Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$46,423.45

Service Code	MSDRG 437
Min. Negotiated Rate	$14,135.34
Max. Negotiated Rate	$46,423.45
Rate for Payer: Aetna Commercial	$34,921.83
Rate for Payer: Aetna Medicare Advantage	$46,423.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,995.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,995.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,879.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,995.15
Rate for Payer: Cigna Commercial	$19,022.62
Rate for Payer: Cigna Medicare Advantage	$14,879.31
Rate for Payer: Clover Medicare Advantage	$14,135.34
Rate for Payer: EmblemHealth Commercial	$44,637.93
Rate for Payer: Humana Medicare Advantage	$15,325.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,879.31
Rate for Payer: Oxford Commercial	$15,035.15
Rate for Payer: UnitedHealthcare Commercial	$20,125.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,879.31
Rate for Payer: Wellcare Medicare Advantage	$14,879.31

MALIGNANT BREAST DISORDERS

Facility

$7,541.52

Service Code	APR-DRG 3821
Min. Negotiated Rate	$7,393.65
Max. Negotiated Rate	$7,541.52
Rate for Payer: UnitedHealthcare Community & State	$7,393.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,541.52
Rate for Payer: Wellpoint Medicaid Managed Care	$7,393.65

MALIGNANT BREAST DISORDERS

Facility

$9,653.70

Service Code	APR-DRG 3822
Min. Negotiated Rate	$9,464.41
Max. Negotiated Rate	$9,653.70
Rate for Payer: UnitedHealthcare Community & State	$9,464.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,653.70
Rate for Payer: Wellpoint Medicaid Managed Care	$9,464.41

MALIGNANT BREAST DISORDERS

Facility

$20,773.59

Service Code	APR-DRG 3824
Min. Negotiated Rate	$20,366.26
Max. Negotiated Rate	$20,773.59
Rate for Payer: UnitedHealthcare Community & State	$20,366.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,773.59
Rate for Payer: Wellpoint Medicaid Managed Care	$20,366.26

MALIGNANT BREAST DISORDERS

Facility

$13,840.21

Service Code	APR-DRG 3823
Min. Negotiated Rate	$13,568.83
Max. Negotiated Rate	$13,840.21
Rate for Payer: UnitedHealthcare Community & State	$13,568.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,840.21
Rate for Payer: Wellpoint Medicaid Managed Care	$13,568.83

MALIGNANT BREAST DISORDERS WITH CC

Facility

$55,206.47

Service Code	MSDRG 598
Min. Negotiated Rate	$16,809.66
Max. Negotiated Rate	$55,206.47
Rate for Payer: Aetna Commercial	$41,177.15
Rate for Payer: Aetna Medicare Advantage	$55,206.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,694.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,246.00
Rate for Payer: Cigna Commercial	$25,220.07
Rate for Payer: Cigna Medicare Advantage	$17,694.38
Rate for Payer: Clover Medicare Advantage	$16,809.66
Rate for Payer: EmblemHealth Commercial	$53,083.14
Rate for Payer: Humana Medicare Advantage	$18,225.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,694.38
Rate for Payer: Oxford Commercial	$19,933.51
Rate for Payer: UnitedHealthcare Commercial	$26,681.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,694.38
Rate for Payer: Wellcare Medicare Advantage	$17,694.38

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$72,134.31

Service Code	MSDRG 597
Min. Negotiated Rate	$21,963.97
Max. Negotiated Rate	$72,134.31
Rate for Payer: Aetna Commercial	$53,233.39
Rate for Payer: Aetna Medicare Advantage	$72,134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,328.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,328.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,119.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,328.00
Rate for Payer: Cigna Commercial	$37,164.66
Rate for Payer: Cigna Medicare Advantage	$23,119.97
Rate for Payer: Clover Medicare Advantage	$21,963.97
Rate for Payer: EmblemHealth Commercial	$69,359.91
Rate for Payer: Humana Medicare Advantage	$23,813.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,119.97
Rate for Payer: Oxford Commercial	$29,374.30
Rate for Payer: UnitedHealthcare Commercial	$39,318.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,119.97
Rate for Payer: Wellcare Medicare Advantage	$23,119.97

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$43,772.76

Service Code	MSDRG 599
Min. Negotiated Rate	$12,918.98
Max. Negotiated Rate	$43,772.76
Rate for Payer: Aetna Commercial	$33,033.97
Rate for Payer: Aetna Medicare Advantage	$43,772.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,562.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,029.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,562.35
Rate for Payer: Cigna Commercial	$16,345.23
Rate for Payer: Cigna Medicare Advantage	$14,029.73
Rate for Payer: Clover Medicare Advantage	$13,328.24
Rate for Payer: EmblemHealth Commercial	$42,089.19
Rate for Payer: Humana Medicare Advantage	$14,450.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,029.73
Rate for Payer: Oxford Commercial	$12,918.98
Rate for Payer: UnitedHealthcare Commercial	$17,292.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,029.73
Rate for Payer: Wellcare Medicare Advantage	$14,029.73

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.97

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$1,100.50
Max. Negotiated Rate	$19,375.00
Rate for Payer: Aetna Commercial	$14,725.00
Rate for Payer: Aetna Medicare Advantage	$11,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,881.25
Rate for Payer: Cigna Commercial	$19,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50
Rate for Payer: UnitedHealthcare Community & State	$1,224.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1,100.50

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$5,812.50
Max. Negotiated Rate	$9,377.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$12,674.52

Service Code	APR-DRG 4213
Min. Negotiated Rate	$12,426.00
Max. Negotiated Rate	$12,674.52
Rate for Payer: UnitedHealthcare Community & State	$12,426.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,674.52
Rate for Payer: Wellpoint Medicaid Managed Care	$12,426.00

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$24,617.36

Service Code	APR-DRG 4214
Min. Negotiated Rate	$24,134.67
Max. Negotiated Rate	$24,617.36
Rate for Payer: UnitedHealthcare Community & State	$24,134.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,617.36
Rate for Payer: Wellpoint Medicaid Managed Care	$24,134.67

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$8,238.11

Service Code	APR-DRG 4212
Min. Negotiated Rate	$8,076.58
Max. Negotiated Rate	$8,238.11
Rate for Payer: UnitedHealthcare Community & State	$8,076.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,238.11
Rate for Payer: Wellpoint Medicaid Managed Care	$8,076.58

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$5,512.19

Service Code	APR-DRG 4211
Min. Negotiated Rate	$5,404.11
Max. Negotiated Rate	$5,512.19
Rate for Payer: UnitedHealthcare Community & State	$5,404.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,512.19
Rate for Payer: Wellpoint Medicaid Managed Care	$5,404.11

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MA MAMMO DIAG DIGI LEFT

Facility

$438.00

Hospital Charge Code	2700022
Hospital Revenue Code	401
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$1,884.00
Rate for Payer: Aetna Commercial	$166.44
Rate for Payer: Aetna Medicare Advantage	$131.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.69
Rate for Payer: Cigna Commercial	$219.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.88
Rate for Payer: Oxford Commercial	$1,688.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.70
Rate for Payer: UnitedHealthcare Commercial	$1,884.00
Rate for Payer: UnitedHealthcare Community & State	$13.84
Rate for Payer: Wellpoint Medicaid Managed Care	$12.44

MA MAMMO DIAG DIGI LEFT

Facility

$438.00

Hospital Charge Code	2700022
Hospital Revenue Code	401
Min. Negotiated Rate	$65.70
Max. Negotiated Rate	$65.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.70

MA MAMMO DIAG DIGI RIGHT

Facility

$438.00

Hospital Charge Code	2700023
Hospital Revenue Code	401
Min. Negotiated Rate	$65.70
Max. Negotiated Rate	$65.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.70

MA MAMMO DIAG DIGI RIGHT

Facility

$438.00

Hospital Charge Code	2700023
Hospital Revenue Code	401
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$1,884.00
Rate for Payer: Aetna Commercial	$166.44
Rate for Payer: Aetna Medicare Advantage	$131.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.69
Rate for Payer: Cigna Commercial	$219.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.88
Rate for Payer: Oxford Commercial	$1,688.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.70
Rate for Payer: UnitedHealthcare Commercial	$1,884.00
Rate for Payer: UnitedHealthcare Community & State	$13.84
Rate for Payer: Wellpoint Medicaid Managed Care	$12.44

MAMMAPL,W PROSTHETIC LT

Facility

$89,485.25

Service Code	HCPCS 19325
Hospital Charge Code	16000496
Hospital Revenue Code	360
Min. Negotiated Rate	$2,541.38
Max. Negotiated Rate	$35,223.75
Rate for Payer: Aetna Commercial	$26,411.74
Rate for Payer: Aetna Medicare Advantage	$31,461.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,223.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,710.20
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	$35,223.75
Rate for Payer: Cigna Commercial	$19,464.07
Rate for Payer: Cigna Medicare Advantage	$9,710.20
Rate for Payer: Clover Medicare Advantage	$9,224.69
Rate for Payer: EmblemHealth Commercial	$29,130.60
Rate for Payer: Humana Medicare Advantage	$10,001.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,710.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,266.17
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,422.79
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$2,827.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,710.20
Rate for Payer: Wellcare Medicare Advantage	$9,710.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2,541.38

Know your out-of-pocket cost for care.

All Charges