Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,896.91

Service Code	APR-DRG 6361
Min. Negotiated Rate	$6,761.68
Max. Negotiated Rate	$6,896.91
Rate for Payer: UnitedHealthcare Community & State	$6,761.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,896.91
Rate for Payer: Wellpoint Medicaid Managed Care	$6,761.68

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$7,146.90

Service Code	APR-DRG 6332
Min. Negotiated Rate	$7,006.76
Max. Negotiated Rate	$7,146.90
Rate for Payer: UnitedHealthcare Community & State	$7,006.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,146.90
Rate for Payer: Wellpoint Medicaid Managed Care	$7,006.76

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$74,742.61

Service Code	APR-DRG 6334
Min. Negotiated Rate	$73,277.07
Max. Negotiated Rate	$74,742.61
Rate for Payer: UnitedHealthcare Community & State	$73,277.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$74,742.61
Rate for Payer: Wellpoint Medicaid Managed Care	$73,277.07

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$26,127.08

Service Code	APR-DRG 6333
Min. Negotiated Rate	$25,614.78
Max. Negotiated Rate	$26,127.08
Rate for Payer: UnitedHealthcare Community & State	$25,614.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,127.08
Rate for Payer: Wellpoint Medicaid Managed Care	$25,614.78

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$2,443.61

Service Code	APR-DRG 6331
Min. Negotiated Rate	$2,395.70
Max. Negotiated Rate	$2,443.61
Rate for Payer: UnitedHealthcare Community & State	$2,395.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,443.61
Rate for Payer: Wellpoint Medicaid Managed Care	$2,395.70

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$247,140.23

Service Code	APR-DRG 6304
Min. Negotiated Rate	$242,294.34
Max. Negotiated Rate	$247,140.23
Rate for Payer: UnitedHealthcare Community & State	$242,294.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$247,140.23
Rate for Payer: Wellpoint Medicaid Managed Care	$242,294.34

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$133,875.41

Service Code	APR-DRG 6303
Min. Negotiated Rate	$131,250.40
Max. Negotiated Rate	$133,875.41
Rate for Payer: UnitedHealthcare Community & State	$131,250.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$133,875.41
Rate for Payer: Wellpoint Medicaid Managed Care	$131,250.40

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$65,316.39

Service Code	APR-DRG 6302
Min. Negotiated Rate	$64,035.68
Max. Negotiated Rate	$65,316.39
Rate for Payer: UnitedHealthcare Community & State	$64,035.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$65,316.39
Rate for Payer: Wellpoint Medicaid Managed Care	$64,035.68

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$30,055.16

Service Code	APR-DRG 6301
Min. Negotiated Rate	$29,465.84
Max. Negotiated Rate	$30,055.16
Rate for Payer: UnitedHealthcare Community & State	$29,465.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,055.16
Rate for Payer: Wellpoint Medicaid Managed Care	$29,465.84

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$232,478.45

Service Code	APR-DRG 6314
Min. Negotiated Rate	$227,920.05
Max. Negotiated Rate	$232,478.45
Rate for Payer: UnitedHealthcare Community & State	$227,920.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$232,478.45
Rate for Payer: Wellpoint Medicaid Managed Care	$227,920.05

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$76,241.04

Service Code	APR-DRG 6313
Min. Negotiated Rate	$74,746.12
Max. Negotiated Rate	$76,241.04
Rate for Payer: UnitedHealthcare Community & State	$74,746.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$76,241.04
Rate for Payer: Wellpoint Medicaid Managed Care	$74,746.12

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$44,483.77

Service Code	APR-DRG 6312
Min. Negotiated Rate	$43,611.54
Max. Negotiated Rate	$44,483.77
Rate for Payer: UnitedHealthcare Community & State	$43,611.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,483.77
Rate for Payer: Wellpoint Medicaid Managed Care	$43,611.54

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$5,749.51

Service Code	APR-DRG 6311
Min. Negotiated Rate	$5,636.77
Max. Negotiated Rate	$5,749.51
Rate for Payer: UnitedHealthcare Community & State	$5,636.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,749.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5,636.77

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$34,976.10

Service Code	APR-DRG 6394
Min. Negotiated Rate	$34,290.29
Max. Negotiated Rate	$34,976.10
Rate for Payer: UnitedHealthcare Community & State	$34,290.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,976.10
Rate for Payer: Wellpoint Medicaid Managed Care	$34,290.29

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$20,965.99

Service Code	APR-DRG 6393
Min. Negotiated Rate	$20,554.89
Max. Negotiated Rate	$20,965.99
Rate for Payer: UnitedHealthcare Community & State	$20,554.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,965.99
Rate for Payer: Wellpoint Medicaid Managed Care	$20,554.89

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,314.25

Service Code	APR-DRG 6391
Min. Negotiated Rate	$4,229.66
Max. Negotiated Rate	$4,314.25
Rate for Payer: UnitedHealthcare Community & State	$4,229.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,314.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4,229.66

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$6,371.70

Service Code	APR-DRG 6392
Min. Negotiated Rate	$6,246.76
Max. Negotiated Rate	$6,371.70
Rate for Payer: UnitedHealthcare Community & State	$6,246.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,371.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6,246.76

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$7,443.26

Service Code	APR-DRG 6341
Min. Negotiated Rate	$7,297.31
Max. Negotiated Rate	$7,443.26
Rate for Payer: UnitedHealthcare Community & State	$7,297.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,443.26
Rate for Payer: Wellpoint Medicaid Managed Care	$7,297.31

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$48,480.63

Service Code	APR-DRG 6344
Min. Negotiated Rate	$47,530.03
Max. Negotiated Rate	$48,480.63
Rate for Payer: UnitedHealthcare Community & State	$47,530.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,480.63
Rate for Payer: Wellpoint Medicaid Managed Care	$47,530.03

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$15,868.08

Service Code	APR-DRG 6342
Min. Negotiated Rate	$15,556.94
Max. Negotiated Rate	$15,868.08
Rate for Payer: UnitedHealthcare Community & State	$15,556.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,868.08
Rate for Payer: Wellpoint Medicaid Managed Care	$15,556.94

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$16,592.77

Service Code	APR-DRG 6343
Min. Negotiated Rate	$16,267.42
Max. Negotiated Rate	$16,592.77
Rate for Payer: UnitedHealthcare Community & State	$16,267.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,592.77
Rate for Payer: Wellpoint Medicaid Managed Care	$16,267.42

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$1,374.90

Service Code	APR-DRG 5911
Min. Negotiated Rate	$1,347.94
Max. Negotiated Rate	$1,374.90
Rate for Payer: UnitedHealthcare Community & State	$1,347.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,374.90
Rate for Payer: Wellpoint Medicaid Managed Care	$1,347.94

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$91,581.13

Service Code	APR-DRG 5912
Min. Negotiated Rate	$89,785.42
Max. Negotiated Rate	$91,581.13
Rate for Payer: UnitedHealthcare Community & State	$89,785.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$91,581.13
Rate for Payer: Wellpoint Medicaid Managed Care	$89,785.42

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$154,931.30

Service Code	APR-DRG 5913
Min. Negotiated Rate	$151,893.43
Max. Negotiated Rate	$154,931.30
Rate for Payer: UnitedHealthcare Community & State	$151,893.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$154,931.30
Rate for Payer: Wellpoint Medicaid Managed Care	$151,893.43

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$236,643.84

Service Code	APR-DRG 5914
Min. Negotiated Rate	$232,003.76
Max. Negotiated Rate	$236,643.84
Rate for Payer: UnitedHealthcare Community & State	$232,003.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$236,643.84
Rate for Payer: Wellpoint Medicaid Managed Care	$232,003.76

Know your out-of-pocket cost for care.

All Charges