Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$13,490.49

Service Code	APR-DRG 2543
Min. Negotiated Rate	$13,225.97
Max. Negotiated Rate	$13,490.49
Rate for Payer: UnitedHealthcare Community & State	$13,225.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,490.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13,225.97

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$6,792.97

Service Code	APR-DRG 2541
Min. Negotiated Rate	$6,659.77
Max. Negotiated Rate	$6,792.97
Rate for Payer: UnitedHealthcare Community & State	$6,659.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,792.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6,659.77

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$9,325.11

Service Code	APR-DRG 2542
Min. Negotiated Rate	$9,142.26
Max. Negotiated Rate	$9,325.11
Rate for Payer: UnitedHealthcare Community & State	$9,142.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,325.11
Rate for Payer: Wellpoint Medicaid Managed Care	$9,142.26

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$49,026.71

Service Code	MSDRG 394
Min. Negotiated Rate	$14,928.01
Max. Negotiated Rate	$49,026.71
Rate for Payer: Aetna Commercial	$36,775.90
Rate for Payer: Aetna Medicare Advantage	$49,026.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,042.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,042.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,713.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,042.70
Rate for Payer: Cigna Commercial	$20,859.56
Rate for Payer: Cigna Medicare Advantage	$15,713.69
Rate for Payer: Clover Medicare Advantage	$14,928.01
Rate for Payer: EmblemHealth Commercial	$47,141.07
Rate for Payer: Humana Medicare Advantage	$16,185.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,713.69
Rate for Payer: Oxford Commercial	$16,487.03
Rate for Payer: UnitedHealthcare Commercial	$22,068.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,713.69
Rate for Payer: Wellcare Medicare Advantage	$15,713.69

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$69,992.18

Service Code	MSDRG 393
Min. Negotiated Rate	$21,311.72
Max. Negotiated Rate	$69,992.18
Rate for Payer: Aetna Commercial	$51,707.75
Rate for Payer: Aetna Medicare Advantage	$69,992.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,882.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,433.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,882.10
Rate for Payer: Cigna Commercial	$35,653.19
Rate for Payer: Cigna Medicare Advantage	$22,433.39
Rate for Payer: Clover Medicare Advantage	$21,311.72
Rate for Payer: EmblemHealth Commercial	$67,300.17
Rate for Payer: Humana Medicare Advantage	$23,106.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,433.39
Rate for Payer: Oxford Commercial	$28,179.67
Rate for Payer: UnitedHealthcare Commercial	$37,719.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,433.39
Rate for Payer: Wellcare Medicare Advantage	$22,433.39

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$39,968.92

Service Code	MSDRG 395
Min. Negotiated Rate	$11,435.38
Max. Negotiated Rate	$39,968.92
Rate for Payer: Aetna Commercial	$30,324.82
Rate for Payer: Aetna Medicare Advantage	$39,968.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,008.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,008.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,810.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,008.25
Rate for Payer: Cigna Commercial	$14,468.16
Rate for Payer: Cigna Medicare Advantage	$12,810.55
Rate for Payer: Clover Medicare Advantage	$12,170.02
Rate for Payer: EmblemHealth Commercial	$38,431.65
Rate for Payer: Humana Medicare Advantage	$13,194.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,810.55
Rate for Payer: Oxford Commercial	$11,435.38
Rate for Payer: UnitedHealthcare Commercial	$15,306.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,810.55
Rate for Payer: Wellcare Medicare Advantage	$12,810.55

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$92,935.47

Service Code	MSDRG 357
Min. Negotiated Rate	$28,297.66
Max. Negotiated Rate	$92,935.47
Rate for Payer: Aetna Commercial	$68,048.22
Rate for Payer: Aetna Medicare Advantage	$92,935.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,951.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,951.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,787.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,951.00
Rate for Payer: Cigna Commercial	$51,842.37
Rate for Payer: Cigna Medicare Advantage	$29,787.01
Rate for Payer: Clover Medicare Advantage	$28,297.66
Rate for Payer: EmblemHealth Commercial	$89,361.03
Rate for Payer: Humana Medicare Advantage	$30,680.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,787.01
Rate for Payer: Oxford Commercial	$40,975.31
Rate for Payer: UnitedHealthcare Commercial	$54,846.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,787.01
Rate for Payer: Wellcare Medicare Advantage	$29,787.01

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$158,248.86

Service Code	MSDRG 356
Min. Negotiated Rate	$48,184.75
Max. Negotiated Rate	$158,248.86
Rate for Payer: Aetna Commercial	$114,565.17
Rate for Payer: Aetna Medicare Advantage	$158,248.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118,577.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118,577.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50,720.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118,577.40
Rate for Payer: Cigna Commercial	$97,928.69
Rate for Payer: Cigna Medicare Advantage	$50,720.79
Rate for Payer: Clover Medicare Advantage	$48,184.75
Rate for Payer: EmblemHealth Commercial	$152,162.37
Rate for Payer: Humana Medicare Advantage	$52,242.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$50,720.79
Rate for Payer: Oxford Commercial	$77,401.14
Rate for Payer: UnitedHealthcare Commercial	$103,604.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$50,720.79
Rate for Payer: Wellcare Medicare Advantage	$50,720.79

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$63,629.31

Service Code	MSDRG 358
Min. Negotiated Rate	$19,374.31
Max. Negotiated Rate	$63,629.31
Rate for Payer: Aetna Commercial	$47,176.01
Rate for Payer: Aetna Medicare Advantage	$63,629.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,462.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,462.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,462.40
Rate for Payer: Cigna Commercial	$31,163.38
Rate for Payer: Cigna Medicare Advantage	$20,394.01
Rate for Payer: Clover Medicare Advantage	$19,374.31
Rate for Payer: EmblemHealth Commercial	$61,182.03
Rate for Payer: Humana Medicare Advantage	$21,005.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,394.01
Rate for Payer: Oxford Commercial	$24,631.00
Rate for Payer: UnitedHealthcare Commercial	$32,969.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,394.01
Rate for Payer: Wellcare Medicare Advantage	$20,394.01

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$18,529.43

Service Code	APR-DRG 0583
Min. Negotiated Rate	$18,166.11
Max. Negotiated Rate	$18,529.43
Rate for Payer: UnitedHealthcare Community & State	$18,166.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,529.43
Rate for Payer: Wellpoint Medicaid Managed Care	$18,166.11

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$25,788.65

Service Code	APR-DRG 0584
Min. Negotiated Rate	$25,282.99
Max. Negotiated Rate	$25,788.65
Rate for Payer: UnitedHealthcare Community & State	$25,282.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,788.65
Rate for Payer: Wellpoint Medicaid Managed Care	$25,282.99

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$14,340.17

Service Code	APR-DRG 0582
Min. Negotiated Rate	$14,058.99
Max. Negotiated Rate	$14,340.17
Rate for Payer: UnitedHealthcare Community & State	$14,058.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,340.17
Rate for Payer: Wellpoint Medicaid Managed Care	$14,058.99

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$10,640.96

Service Code	APR-DRG 0581
Min. Negotiated Rate	$10,432.31
Max. Negotiated Rate	$10,640.96
Rate for Payer: UnitedHealthcare Community & State	$10,432.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,640.96
Rate for Payer: Wellpoint Medicaid Managed Care	$10,432.31

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$51,784.89

Service Code	MSDRG 092
Min. Negotiated Rate	$15,767.83
Max. Negotiated Rate	$51,784.89
Rate for Payer: Aetna Medicare Advantage	$51,784.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,536.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,536.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,597.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,536.15
Rate for Payer: Cigna Commercial	$22,805.74
Rate for Payer: Cigna Medicare Advantage	$16,597.72
Rate for Payer: Clover Medicare Advantage	$15,767.83
Rate for Payer: EmblemHealth Commercial	$49,793.16
Rate for Payer: Humana Medicare Advantage	$17,095.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,597.72
Rate for Payer: Oxford Commercial	$18,025.26
Rate for Payer: UnitedHealthcare Commercial	$24,127.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,597.72
Rate for Payer: Wellcare Medicare Advantage	$16,597.72

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$74,949.26

Service Code	MSDRG 091
Min. Negotiated Rate	$22,821.09
Max. Negotiated Rate	$74,949.26
Rate for Payer: Aetna Medicare Advantage	$74,949.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,591.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,591.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,022.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,591.95
Rate for Payer: Cigna Commercial	$39,150.97
Rate for Payer: Cigna Medicare Advantage	$24,022.20
Rate for Payer: Clover Medicare Advantage	$22,821.09
Rate for Payer: EmblemHealth Commercial	$72,066.60
Rate for Payer: Humana Medicare Advantage	$24,742.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,022.20
Rate for Payer: Oxford Commercial	$30,944.24
Rate for Payer: UnitedHealthcare Commercial	$41,419.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,022.20
Rate for Payer: Wellcare Medicare Advantage	$24,022.20

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$44,622.61

Service Code	MSDRG 093
Min. Negotiated Rate	$13,587.01
Max. Negotiated Rate	$44,622.61
Rate for Payer: Aetna Medicare Advantage	$44,622.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,332.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,332.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,302.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,332.85
Rate for Payer: Cigna Commercial	$17,751.92
Rate for Payer: Cigna Medicare Advantage	$14,302.12
Rate for Payer: Clover Medicare Advantage	$13,587.01
Rate for Payer: EmblemHealth Commercial	$42,906.36
Rate for Payer: Humana Medicare Advantage	$14,731.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,302.12
Rate for Payer: Oxford Commercial	$14,030.81
Rate for Payer: UnitedHealthcare Commercial	$18,780.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,302.12
Rate for Payer: Wellcare Medicare Advantage	$14,302.12

OTHER DISORDERS OF THE EYE WITH MCC

Facility

$61,266.10

Service Code	MSDRG 124
Min. Negotiated Rate	$18,654.74
Max. Negotiated Rate	$61,266.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,570.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,570.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,570.60

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$61,266.10

Service Code	MSDRG 124
Min. Negotiated Rate	$18,654.74
Max. Negotiated Rate	$61,266.10
Rate for Payer: Aetna Commercial	$45,492.90
Rate for Payer: Aetna Medicare Advantage	$61,266.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,636.57
Rate for Payer: Cigna Commercial	$29,495.87
Rate for Payer: Cigna Medicare Advantage	$19,636.57
Rate for Payer: Clover Medicare Advantage	$18,654.74
Rate for Payer: EmblemHealth Commercial	$58,909.71
Rate for Payer: Humana Medicare Advantage	$20,225.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,636.57
Rate for Payer: Oxford Commercial	$23,313.02
Rate for Payer: UnitedHealthcare Commercial	$31,205.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,636.57
Rate for Payer: Wellcare Medicare Advantage	$19,636.57

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$43,722.21

Service Code	MSDRG 125
Min. Negotiated Rate	$13,312.85
Max. Negotiated Rate	$43,722.21
Rate for Payer: Aetna Commercial	$32,997.96
Rate for Payer: Aetna Medicare Advantage	$43,722.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,013.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,164.00
Rate for Payer: Cigna Commercial	$17,116.57
Rate for Payer: Cigna Medicare Advantage	$14,013.53
Rate for Payer: Clover Medicare Advantage	$13,312.85
Rate for Payer: EmblemHealth Commercial	$42,040.59
Rate for Payer: Humana Medicare Advantage	$14,433.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,013.53
Rate for Payer: Oxford Commercial	$13,528.64
Rate for Payer: UnitedHealthcare Commercial	$18,108.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,013.53
Rate for Payer: Wellcare Medicare Advantage	$14,013.53

OTHER DISORDERS OF THE LIVER

Facility

$12,875.36

Service Code	APR-DRG 2833
Min. Negotiated Rate	$12,622.90
Max. Negotiated Rate	$12,875.36
Rate for Payer: UnitedHealthcare Community & State	$12,622.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,875.36
Rate for Payer: Wellpoint Medicaid Managed Care	$12,622.90

OTHER DISORDERS OF THE LIVER

Facility

$8,763.33

Service Code	APR-DRG 2832
Min. Negotiated Rate	$8,591.50
Max. Negotiated Rate	$8,763.33
Rate for Payer: UnitedHealthcare Community & State	$8,591.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,763.33
Rate for Payer: Wellpoint Medicaid Managed Care	$8,591.50

OTHER DISORDERS OF THE LIVER

Facility

$6,771.92

Service Code	APR-DRG 2831
Min. Negotiated Rate	$6,639.14
Max. Negotiated Rate	$6,771.92
Rate for Payer: UnitedHealthcare Community & State	$6,639.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,771.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6,639.14

OTHER DISORDERS OF THE LIVER

Facility

$23,749.49

Service Code	APR-DRG 2834
Min. Negotiated Rate	$23,283.81
Max. Negotiated Rate	$23,749.49
Rate for Payer: UnitedHealthcare Community & State	$23,283.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,749.49
Rate for Payer: Wellpoint Medicaid Managed Care	$23,283.81

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$5,128.77

Service Code	APR-DRG 7761
Min. Negotiated Rate	$5,028.21
Max. Negotiated Rate	$5,128.77
Rate for Payer: UnitedHealthcare Community & State	$5,028.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,128.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5,028.21

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$5,815.53

Service Code	APR-DRG 7762
Min. Negotiated Rate	$5,701.50
Max. Negotiated Rate	$5,815.53
Rate for Payer: UnitedHealthcare Community & State	$5,701.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,815.53
Rate for Payer: Wellpoint Medicaid Managed Care	$5,701.50

Know your out-of-pocket cost for care.

All Charges