Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEONATAL AFTERCARE

Facility

$11,824.92

Service Code	APR-DRG 8631
Min. Negotiated Rate	$11,593.06
Max. Negotiated Rate	$11,824.92
Rate for Payer: UnitedHealthcare Community & State	$11,593.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,824.92
Rate for Payer: Wellpoint Medicaid Managed Care	$11,593.06

NEONATAL AFTERCARE

Facility

$56,878.82

Service Code	APR-DRG 8633
Min. Negotiated Rate	$55,763.55
Max. Negotiated Rate	$56,878.82
Rate for Payer: UnitedHealthcare Community & State	$55,763.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$56,878.82
Rate for Payer: Wellpoint Medicaid Managed Care	$55,763.55

NEONATAL AFTERCARE

Facility

$29,206.94

Service Code	APR-DRG 8632
Min. Negotiated Rate	$28,634.25
Max. Negotiated Rate	$29,206.94
Rate for Payer: UnitedHealthcare Community & State	$28,634.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,206.94
Rate for Payer: Wellpoint Medicaid Managed Care	$28,634.25

NEONATAL AFTERCARE

Facility

$106,800.39

Service Code	APR-DRG 8634
Min. Negotiated Rate	$104,706.26
Max. Negotiated Rate	$106,800.39
Rate for Payer: UnitedHealthcare Community & State	$104,706.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$106,800.39
Rate for Payer: Wellpoint Medicaid Managed Care	$104,706.26

NEONATAL BILIRUBIN

Facility

$245.00

Service Code	HCPCS 82247
Hospital Charge Code	38479028
Hospital Revenue Code	301
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

NEONATAL BILIRUBIN

Facility

$245.00

Service Code	HCPCS 82247
Hospital Charge Code	38479028
Hospital Revenue Code	301
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$13.65
Rate for Payer: Aetna Medicare Advantage	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.21
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: Cigna Medicare Advantage	$5.02
Rate for Payer: Clover Medicare Advantage	$4.77
Rate for Payer: EmblemHealth Commercial	$15.06
Rate for Payer: Humana Medicare Advantage	$5.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.02
Rate for Payer: Wellcare Medicare Advantage	$5.02
Rate for Payer: Wellpoint Medicaid Managed Care	$6.96

NEONATAL PULSE OXIMETER SENSOR

Facility

$31.25

Hospital Charge Code	270652478
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Commercial	$6.25
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

NEONATAL PULSE OXIMETER SENSOR

Facility

$31.25

Hospital Charge Code	270652478
Hospital Revenue Code	270
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$86,581.50

Service Code	APR-DRG 6033
Min. Negotiated Rate	$84,883.82
Max. Negotiated Rate	$86,581.50
Rate for Payer: UnitedHealthcare Community & State	$84,883.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$86,581.50
Rate for Payer: Wellpoint Medicaid Managed Care	$84,883.82

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$2,081.31

Service Code	APR-DRG 6031
Min. Negotiated Rate	$2,040.50
Max. Negotiated Rate	$2,081.31
Rate for Payer: UnitedHealthcare Community & State	$2,040.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,081.31
Rate for Payer: Wellpoint Medicaid Managed Care	$2,040.50

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$179,305.75

Service Code	APR-DRG 6034
Min. Negotiated Rate	$175,789.95
Max. Negotiated Rate	$179,305.75
Rate for Payer: UnitedHealthcare Community & State	$175,789.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$179,305.75
Rate for Payer: Wellpoint Medicaid Managed Care	$175,789.95

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$43,423.49

Service Code	APR-DRG 6032
Min. Negotiated Rate	$42,572.05
Max. Negotiated Rate	$43,423.49
Rate for Payer: UnitedHealthcare Community & State	$42,572.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,423.49
Rate for Payer: Wellpoint Medicaid Managed Care	$42,572.05

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$16,074.53

Service Code	APR-DRG 6021
Min. Negotiated Rate	$15,759.34
Max. Negotiated Rate	$16,074.53
Rate for Payer: UnitedHealthcare Community & State	$15,759.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,074.53
Rate for Payer: Wellpoint Medicaid Managed Care	$15,759.34

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$172,479.08

Service Code	APR-DRG 6024
Min. Negotiated Rate	$169,097.14
Max. Negotiated Rate	$172,479.08
Rate for Payer: UnitedHealthcare Community & State	$169,097.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$172,479.08
Rate for Payer: Wellpoint Medicaid Managed Care	$169,097.14

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$130,295.67

Service Code	APR-DRG 6023
Min. Negotiated Rate	$127,740.85
Max. Negotiated Rate	$130,295.67
Rate for Payer: UnitedHealthcare Community & State	$127,740.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$130,295.67
Rate for Payer: Wellpoint Medicaid Managed Care	$127,740.85

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$101,081.74

Service Code	APR-DRG 6022
Min. Negotiated Rate	$99,099.75
Max. Negotiated Rate	$101,081.74
Rate for Payer: UnitedHealthcare Community & State	$99,099.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$101,081.74
Rate for Payer: Wellpoint Medicaid Managed Care	$99,099.75

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$73,224.44

Service Code	APR-DRG 6084
Min. Negotiated Rate	$71,788.67
Max. Negotiated Rate	$73,224.44
Rate for Payer: UnitedHealthcare Community & State	$71,788.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,224.44
Rate for Payer: Wellpoint Medicaid Managed Care	$71,788.67

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$51,481.80

Service Code	APR-DRG 6082
Min. Negotiated Rate	$50,472.35
Max. Negotiated Rate	$51,481.80
Rate for Payer: UnitedHealthcare Community & State	$50,472.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,481.80
Rate for Payer: Wellpoint Medicaid Managed Care	$50,472.35

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$71,591.12

Service Code	APR-DRG 6083
Min. Negotiated Rate	$70,187.37
Max. Negotiated Rate	$71,591.12
Rate for Payer: UnitedHealthcare Community & State	$70,187.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71,591.12
Rate for Payer: Wellpoint Medicaid Managed Care	$70,187.37

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$10,247.79

Service Code	APR-DRG 6081
Min. Negotiated Rate	$10,046.85
Max. Negotiated Rate	$10,247.79
Rate for Payer: UnitedHealthcare Community & State	$10,046.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,247.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10,046.85

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$29,781.30

Service Code	APR-DRG 6071
Min. Negotiated Rate	$29,197.35
Max. Negotiated Rate	$29,781.30
Rate for Payer: UnitedHealthcare Community & State	$29,197.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,781.30
Rate for Payer: Wellpoint Medicaid Managed Care	$29,197.35

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$100,894.95

Service Code	APR-DRG 6073
Min. Negotiated Rate	$98,916.62
Max. Negotiated Rate	$100,894.95
Rate for Payer: UnitedHealthcare Community & State	$98,916.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$100,894.95
Rate for Payer: Wellpoint Medicaid Managed Care	$98,916.62

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$73,404.18

Service Code	APR-DRG 6072
Min. Negotiated Rate	$71,964.88
Max. Negotiated Rate	$73,404.18
Rate for Payer: UnitedHealthcare Community & State	$71,964.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,404.18
Rate for Payer: Wellpoint Medicaid Managed Care	$71,964.88

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$134,077.71

Service Code	APR-DRG 6074
Min. Negotiated Rate	$131,448.74
Max. Negotiated Rate	$134,077.71
Rate for Payer: UnitedHealthcare Community & State	$131,448.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$134,077.71
Rate for Payer: Wellpoint Medicaid Managed Care	$131,448.74

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$82,848.66

Service Code	APR-DRG 6134
Min. Negotiated Rate	$81,224.18
Max. Negotiated Rate	$82,848.66
Rate for Payer: UnitedHealthcare Community & State	$81,224.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$82,848.66
Rate for Payer: Wellpoint Medicaid Managed Care	$81,224.18

Know your out-of-pocket cost for care.

All Charges