Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$24,701.67

Service Code	APR-DRG 0503
Min. Negotiated Rate	$24,217.32
Max. Negotiated Rate	$24,701.67
Rate for Payer: UnitedHealthcare Community & State	$24,217.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,701.67
Rate for Payer: Wellpoint Medicaid Managed Care	$24,217.32

NON-BLADED TROCAR 10MM

Facility

$115.00

Hospital Charge Code	270335695
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

NON-BLADED TROCAR 10MM

Facility

$115.00

Hospital Charge Code	270335695
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

NON-BLADED TROCAR 5MM

Facility

$94.00

Hospital Charge Code	270335694
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

NON-BLADED TROCAR 5MM

Facility

$94.00

Hospital Charge Code	270335694
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$34,352.60

Service Code	APR-DRG 3233
Min. Negotiated Rate	$33,679.02
Max. Negotiated Rate	$34,352.60
Rate for Payer: UnitedHealthcare Community & State	$33,679.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,352.60
Rate for Payer: Wellpoint Medicaid Managed Care	$33,679.02

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$48,338.83

Service Code	APR-DRG 3234
Min. Negotiated Rate	$47,391.01
Max. Negotiated Rate	$48,338.83
Rate for Payer: UnitedHealthcare Community & State	$47,391.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,338.83
Rate for Payer: Wellpoint Medicaid Managed Care	$47,391.01

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$25,702.97

Service Code	APR-DRG 3232
Min. Negotiated Rate	$25,198.99
Max. Negotiated Rate	$25,702.97
Rate for Payer: UnitedHealthcare Community & State	$25,198.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,702.97
Rate for Payer: Wellpoint Medicaid Managed Care	$25,198.99

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$22,883.00

Service Code	APR-DRG 3231
Min. Negotiated Rate	$22,434.31
Max. Negotiated Rate	$22,883.00
Rate for Payer: UnitedHealthcare Community & State	$22,434.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,883.00
Rate for Payer: Wellpoint Medicaid Managed Care	$22,434.31

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$60,132.80

Service Code	APR-DRG 3254
Min. Negotiated Rate	$58,953.73
Max. Negotiated Rate	$60,132.80
Rate for Payer: UnitedHealthcare Community & State	$58,953.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,132.80
Rate for Payer: Wellpoint Medicaid Managed Care	$58,953.73

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$28,160.64

Service Code	APR-DRG 3251
Min. Negotiated Rate	$27,608.47
Max. Negotiated Rate	$28,160.64
Rate for Payer: UnitedHealthcare Community & State	$27,608.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,160.64
Rate for Payer: Wellpoint Medicaid Managed Care	$27,608.47

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$42,915.08

Service Code	APR-DRG 3253
Min. Negotiated Rate	$42,073.61
Max. Negotiated Rate	$42,915.08
Rate for Payer: UnitedHealthcare Community & State	$42,073.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,915.08
Rate for Payer: Wellpoint Medicaid Managed Care	$42,073.61

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$32,413.09

Service Code	APR-DRG 3252
Min. Negotiated Rate	$31,777.54
Max. Negotiated Rate	$32,413.09
Rate for Payer: UnitedHealthcare Community & State	$31,777.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,413.09
Rate for Payer: Wellpoint Medicaid Managed Care	$31,777.54

NON-EXTENSIVE BURNS

Facility

$84,547.41

Service Code	MSDRG 935
Min. Negotiated Rate	$25,743.60
Max. Negotiated Rate	$84,547.41
Rate for Payer: Aetna Commercial	$62,074.13
Rate for Payer: Aetna Medicare Advantage	$84,547.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,518.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,518.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,098.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,518.20
Rate for Payer: Cigna Commercial	$45,923.58
Rate for Payer: Cigna Medicare Advantage	$27,098.53
Rate for Payer: Clover Medicare Advantage	$25,743.60
Rate for Payer: EmblemHealth Commercial	$81,295.59
Rate for Payer: Humana Medicare Advantage	$27,911.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,098.53
Rate for Payer: Oxford Commercial	$36,297.20
Rate for Payer: UnitedHealthcare Commercial	$48,585.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,098.53
Rate for Payer: Wellcare Medicare Advantage	$27,098.53

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$42,117.39

Service Code	APR-DRG 7944
Min. Negotiated Rate	$41,291.56
Max. Negotiated Rate	$42,117.39
Rate for Payer: UnitedHealthcare Community & State	$41,291.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,117.39
Rate for Payer: Wellpoint Medicaid Managed Care	$41,291.56

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$21,919.62

Service Code	APR-DRG 7943
Min. Negotiated Rate	$21,489.82
Max. Negotiated Rate	$21,919.62
Rate for Payer: UnitedHealthcare Community & State	$21,489.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,919.62
Rate for Payer: Wellpoint Medicaid Managed Care	$21,489.82

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$14,885.04

Service Code	APR-DRG 7942
Min. Negotiated Rate	$14,593.18
Max. Negotiated Rate	$14,885.04
Rate for Payer: UnitedHealthcare Community & State	$14,593.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,885.04
Rate for Payer: Wellpoint Medicaid Managed Care	$14,593.18

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,546.84

Service Code	APR-DRG 7941
Min. Negotiated Rate	$11,320.43
Max. Negotiated Rate	$11,546.84
Rate for Payer: UnitedHealthcare Community & State	$11,320.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,546.84
Rate for Payer: Wellpoint Medicaid Managed Care	$11,320.43

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$71,391.84

Service Code	MSDRG 988
Min. Negotiated Rate	$21,737.90
Max. Negotiated Rate	$71,391.84
Rate for Payer: Aetna Commercial	$52,704.59
Rate for Payer: Aetna Medicare Advantage	$71,391.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,098.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,098.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,882.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,098.50
Rate for Payer: Cigna Commercial	$36,640.77
Rate for Payer: Cigna Medicare Advantage	$22,882.00
Rate for Payer: Clover Medicare Advantage	$21,737.90
Rate for Payer: EmblemHealth Commercial	$68,646.00
Rate for Payer: Humana Medicare Advantage	$23,568.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,882.00
Rate for Payer: Oxford Commercial	$28,960.23
Rate for Payer: UnitedHealthcare Commercial	$38,764.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,882.00
Rate for Payer: Wellcare Medicare Advantage	$22,882.00

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$127,780.04

Service Code	MSDRG 987
Min. Negotiated Rate	$38,907.38
Max. Negotiated Rate	$127,780.04
Rate for Payer: Aetna Commercial	$92,864.92
Rate for Payer: Aetna Medicare Advantage	$127,780.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93,642.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93,642.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40,955.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93,642.90
Rate for Payer: Cigna Commercial	$76,429.32
Rate for Payer: Cigna Medicare Advantage	$40,955.14
Rate for Payer: Clover Medicare Advantage	$38,907.38
Rate for Payer: EmblemHealth Commercial	$122,865.42
Rate for Payer: Humana Medicare Advantage	$42,183.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40,955.14
Rate for Payer: Oxford Commercial	$60,408.41
Rate for Payer: UnitedHealthcare Commercial	$80,858.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$40,955.14
Rate for Payer: Wellcare Medicare Advantage	$40,955.14

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$57,351.65

Service Code	MSDRG 989
Min. Negotiated Rate	$17,462.84
Max. Negotiated Rate	$57,351.65
Rate for Payer: Aetna Commercial	$42,705.00
Rate for Payer: Aetna Medicare Advantage	$57,351.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,921.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,921.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,381.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,921.40
Rate for Payer: Cigna Commercial	$26,733.77
Rate for Payer: Cigna Medicare Advantage	$18,381.94
Rate for Payer: Clover Medicare Advantage	$17,462.84
Rate for Payer: EmblemHealth Commercial	$55,145.82
Rate for Payer: Humana Medicare Advantage	$18,933.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,381.94
Rate for Payer: Oxford Commercial	$21,129.90
Rate for Payer: UnitedHealthcare Commercial	$28,283.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,381.94
Rate for Payer: Wellcare Medicare Advantage	$18,381.94

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$50,677.11

Service Code	APR-DRG 9524
Min. Negotiated Rate	$49,683.44
Max. Negotiated Rate	$50,677.11
Rate for Payer: UnitedHealthcare Community & State	$49,683.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,677.11
Rate for Payer: Wellpoint Medicaid Managed Care	$49,683.44

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$12,541.16

Service Code	APR-DRG 9521
Min. Negotiated Rate	$12,295.25
Max. Negotiated Rate	$12,541.16
Rate for Payer: UnitedHealthcare Community & State	$12,295.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,541.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12,295.25

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$27,090.54

Service Code	APR-DRG 9523
Min. Negotiated Rate	$26,559.35
Max. Negotiated Rate	$27,090.54
Rate for Payer: UnitedHealthcare Community & State	$26,559.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,090.54
Rate for Payer: Wellpoint Medicaid Managed Care	$26,559.35

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$16,821.71

Service Code	APR-DRG 9522
Min. Negotiated Rate	$16,491.87
Max. Negotiated Rate	$16,821.71
Rate for Payer: UnitedHealthcare Community & State	$16,491.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,821.71
Rate for Payer: Wellpoint Medicaid Managed Care	$16,491.87

Know your out-of-pocket cost for care.

All Charges