Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OTHER CHEMOTHERAPY

Facility

$16,088.58

Service Code	APR-DRG 6963
Min. Negotiated Rate	$15,773.12
Max. Negotiated Rate	$16,088.58
Rate for Payer: UnitedHealthcare Community & State	$15,773.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,088.58
Rate for Payer: Wellpoint Medicaid Managed Care	$15,773.12

OTHER CHEMOTHERAPY

Facility

$8,545.67

Service Code	APR-DRG 6961
Min. Negotiated Rate	$8,378.11
Max. Negotiated Rate	$8,545.67
Rate for Payer: UnitedHealthcare Community & State	$8,378.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,545.67
Rate for Payer: Wellpoint Medicaid Managed Care	$8,378.11

OTHER CHEMOTHERAPY

Facility

$32,873.74

Service Code	APR-DRG 6964
Min. Negotiated Rate	$32,229.16
Max. Negotiated Rate	$32,873.74
Rate for Payer: UnitedHealthcare Community & State	$32,229.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,873.74
Rate for Payer: Wellpoint Medicaid Managed Care	$32,229.16

OTHER CHEMOTHERAPY

Facility

$10,975.24

Service Code	APR-DRG 6962
Min. Negotiated Rate	$10,760.04
Max. Negotiated Rate	$10,975.24
Rate for Payer: UnitedHealthcare Community & State	$10,760.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,975.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10,760.04

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$22,887.22

Service Code	APR-DRG 2074
Min. Negotiated Rate	$22,438.45
Max. Negotiated Rate	$22,887.22
Rate for Payer: UnitedHealthcare Community & State	$22,438.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$22,438.45

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$7,260.68

Service Code	APR-DRG 2071
Min. Negotiated Rate	$7,118.31
Max. Negotiated Rate	$7,260.68
Rate for Payer: UnitedHealthcare Community & State	$7,118.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,260.68
Rate for Payer: Wellpoint Medicaid Managed Care	$7,118.31

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$12,830.45

Service Code	APR-DRG 2073
Min. Negotiated Rate	$12,578.87
Max. Negotiated Rate	$12,830.45
Rate for Payer: UnitedHealthcare Community & State	$12,578.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,830.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12,578.87

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$9,065.29

Service Code	APR-DRG 2072
Min. Negotiated Rate	$8,887.54
Max. Negotiated Rate	$9,065.29
Rate for Payer: UnitedHealthcare Community & State	$8,887.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,065.29
Rate for Payer: Wellpoint Medicaid Managed Care	$8,887.54

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$49,898.69

Service Code	MSDRG 315
Min. Negotiated Rate	$15,193.51
Max. Negotiated Rate	$49,898.69
Rate for Payer: Aetna Commercial	$37,396.93
Rate for Payer: Aetna Medicare Advantage	$49,898.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,873.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,873.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,993.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,873.85
Rate for Payer: Cigna Commercial	$21,474.85
Rate for Payer: Cigna Medicare Advantage	$15,993.17
Rate for Payer: Clover Medicare Advantage	$15,193.51
Rate for Payer: EmblemHealth Commercial	$47,979.51
Rate for Payer: Humana Medicare Advantage	$16,472.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,993.17
Rate for Payer: Oxford Commercial	$16,973.35
Rate for Payer: UnitedHealthcare Commercial	$22,719.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,993.17
Rate for Payer: Wellcare Medicare Advantage	$15,993.17

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$85,343.54

Service Code	MSDRG 314
Min. Negotiated Rate	$25,986.01
Max. Negotiated Rate	$85,343.54
Rate for Payer: Aetna Commercial	$62,641.15
Rate for Payer: Aetna Medicare Advantage	$85,343.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,903.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,903.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,353.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,903.45
Rate for Payer: Cigna Commercial	$46,485.36
Rate for Payer: Cigna Medicare Advantage	$27,353.70
Rate for Payer: Clover Medicare Advantage	$25,986.01
Rate for Payer: EmblemHealth Commercial	$82,061.10
Rate for Payer: Humana Medicare Advantage	$28,174.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,353.70
Rate for Payer: Oxford Commercial	$36,741.22
Rate for Payer: UnitedHealthcare Commercial	$49,179.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,353.70
Rate for Payer: Wellcare Medicare Advantage	$27,353.70

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$41,014.65

Service Code	MSDRG 316
Min. Negotiated Rate	$12,018.60
Max. Negotiated Rate	$41,014.65
Rate for Payer: Aetna Commercial	$31,069.61
Rate for Payer: Aetna Medicare Advantage	$41,014.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,116.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,116.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,145.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,116.45
Rate for Payer: Cigna Commercial	$15,206.06
Rate for Payer: Cigna Medicare Advantage	$13,145.72
Rate for Payer: Clover Medicare Advantage	$12,488.43
Rate for Payer: EmblemHealth Commercial	$39,437.16
Rate for Payer: Humana Medicare Advantage	$13,540.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,145.72
Rate for Payer: Oxford Commercial	$12,018.60
Rate for Payer: UnitedHealthcare Commercial	$16,087.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,145.72
Rate for Payer: Wellcare Medicare Advantage	$13,145.72

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$125,006.08

Service Code	MSDRG 264
Min. Negotiated Rate	$38,062.75
Max. Negotiated Rate	$125,006.08
Rate for Payer: Aetna Commercial	$90,889.27
Rate for Payer: Aetna Medicare Advantage	$125,006.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90,595.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90,595.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40,066.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90,595.35
Rate for Payer: Cigna Commercial	$74,472.00
Rate for Payer: Cigna Medicare Advantage	$40,066.05
Rate for Payer: Clover Medicare Advantage	$38,062.75
Rate for Payer: EmblemHealth Commercial	$120,198.15
Rate for Payer: Humana Medicare Advantage	$41,268.03
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40,066.05
Rate for Payer: Oxford Commercial	$58,861.37
Rate for Payer: UnitedHealthcare Commercial	$78,788.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$40,066.05
Rate for Payer: Wellcare Medicare Advantage	$40,066.05

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$27,722.48

Service Code	APR-DRG 1803
Min. Negotiated Rate	$27,178.90
Max. Negotiated Rate	$27,722.48
Rate for Payer: UnitedHealthcare Community & State	$27,178.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,722.48
Rate for Payer: Wellpoint Medicaid Managed Care	$27,178.90

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$16,223.40

Service Code	APR-DRG 1801
Min. Negotiated Rate	$15,905.29
Max. Negotiated Rate	$16,223.40
Rate for Payer: UnitedHealthcare Community & State	$15,905.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,223.40
Rate for Payer: Wellpoint Medicaid Managed Care	$15,905.29

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$48,372.53

Service Code	APR-DRG 1804
Min. Negotiated Rate	$47,424.05
Max. Negotiated Rate	$48,372.53
Rate for Payer: UnitedHealthcare Community & State	$47,424.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,372.53
Rate for Payer: Wellpoint Medicaid Managed Care	$47,424.05

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$19,926.75

Service Code	APR-DRG 1802
Min. Negotiated Rate	$19,536.03
Max. Negotiated Rate	$19,926.75
Rate for Payer: UnitedHealthcare Community & State	$19,536.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,926.75
Rate for Payer: Wellpoint Medicaid Managed Care	$19,536.03

OTHER COMPLICATIONS OF TREATMENT

Facility

$9,211.31

Service Code	APR-DRG 8132
Min. Negotiated Rate	$9,030.70
Max. Negotiated Rate	$9,211.31
Rate for Payer: UnitedHealthcare Community & State	$9,030.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,211.31
Rate for Payer: Wellpoint Medicaid Managed Care	$9,030.70

OTHER COMPLICATIONS OF TREATMENT

Facility

$13,394.98

Service Code	APR-DRG 8133
Min. Negotiated Rate	$13,132.33
Max. Negotiated Rate	$13,394.98
Rate for Payer: UnitedHealthcare Community & State	$13,132.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,394.98
Rate for Payer: Wellpoint Medicaid Managed Care	$13,132.33

OTHER COMPLICATIONS OF TREATMENT

Facility

$23,777.59

Service Code	APR-DRG 8134
Min. Negotiated Rate	$23,311.36
Max. Negotiated Rate	$23,777.59
Rate for Payer: UnitedHealthcare Community & State	$23,311.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,777.59
Rate for Payer: Wellpoint Medicaid Managed Care	$23,311.36

OTHER COMPLICATIONS OF TREATMENT

Facility

$7,604.71

Service Code	APR-DRG 8131
Min. Negotiated Rate	$7,455.60
Max. Negotiated Rate	$7,604.71
Rate for Payer: UnitedHealthcare Community & State	$7,455.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,604.71
Rate for Payer: Wellpoint Medicaid Managed Care	$7,455.60

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$31,805.03

Service Code	APR-DRG 2293
Min. Negotiated Rate	$31,181.40
Max. Negotiated Rate	$31,805.03
Rate for Payer: UnitedHealthcare Community & State	$31,181.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,805.03
Rate for Payer: Wellpoint Medicaid Managed Care	$31,181.40

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$54,424.00

Service Code	APR-DRG 2294
Min. Negotiated Rate	$53,356.86
Max. Negotiated Rate	$54,424.00
Rate for Payer: UnitedHealthcare Community & State	$53,356.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,424.00
Rate for Payer: Wellpoint Medicaid Managed Care	$53,356.86

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$21,168.21

Service Code	APR-DRG 2292
Min. Negotiated Rate	$20,753.15
Max. Negotiated Rate	$21,168.21
Rate for Payer: UnitedHealthcare Community & State	$20,753.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,168.21
Rate for Payer: Wellpoint Medicaid Managed Care	$20,753.15

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$15,476.30

Service Code	APR-DRG 2291
Min. Negotiated Rate	$15,172.84
Max. Negotiated Rate	$15,476.30
Rate for Payer: UnitedHealthcare Community & State	$15,172.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,476.30
Rate for Payer: Wellpoint Medicaid Managed Care	$15,172.84

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$23,568.30

Service Code	APR-DRG 2544
Min. Negotiated Rate	$23,106.18
Max. Negotiated Rate	$23,568.30
Rate for Payer: UnitedHealthcare Community & State	$23,106.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,568.30
Rate for Payer: Wellpoint Medicaid Managed Care	$23,106.18

Know your out-of-pocket cost for care.

All Charges