Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$30,868.29

Service Code	APR-DRG 7244
Min. Negotiated Rate	$30,263.03
Max. Negotiated Rate	$30,868.29
Rate for Payer: UnitedHealthcare Community & State	$30,263.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,868.29
Rate for Payer: Wellpoint Medicaid Managed Care	$30,263.03

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$7,843.48

Service Code	APR-DRG 7241
Min. Negotiated Rate	$7,689.69
Max. Negotiated Rate	$7,843.48
Rate for Payer: UnitedHealthcare Community & State	$7,689.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,843.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7,689.69

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$52,040.76

Service Code	MSDRG 868
Min. Negotiated Rate	$15,845.74
Max. Negotiated Rate	$52,040.76
Rate for Payer: Aetna Commercial	$38,922.53
Rate for Payer: Aetna Medicare Advantage	$52,040.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,679.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,198.45
Rate for Payer: Cigna Commercial	$22,986.31
Rate for Payer: Cigna Medicare Advantage	$16,679.73
Rate for Payer: Clover Medicare Advantage	$15,845.74
Rate for Payer: EmblemHealth Commercial	$50,039.19
Rate for Payer: Humana Medicare Advantage	$17,180.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,679.73
Rate for Payer: Oxford Commercial	$18,167.98
Rate for Payer: UnitedHealthcare Commercial	$24,318.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,679.73
Rate for Payer: Wellcare Medicare Advantage	$16,679.73

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$85,596.26

Service Code	MSDRG 867
Min. Negotiated Rate	$26,062.97
Max. Negotiated Rate	$85,596.26
Rate for Payer: Aetna Commercial	$62,821.13
Rate for Payer: Aetna Medicare Advantage	$85,596.26
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	$27,434.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,903.45
Rate for Payer: Cigna Commercial	$46,663.71
Rate for Payer: Cigna Medicare Advantage	$27,434.70
Rate for Payer: Clover Medicare Advantage	$26,062.97
Rate for Payer: EmblemHealth Commercial	$82,304.10
Rate for Payer: Humana Medicare Advantage	$28,257.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,434.70
Rate for Payer: Oxford Commercial	$36,882.18
Rate for Payer: UnitedHealthcare Commercial	$49,368.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,434.70
Rate for Payer: Wellcare Medicare Advantage	$27,434.70

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$42,518.46

Service Code	MSDRG 869
Min. Negotiated Rate	$12,857.31
Max. Negotiated Rate	$42,518.46
Rate for Payer: Aetna Commercial	$32,140.63
Rate for Payer: Aetna Medicare Advantage	$42,518.46
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	$13,627.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,116.45
Rate for Payer: Cigna Commercial	$16,267.20
Rate for Payer: Cigna Medicare Advantage	$13,627.71
Rate for Payer: Clover Medicare Advantage	$12,946.32
Rate for Payer: EmblemHealth Commercial	$40,883.13
Rate for Payer: Humana Medicare Advantage	$14,036.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,627.71
Rate for Payer: Oxford Commercial	$12,857.31
Rate for Payer: UnitedHealthcare Commercial	$17,209.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,627.71
Rate for Payer: Wellcare Medicare Advantage	$13,627.71

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$12,590.30

Service Code	APR-DRG 8153
Min. Negotiated Rate	$12,343.43
Max. Negotiated Rate	$12,590.30
Rate for Payer: UnitedHealthcare Community & State	$12,343.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,590.30
Rate for Payer: Wellpoint Medicaid Managed Care	$12,343.43

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$26,927.62

Service Code	APR-DRG 8154
Min. Negotiated Rate	$26,399.63
Max. Negotiated Rate	$26,927.62
Rate for Payer: UnitedHealthcare Community & State	$26,399.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,927.62
Rate for Payer: Wellpoint Medicaid Managed Care	$26,399.63

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$7,342.13

Service Code	APR-DRG 8152
Min. Negotiated Rate	$7,198.17
Max. Negotiated Rate	$7,342.13
Rate for Payer: UnitedHealthcare Community & State	$7,198.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,342.13
Rate for Payer: Wellpoint Medicaid Managed Care	$7,198.17

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$5,281.87

Service Code	APR-DRG 8151
Min. Negotiated Rate	$5,178.30
Max. Negotiated Rate	$5,281.87
Rate for Payer: UnitedHealthcare Community & State	$5,178.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,281.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5,178.30

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$74,734.45

Service Code	MSDRG 922
Min. Negotiated Rate	$22,755.68
Max. Negotiated Rate	$74,734.45
Rate for Payer: Aetna Commercial	$55,085.26
Rate for Payer: Aetna Medicare Advantage	$74,734.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,953.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,206.70
Rate for Payer: Cigna Commercial	$38,999.37
Rate for Payer: Cigna Medicare Advantage	$23,953.35
Rate for Payer: Clover Medicare Advantage	$22,755.68
Rate for Payer: EmblemHealth Commercial	$71,860.05
Rate for Payer: Humana Medicare Advantage	$24,671.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,953.35
Rate for Payer: Oxford Commercial	$30,824.43
Rate for Payer: UnitedHealthcare Commercial	$41,259.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,953.35
Rate for Payer: Wellcare Medicare Advantage	$23,953.35

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$51,617.50

Service Code	MSDRG 923
Min. Negotiated Rate	$15,716.87
Max. Negotiated Rate	$51,617.50
Rate for Payer: Aetna Commercial	$38,621.07
Rate for Payer: Aetna Medicare Advantage	$51,617.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,544.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,982.05
Rate for Payer: Cigna Commercial	$22,687.59
Rate for Payer: Cigna Medicare Advantage	$16,544.07
Rate for Payer: Clover Medicare Advantage	$15,716.87
Rate for Payer: EmblemHealth Commercial	$49,632.21
Rate for Payer: Humana Medicare Advantage	$17,040.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,544.07
Rate for Payer: Oxford Commercial	$17,931.87
Rate for Payer: UnitedHealthcare Commercial	$24,002.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,544.07
Rate for Payer: Wellcare Medicare Advantage	$16,544.07

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$6,337.98

Service Code	APR-DRG 4681
Min. Negotiated Rate	$6,213.71
Max. Negotiated Rate	$6,337.98
Rate for Payer: UnitedHealthcare Community & State	$6,213.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,337.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6,213.71

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$12,480.74

Service Code	APR-DRG 4683
Min. Negotiated Rate	$12,236.02
Max. Negotiated Rate	$12,480.74
Rate for Payer: UnitedHealthcare Community & State	$12,236.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,480.74
Rate for Payer: Wellpoint Medicaid Managed Care	$12,236.02

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$23,592.17

Service Code	APR-DRG 4684
Min. Negotiated Rate	$23,129.58
Max. Negotiated Rate	$23,592.17
Rate for Payer: UnitedHealthcare Community & State	$23,129.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,592.17
Rate for Payer: Wellpoint Medicaid Managed Care	$23,129.58

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$8,552.66

Service Code	APR-DRG 4682
Min. Negotiated Rate	$8,384.96
Max. Negotiated Rate	$8,552.66
Rate for Payer: UnitedHealthcare Community & State	$8,384.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,552.66
Rate for Payer: Wellpoint Medicaid Managed Care	$8,384.96

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$51,532.14

Service Code	MSDRG 699
Min. Negotiated Rate	$15,690.87
Max. Negotiated Rate	$51,532.14
Rate for Payer: Aetna Commercial	$38,560.28
Rate for Payer: Aetna Medicare Advantage	$51,532.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,259.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,259.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,516.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,259.10
Rate for Payer: Cigna Commercial	$22,627.40
Rate for Payer: Cigna Medicare Advantage	$16,516.71
Rate for Payer: Clover Medicare Advantage	$15,690.87
Rate for Payer: EmblemHealth Commercial	$49,550.13
Rate for Payer: Humana Medicare Advantage	$17,012.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,516.71
Rate for Payer: Oxford Commercial	$17,884.30
Rate for Payer: UnitedHealthcare Commercial	$23,938.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,516.71
Rate for Payer: Wellcare Medicare Advantage	$16,516.71

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$71,732.98

Service Code	MSDRG 698
Min. Negotiated Rate	$21,841.77
Max. Negotiated Rate	$71,732.98
Rate for Payer: Aetna Commercial	$52,947.57
Rate for Payer: Aetna Medicare Advantage	$71,732.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,991.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,713.25
Rate for Payer: Cigna Commercial	$36,881.54
Rate for Payer: Cigna Medicare Advantage	$22,991.34
Rate for Payer: Clover Medicare Advantage	$21,841.77
Rate for Payer: EmblemHealth Commercial	$68,974.02
Rate for Payer: Humana Medicare Advantage	$23,681.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,991.34
Rate for Payer: Oxford Commercial	$29,150.53
Rate for Payer: UnitedHealthcare Commercial	$39,019.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,991.34
Rate for Payer: Wellcare Medicare Advantage	$22,991.34

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$41,261.03

Service Code	MSDRG 700
Min. Negotiated Rate	$12,156.04
Max. Negotiated Rate	$41,261.03
Rate for Payer: Aetna Commercial	$31,245.08
Rate for Payer: Aetna Medicare Advantage	$41,261.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,224.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,670.55
Rate for Payer: Cigna Commercial	$15,379.94
Rate for Payer: Cigna Medicare Advantage	$13,224.69
Rate for Payer: Clover Medicare Advantage	$12,563.46
Rate for Payer: EmblemHealth Commercial	$39,674.07
Rate for Payer: Humana Medicare Advantage	$13,621.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,224.69
Rate for Payer: Oxford Commercial	$12,156.04
Rate for Payer: UnitedHealthcare Commercial	$16,271.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,224.69
Rate for Payer: Wellcare Medicare Advantage	$13,224.69

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$93,349.37

Service Code	MSDRG 674
Min. Negotiated Rate	$28,423.69
Max. Negotiated Rate	$93,349.37
Rate for Payer: Aetna Commercial	$68,343.00
Rate for Payer: Aetna Medicare Advantage	$93,349.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,937.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,937.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,919.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,937.90
Rate for Payer: Cigna Commercial	$52,134.41
Rate for Payer: Cigna Medicare Advantage	$29,919.67
Rate for Payer: Clover Medicare Advantage	$28,423.69
Rate for Payer: EmblemHealth Commercial	$89,759.01
Rate for Payer: Humana Medicare Advantage	$30,817.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,919.67
Rate for Payer: Oxford Commercial	$41,206.13
Rate for Payer: UnitedHealthcare Commercial	$55,155.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,919.67
Rate for Payer: Wellcare Medicare Advantage	$29,919.67

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$152,208.17

Service Code	MSDRG 673
Min. Negotiated Rate	$46,345.44
Max. Negotiated Rate	$152,208.17
Rate for Payer: Aetna Commercial	$110,262.90
Rate for Payer: Aetna Medicare Advantage	$152,208.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102,508.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102,508.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,784.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102,508.50
Rate for Payer: Cigna Commercial	$93,666.27
Rate for Payer: Cigna Medicare Advantage	$48,784.67
Rate for Payer: Clover Medicare Advantage	$46,345.44
Rate for Payer: EmblemHealth Commercial	$146,354.01
Rate for Payer: Humana Medicare Advantage	$50,248.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,784.67
Rate for Payer: Oxford Commercial	$74,032.19
Rate for Payer: UnitedHealthcare Commercial	$99,094.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,784.67
Rate for Payer: Wellcare Medicare Advantage	$48,784.67

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$71,322.30

Service Code	MSDRG 675
Min. Negotiated Rate	$21,716.72
Max. Negotiated Rate	$71,322.30
Rate for Payer: Aetna Commercial	$52,655.07
Rate for Payer: Aetna Medicare Advantage	$71,322.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,050.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,050.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,859.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,050.95
Rate for Payer: Cigna Commercial	$36,591.73
Rate for Payer: Cigna Medicare Advantage	$22,859.71
Rate for Payer: Clover Medicare Advantage	$21,716.72
Rate for Payer: EmblemHealth Commercial	$68,579.13
Rate for Payer: Humana Medicare Advantage	$23,545.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,859.71
Rate for Payer: Oxford Commercial	$28,921.47
Rate for Payer: UnitedHealthcare Commercial	$38,712.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,859.71
Rate for Payer: Wellcare Medicare Advantage	$22,859.71

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$56,336.78

Service Code	APR-DRG 4474
Min. Negotiated Rate	$55,232.14
Max. Negotiated Rate	$56,336.78
Rate for Payer: UnitedHealthcare Community & State	$55,232.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$56,336.78
Rate for Payer: Wellpoint Medicaid Managed Care	$55,232.14

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$17,297.79

Service Code	APR-DRG 4471
Min. Negotiated Rate	$16,958.62
Max. Negotiated Rate	$17,297.79
Rate for Payer: UnitedHealthcare Community & State	$16,958.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,297.79
Rate for Payer: Wellpoint Medicaid Managed Care	$16,958.62

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$28,216.84

Service Code	APR-DRG 4473
Min. Negotiated Rate	$27,663.57
Max. Negotiated Rate	$28,216.84
Rate for Payer: UnitedHealthcare Community & State	$27,663.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,216.84
Rate for Payer: Wellpoint Medicaid Managed Care	$27,663.57

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$20,537.66

Service Code	APR-DRG 4472
Min. Negotiated Rate	$20,134.96
Max. Negotiated Rate	$20,537.66
Rate for Payer: UnitedHealthcare Community & State	$20,134.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,537.66
Rate for Payer: Wellpoint Medicaid Managed Care	$20,134.96

Know your out-of-pocket cost for care.

All Charges