community & State	$7,572.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,724.09
Rate for Payer: Wellpoint Medicaid Managed Care	$7,572.64

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$25,601.86

Service Code	APR-DRG 2524
Min. Negotiated Rate	$25,099.86
Max. Negotiated Rate	$25,601.86
Rate for Payer: UnitedHealthcare Community & State	$25,099.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,601.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25,099.86

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$9,468.36

Service Code	APR-DRG 2522
Min. Negotiated Rate	$9,282.71
Max. Negotiated Rate	$9,468.36
Rate for Payer: UnitedHealthcare Community & State	$9,282.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,468.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9,282.71

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$13,556.51

Service Code	APR-DRG 2523
Min. Negotiated Rate	$13,290.70
Max. Negotiated Rate	$13,556.51
Rate for Payer: UnitedHealthcare Community & State	$13,290.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,556.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13,290.70

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$8,638.34

Service Code	APR-DRG 2061
Min. Negotiated Rate	$8,468.96
Max. Negotiated Rate	$8,638.34
Rate for Payer: UnitedHealthcare Community & State	$8,468.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,638.34
Rate for Payer: Wellpoint Medicaid Managed Care	$8,468.96

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$8,853.23

Service Code	APR-DRG 2062
Min. Negotiated Rate	$8,679.64
Max. Negotiated Rate	$8,853.23
Rate for Payer: UnitedHealthcare Community & State	$8,679.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,853.23
Rate for Payer: Wellpoint Medicaid Managed Care	$8,679.64

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$13,175.94

Service Code	APR-DRG 2063
Min. Negotiated Rate	$12,917.59
Max. Negotiated Rate	$13,175.94
Rate for Payer: UnitedHealthcare Community & State	$12,917.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,175.94
Rate for Payer: Wellpoint Medicaid Managed Care	$12,917.59

Know your out-of-pocket cost for care.

All Charges