Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MENISCUS RT MEDIAL FMNRM

Facility

$23,538.75

Service Code	HCPCS C1762
Hospital Charge Code	270697840
Hospital Revenue Code	278
Min. Negotiated Rate	$668.50
Max. Negotiated Rate	$11,769.38
Rate for Payer: Aetna Commercial	$8,944.73
Rate for Payer: Aetna Medicare Advantage	$7,061.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,002.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,002.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,707.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,002.38
Rate for Payer: Cigna Commercial	$11,769.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,696.38
Rate for Payer: Qualcare PPO/HMO/WC	$3,530.81
Rate for Payer: UnitedHealthcare Community & State	$743.82
Rate for Payer: Wellpoint Medicaid Managed Care	$668.50

MENISUCUS RIGHT LATERAL 36 MM

Facility

$23,523.75

Service Code	HCPCS C1762
Hospital Charge Code	270684974
Hospital Revenue Code	278
Min. Negotiated Rate	$668.07
Max. Negotiated Rate	$11,761.88
Rate for Payer: Aetna Commercial	$8,939.02
Rate for Payer: Aetna Medicare Advantage	$7,057.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,998.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,998.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,704.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,998.56
Rate for Payer: Cigna Commercial	$11,761.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,692.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,528.56
Rate for Payer: UnitedHealthcare Community & State	$743.35
Rate for Payer: Wellpoint Medicaid Managed Care	$668.07

MENISUCUS RIGHT LATERAL 36 MM

Facility

$23,523.75

Service Code	HCPCS C1762
Hospital Charge Code	270684974
Hospital Revenue Code	278
Min. Negotiated Rate	$3,528.56
Max. Negotiated Rate	$5,692.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,704.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,692.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,528.56

MENSICAL KNOT PUSHER & SUTURE

Facility

$200.00

Hospital Charge Code	270339440
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

MENSICAL KNOT PUSHER & SUTURE

Facility

$200.00

Hospital Charge Code	270339440
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$19,105.17

Service Code	APR-DRG 5324
Min. Negotiated Rate	$18,730.56
Max. Negotiated Rate	$19,105.17
Rate for Payer: UnitedHealthcare Community & State	$18,730.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,105.17
Rate for Payer: Wellpoint Medicaid Managed Care	$18,730.56

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$7,031.74

Service Code	APR-DRG 5322
Min. Negotiated Rate	$6,893.86
Max. Negotiated Rate	$7,031.74
Rate for Payer: UnitedHealthcare Community & State	$6,893.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,031.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6,893.86

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$5,573.99

Service Code	APR-DRG 5321
Min. Negotiated Rate	$5,464.70
Max. Negotiated Rate	$5,573.99
Rate for Payer: UnitedHealthcare Community & State	$5,464.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,573.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5,464.70

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$10,906.45

Service Code	APR-DRG 5323
Min. Negotiated Rate	$10,692.60
Max. Negotiated Rate	$10,906.45
Rate for Payer: UnitedHealthcare Community & State	$10,692.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,906.45
Rate for Payer: Wellpoint Medicaid Managed Care	$10,692.60

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC

Facility

$51,295.14

Service Code	MSDRG 760
Min. Negotiated Rate	$15,618.71
Max. Negotiated Rate	$51,295.14
Rate for Payer: Aetna Commercial	$38,391.47
Rate for Payer: Aetna Medicare Advantage	$51,295.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,440.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,705.00
Rate for Payer: Cigna Commercial	$22,460.20
Rate for Payer: Cigna Medicare Advantage	$16,440.75
Rate for Payer: Clover Medicare Advantage	$15,618.71
Rate for Payer: EmblemHealth Commercial	$49,322.25
Rate for Payer: Humana Medicare Advantage	$16,933.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,440.75
Rate for Payer: Oxford Commercial	$17,752.15
Rate for Payer: UnitedHealthcare Commercial	$23,761.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,440.75
Rate for Payer: Wellcare Medicare Advantage	$16,440.75

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC

Facility

$37,488.80

Service Code	MSDRG 761
Min. Negotiated Rate	$10,036.35
Max. Negotiated Rate	$37,488.80
Rate for Payer: Aetna Commercial	$28,558.48
Rate for Payer: Aetna Medicare Advantage	$37,488.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,900.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,900.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,015.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,900.05
Rate for Payer: Cigna Commercial	$12,698.09
Rate for Payer: Cigna Medicare Advantage	$12,015.64
Rate for Payer: Clover Medicare Advantage	$11,414.86
Rate for Payer: EmblemHealth Commercial	$36,046.92
Rate for Payer: Humana Medicare Advantage	$12,376.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,015.64
Rate for Payer: Oxford Commercial	$10,036.35
Rate for Payer: UnitedHealthcare Commercial	$13,434.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,015.64
Rate for Payer: Wellcare Medicare Advantage	$12,015.64

MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$19,308.85

Service Code	APR-DRG 7402
Min. Negotiated Rate	$18,930.25
Max. Negotiated Rate	$19,308.85
Rate for Payer: UnitedHealthcare Community & State	$18,930.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,308.85
Rate for Payer: Wellpoint Medicaid Managed Care	$18,930.25

MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$33,340.01

Service Code	APR-DRG 7403
Min. Negotiated Rate	$32,686.28
Max. Negotiated Rate	$33,340.01
Rate for Payer: UnitedHealthcare Community & State	$32,686.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,340.01
Rate for Payer: Wellpoint Medicaid Managed Care	$32,686.28

MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$12,184.38

Service Code	APR-DRG 7401
Min. Negotiated Rate	$11,945.47
Max. Negotiated Rate	$12,184.38
Rate for Payer: UnitedHealthcare Community & State	$11,945.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,184.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11,945.47

MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$68,095.60

Service Code	APR-DRG 7404
Min. Negotiated Rate	$66,760.39
Max. Negotiated Rate	$68,095.60
Rate for Payer: UnitedHealthcare Community & State	$66,760.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$68,095.60
Rate for Payer: Wellpoint Medicaid Managed Care	$66,760.39

MENTHOL CREAM

Facility

$28.48

Service Code	NDC 41167000885
Hospital Charge Code	606390512
Hospital Revenue Code	250
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$14.24
Rate for Payer: Aetna Commercial	$10.82
Rate for Payer: Aetna Medicare Advantage	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.40
Rate for Payer: Oxford Commercial	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

MENTHOL CREAM

Facility

$28.48

Service Code	NDC 41167000885
Hospital Charge Code	606390512
Hospital Revenue Code	250
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

MENTHOL METHYL OINT

Facility

$12.73

Service Code	NDC 54162055501
Hospital Charge Code	60628451
Hospital Revenue Code	250
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.91

MENTHOL METHYL OINT

Facility

$12.73

Service Code	NDC 54162055501
Hospital Charge Code	60628451
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$6.37
Rate for Payer: Aetna Commercial	$4.84
Rate for Payer: Aetna Medicare Advantage	$3.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.25
Rate for Payer: Cigna Commercial	$6.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.31
Rate for Payer: Oxford Commercial	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.91
Rate for Payer: UnitedHealthcare Commercial	$2.55
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

MEPERIDINE 25MG/ML

Facility

$6.77

Service Code	HCPCS J2175
Hospital Charge Code	6012025
Hospital Revenue Code	636
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

MEPERIDINE 25MG/ML

Facility

$6.77

Service Code	HCPCS J2175
Hospital Charge Code	6012025
Hospital Revenue Code	636
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.38
Rate for Payer: Aetna Commercial	$2.57
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

MEPERIDINE (DEMEROL)

Facility

$190.45

Service Code	HCPCS 80300
Hospital Charge Code	3000303
Hospital Revenue Code	301
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$72.37
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.52
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$6.02
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

MEPERIDINE (DEMEROL)

Facility

$190.45

Service Code	HCPCS 80300
Hospital Charge Code	3000303
Hospital Revenue Code	301
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$28.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.57

MEPERIDINE/NORMEPERIDINE URINE

Facility

$390.00

Service Code	HCPCS 80362
Hospital Charge Code	401080362
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MEPERIDINE/NORMEPERIDINE URINE

Facility

$390.00

Service Code	HCPCS 80362
Hospital Charge Code	401080362
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Know your out-of-pocket cost for care.

All Charges