Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OPEN CRANIOTOMY FOR TRAUMA

Facility

$46,699.89

Service Code	APR-DRG 0203
Min. Negotiated Rate	$45,784.21
Max. Negotiated Rate	$46,699.89
Rate for Payer: UnitedHealthcare Community & State	$45,784.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,699.89
Rate for Payer: Wellpoint Medicaid Managed Care	$45,784.21

OPEN END URETERAL CATHETER

Facility

$91.00

Hospital Charge Code	270331895
Hospital Revenue Code	278
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$45.50
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

OPEN END URETERAL CATHETER

Facility

$91.00

Hospital Charge Code	270331895
Hospital Revenue Code	278
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$17,880.60

Service Code	APR-DRG 0242
Min. Negotiated Rate	$17,530.00
Max. Negotiated Rate	$17,880.60
Rate for Payer: UnitedHealthcare Community & State	$17,530.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,880.60
Rate for Payer: Wellpoint Medicaid Managed Care	$17,530.00

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$31,135.16

Service Code	APR-DRG 0243
Min. Negotiated Rate	$30,524.67
Max. Negotiated Rate	$31,135.16
Rate for Payer: UnitedHealthcare Community & State	$30,524.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,135.16
Rate for Payer: Wellpoint Medicaid Managed Care	$30,524.67

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$14,392.07

Service Code	APR-DRG 0241
Min. Negotiated Rate	$14,109.87
Max. Negotiated Rate	$14,392.07
Rate for Payer: UnitedHealthcare Community & State	$14,109.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,392.07
Rate for Payer: Wellpoint Medicaid Managed Care	$14,109.87

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$55,075.59

Service Code	APR-DRG 0244
Min. Negotiated Rate	$53,995.68
Max. Negotiated Rate	$55,075.59
Rate for Payer: UnitedHealthcare Community & State	$53,995.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,075.59
Rate for Payer: Wellpoint Medicaid Managed Care	$53,995.68

OPEN - INCIS BREAST BX

Facility

$23,857.69

Service Code	HCPCS 19101
Hospital Charge Code	16000314
Hospital Revenue Code	360
Min. Negotiated Rate	$3,578.65
Max. Negotiated Rate	$3,578.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.65

OPEN - INCIS BREAST BX

Facility

$23,857.69

Service Code	HCPCS 19101
Hospital Charge Code	16000314
Hospital Revenue Code	360
Min. Negotiated Rate	$677.56
Max. Negotiated Rate	$16,873.82
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,873.82
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,203.00
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.65
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$753.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$677.56

OPEN LAT RETINA RELEASE

Facility

$30,595.00

Service Code	HCPCS 27425
Hospital Charge Code	16000509
Hospital Revenue Code	360
Min. Negotiated Rate	$868.90
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,954.70
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$966.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$868.90

OPEN LAT RETINA RELEASE

Facility

$30,595.00

Service Code	HCPCS 27425
Hospital Charge Code	16000509
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

OPEN/PERQ PLACE STENT 1ST

Facility

$52,548.60

Service Code	HCPCS 37236
Hospital Charge Code	411037236
Hospital Revenue Code	361
Min. Negotiated Rate	$1,492.38
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,662.64
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,660.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,492.38

OPEN/PERQ PLACE STENT 1ST

Facility

$52,548.60

Service Code	HCPCS 37236
Hospital Charge Code	411037236
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

OPEN/PERQ PLACE STENT 1ST

Facility

$52,548.60

Service Code	HCPCS 37236
Hospital Charge Code	366837236
Hospital Revenue Code	361
Min. Negotiated Rate	$1,492.38
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
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	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,662.64
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$1,660.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,492.38

OPEN/PERQ PLACE STENT 1ST

Facility

$52,548.60

Service Code	HCPCS 37236
Hospital Charge Code	366837236
Hospital Revenue Code	361
Min. Negotiated Rate	$7,882.29
Max. Negotiated Rate	$7,882.29
Rate for Payer: Qualcare PPO/HMO/WC	$7,882.29

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	321037239
Hospital Revenue Code	361
Min. Negotiated Rate	$743.86
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$9,953.00
Rate for Payer: Aetna Medicare Advantage	$7,857.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,678.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,678.99
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	$6,678.99
Rate for Payer: Cigna Commercial	$13,096.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,809.95
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$827.67
Rate for Payer: Wellpoint Medicaid Managed Care	$743.86

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	411037239
Hospital Revenue Code	361
Min. Negotiated Rate	$743.86
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$9,953.00
Rate for Payer: Aetna Medicare Advantage	$7,857.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,678.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,678.99
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	$6,678.99
Rate for Payer: Cigna Commercial	$13,096.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,809.95
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$827.67
Rate for Payer: Wellpoint Medicaid Managed Care	$743.86

OPEN/PERQ PLACE STENT EA ADD

Facility

$15,615.00

Service Code	HCPCS 37237
Hospital Charge Code	366837237
Hospital Revenue Code	361
Min. Negotiated Rate	$2,342.25
Max. Negotiated Rate	$2,342.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.25

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	321037239
Hospital Revenue Code	361
Min. Negotiated Rate	$3,928.82
Max. Negotiated Rate	$3,928.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	366837239
Hospital Revenue Code	361
Min. Negotiated Rate	$3,928.82
Max. Negotiated Rate	$3,928.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	411037239
Hospital Revenue Code	361
Min. Negotiated Rate	$3,928.82
Max. Negotiated Rate	$3,928.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82

OPEN/PERQ PLACE STENT EA ADD

Facility

$15,615.00

Service Code	HCPCS 37237
Hospital Charge Code	411037237
Hospital Revenue Code	361
Min. Negotiated Rate	$2,342.25
Max. Negotiated Rate	$2,342.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.25

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	366837239
Hospital Revenue Code	361
Min. Negotiated Rate	$743.86
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$9,953.00
Rate for Payer: Aetna Medicare Advantage	$7,857.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,678.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,678.99
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	$6,678.99
Rate for Payer: Cigna Commercial	$13,096.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,809.95
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$827.67
Rate for Payer: Wellpoint Medicaid Managed Care	$743.86

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	5700319
Hospital Revenue Code	361
Min. Negotiated Rate	$743.86
Max. Negotiated Rate	$14,869.00
Rate for Payer: Aetna Commercial	$9,953.00
Rate for Payer: Aetna Medicare Advantage	$7,857.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,678.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,678.99
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	$6,678.99
Rate for Payer: Cigna Commercial	$13,096.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,809.95
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$827.67
Rate for Payer: Wellpoint Medicaid Managed Care	$743.86

OPEN/PERQ PLACE STENT EA ADD

Facility

$26,192.10

Service Code	HCPCS 37239
Hospital Charge Code	5700319
Hospital Revenue Code	361
Min. Negotiated Rate	$3,928.82
Max. Negotiated Rate	$3,928.82
Rate for Payer: Qualcare PPO/HMO/WC	$3,928.82

Know your out-of-pocket cost for care.

All Charges