Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$6,637.11

Service Code	APR-DRG 3511
Min. Negotiated Rate	$6,506.97
Max. Negotiated Rate	$6,637.11
Rate for Payer: UnitedHealthcare Community & State	$6,506.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,637.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6,506.97

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$12,834.67

Service Code	APR-DRG 3513
Min. Negotiated Rate	$12,583.01
Max. Negotiated Rate	$12,834.67
Rate for Payer: UnitedHealthcare Community & State	$12,583.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,834.67
Rate for Payer: Wellpoint Medicaid Managed Care	$12,583.01

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$8,302.68

Service Code	APR-DRG 3512
Min. Negotiated Rate	$8,139.88
Max. Negotiated Rate	$8,302.68
Rate for Payer: UnitedHealthcare Community & State	$8,139.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,302.68
Rate for Payer: Wellpoint Medicaid Managed Care	$8,139.88

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$24,051.45

Service Code	APR-DRG 3514
Min. Negotiated Rate	$23,579.85
Max. Negotiated Rate	$24,051.45
Rate for Payer: UnitedHealthcare Community & State	$23,579.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,051.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23,579.85

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility

$50,249.41

Service Code	MSDRG 565
Min. Negotiated Rate	$15,300.30
Max. Negotiated Rate	$50,249.41
Rate for Payer: Aetna Commercial	$37,646.73
Rate for Payer: Aetna Medicare Advantage	$50,249.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,105.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,705.00
Rate for Payer: Cigna Commercial	$21,722.30
Rate for Payer: Cigna Medicare Advantage	$16,105.58
Rate for Payer: Clover Medicare Advantage	$15,300.30
Rate for Payer: EmblemHealth Commercial	$48,316.74
Rate for Payer: Humana Medicare Advantage	$16,588.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,105.58
Rate for Payer: Oxford Commercial	$17,168.93
Rate for Payer: UnitedHealthcare Commercial	$22,981.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,105.58
Rate for Payer: Wellcare Medicare Advantage	$16,105.58

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility

$68,232.47

Service Code	MSDRG 564
Min. Negotiated Rate	$20,775.91
Max. Negotiated Rate	$68,232.47
Rate for Payer: Aetna Commercial	$50,454.43
Rate for Payer: Aetna Medicare Advantage	$68,232.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,219.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,219.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,869.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,219.80
Rate for Payer: Cigna Commercial	$34,411.47
Rate for Payer: Cigna Medicare Advantage	$21,869.38
Rate for Payer: Clover Medicare Advantage	$20,775.91
Rate for Payer: EmblemHealth Commercial	$65,608.14
Rate for Payer: Humana Medicare Advantage	$22,525.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,869.38
Rate for Payer: Oxford Commercial	$27,198.23
Rate for Payer: UnitedHealthcare Commercial	$36,405.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,869.38
Rate for Payer: Wellcare Medicare Advantage	$21,869.38

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility

$43,137.65

Service Code	MSDRG 566
Min. Negotiated Rate	$13,134.86
Max. Negotiated Rate	$43,137.65
Rate for Payer: Aetna Commercial	$32,581.63
Rate for Payer: Aetna Medicare Advantage	$43,137.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,826.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,778.75
Rate for Payer: Cigna Commercial	$16,704.14
Rate for Payer: Cigna Medicare Advantage	$13,826.17
Rate for Payer: Clover Medicare Advantage	$13,134.86
Rate for Payer: EmblemHealth Commercial	$41,478.51
Rate for Payer: Humana Medicare Advantage	$14,240.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,826.17
Rate for Payer: Oxford Commercial	$13,202.67
Rate for Payer: UnitedHealthcare Commercial	$17,672.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,826.17
Rate for Payer: Wellcare Medicare Advantage	$13,826.17

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

Facility

$85,119.25

Service Code	MSDRG 516
Min. Negotiated Rate	$25,917.72
Max. Negotiated Rate	$85,119.25
Rate for Payer: Aetna Commercial	$62,481.41
Rate for Payer: Aetna Medicare Advantage	$85,119.25
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	$27,281.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,518.20
Rate for Payer: Cigna Commercial	$46,327.08
Rate for Payer: Cigna Medicare Advantage	$27,281.81
Rate for Payer: Clover Medicare Advantage	$25,917.72
Rate for Payer: EmblemHealth Commercial	$81,845.43
Rate for Payer: Humana Medicare Advantage	$28,100.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,281.81
Rate for Payer: Oxford Commercial	$36,616.12
Rate for Payer: UnitedHealthcare Commercial	$49,011.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,281.81
Rate for Payer: Wellcare Medicare Advantage	$27,281.81

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility

$120,150.14

Service Code	MSDRG 515
Min. Negotiated Rate	$36,584.18
Max. Negotiated Rate	$120,150.14
Rate for Payer: Aetna Commercial	$87,430.82
Rate for Payer: Aetna Medicare Advantage	$120,150.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87,547.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87,547.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,509.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87,547.80
Rate for Payer: Cigna Commercial	$71,045.56
Rate for Payer: Cigna Medicare Advantage	$38,509.66
Rate for Payer: Clover Medicare Advantage	$36,584.18
Rate for Payer: EmblemHealth Commercial	$115,528.98
Rate for Payer: Humana Medicare Advantage	$39,664.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$38,509.66
Rate for Payer: Oxford Commercial	$56,153.18
Rate for Payer: UnitedHealthcare Commercial	$75,163.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,509.66
Rate for Payer: Wellcare Medicare Advantage	$38,509.66

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility

$68,014.47

Service Code	MSDRG 517
Min. Negotiated Rate	$20,709.53
Max. Negotiated Rate	$68,014.47
Rate for Payer: Aetna Commercial	$50,299.20
Rate for Payer: Aetna Medicare Advantage	$68,014.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,799.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,280.45
Rate for Payer: Cigna Commercial	$34,257.65
Rate for Payer: Cigna Medicare Advantage	$21,799.51
Rate for Payer: Clover Medicare Advantage	$20,709.53
Rate for Payer: EmblemHealth Commercial	$65,398.53
Rate for Payer: Humana Medicare Advantage	$22,453.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,799.51
Rate for Payer: Oxford Commercial	$27,076.65
Rate for Payer: UnitedHealthcare Commercial	$36,243.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,799.51
Rate for Payer: Wellcare Medicare Advantage	$21,799.51

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$20,133.20

Service Code	APR-DRG 3202
Min. Negotiated Rate	$19,738.43
Max. Negotiated Rate	$20,133.20
Rate for Payer: UnitedHealthcare Community & State	$19,738.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,133.20
Rate for Payer: Wellpoint Medicaid Managed Care	$19,738.43

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$29,222.37

Service Code	APR-DRG 3203
Min. Negotiated Rate	$28,649.38
Max. Negotiated Rate	$29,222.37
Rate for Payer: UnitedHealthcare Community & State	$28,649.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,222.37
Rate for Payer: Wellpoint Medicaid Managed Care	$28,649.38

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$50,745.90

Service Code	APR-DRG 3204
Min. Negotiated Rate	$49,750.88
Max. Negotiated Rate	$50,745.90
Rate for Payer: UnitedHealthcare Community & State	$49,750.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,745.90
Rate for Payer: Wellpoint Medicaid Managed Care	$49,750.88

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$14,549.38

Service Code	APR-DRG 3201
Min. Negotiated Rate	$14,264.10
Max. Negotiated Rate	$14,549.38
Rate for Payer: UnitedHealthcare Community & State	$14,264.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,549.38
Rate for Payer: Wellpoint Medicaid Managed Care	$14,264.10

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$57,926.64

Service Code	MSDRG 844
Min. Negotiated Rate	$17,637.92
Max. Negotiated Rate	$57,926.64
Rate for Payer: Aetna Commercial	$43,114.50
Rate for Payer: Aetna Medicare Advantage	$57,926.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,137.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,137.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,566.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,137.80
Rate for Payer: Cigna Commercial	$27,139.50
Rate for Payer: Cigna Medicare Advantage	$18,566.23
Rate for Payer: Clover Medicare Advantage	$17,637.92
Rate for Payer: EmblemHealth Commercial	$55,698.69
Rate for Payer: Humana Medicare Advantage	$19,123.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,566.23
Rate for Payer: Oxford Commercial	$21,450.59
Rate for Payer: UnitedHealthcare Commercial	$28,712.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,566.23
Rate for Payer: Wellcare Medicare Advantage	$18,566.23

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$82,487.53

Service Code	MSDRG 843
Min. Negotiated Rate	$25,116.39
Max. Negotiated Rate	$82,487.53
Rate for Payer: Aetna Commercial	$60,607.06
Rate for Payer: Aetna Medicare Advantage	$82,487.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,531.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,531.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,438.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,531.30
Rate for Payer: Cigna Commercial	$44,470.08
Rate for Payer: Cigna Medicare Advantage	$26,438.31
Rate for Payer: Clover Medicare Advantage	$25,116.39
Rate for Payer: EmblemHealth Commercial	$79,314.93
Rate for Payer: Humana Medicare Advantage	$27,231.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,438.31
Rate for Payer: Oxford Commercial	$35,148.38
Rate for Payer: UnitedHealthcare Commercial	$47,047.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,438.31
Rate for Payer: Wellcare Medicare Advantage	$26,438.31

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility

$46,369.75

Service Code	MSDRG 845
Min. Negotiated Rate	$14,119.00
Max. Negotiated Rate	$46,369.75
Rate for Payer: Aetna Commercial	$34,883.55
Rate for Payer: Aetna Medicare Advantage	$46,369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,862.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,826.30
Rate for Payer: Cigna Commercial	$18,984.72
Rate for Payer: Cigna Medicare Advantage	$14,862.10
Rate for Payer: Clover Medicare Advantage	$14,119.00
Rate for Payer: EmblemHealth Commercial	$44,586.30
Rate for Payer: Humana Medicare Advantage	$15,307.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,862.10
Rate for Payer: Oxford Commercial	$15,005.19
Rate for Payer: UnitedHealthcare Commercial	$20,084.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,862.10
Rate for Payer: Wellcare Medicare Advantage	$14,862.10

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$17,184.01

Service Code	APR-DRG 0261
Min. Negotiated Rate	$16,847.07
Max. Negotiated Rate	$17,184.01
Rate for Payer: UnitedHealthcare Community & State	$16,847.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,184.01
Rate for Payer: Wellpoint Medicaid Managed Care	$16,847.07

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$57,426.54

Service Code	APR-DRG 0264
Min. Negotiated Rate	$56,300.53
Max. Negotiated Rate	$57,426.54
Rate for Payer: UnitedHealthcare Community & State	$56,300.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,426.54
Rate for Payer: Wellpoint Medicaid Managed Care	$56,300.53

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$32,782.46

Service Code	APR-DRG 0263
Min. Negotiated Rate	$32,139.67
Max. Negotiated Rate	$32,782.46
Rate for Payer: UnitedHealthcare Community & State	$32,139.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,782.46
Rate for Payer: Wellpoint Medicaid Managed Care	$32,139.67

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$21,311.48

Service Code	APR-DRG 0262
Min. Negotiated Rate	$20,893.61
Max. Negotiated Rate	$21,311.48
Rate for Payer: UnitedHealthcare Community & State	$20,893.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,311.48
Rate for Payer: Wellpoint Medicaid Managed Care	$20,893.61

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$7,358.95

Service Code	APR-DRG 4252
Min. Negotiated Rate	$7,214.66
Max. Negotiated Rate	$7,358.95
Rate for Payer: UnitedHealthcare Community & State	$7,214.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,358.95
Rate for Payer: Wellpoint Medicaid Managed Care	$7,214.66

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$10,244.95

Service Code	APR-DRG 4253
Min. Negotiated Rate	$10,044.07
Max. Negotiated Rate	$10,244.95
Rate for Payer: UnitedHealthcare Community & State	$10,044.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,244.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10,044.07

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$22,225.72

Service Code	APR-DRG 4254
Min. Negotiated Rate	$21,789.92
Max. Negotiated Rate	$22,225.72
Rate for Payer: UnitedHealthcare Community & State	$21,789.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,225.72
Rate for Payer: Wellpoint Medicaid Managed Care	$21,789.92

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,020.60

Service Code	APR-DRG 4251
Min. Negotiated Rate	$5,902.55
Max. Negotiated Rate	$6,020.60
Rate for Payer: UnitedHealthcare Community & State	$5,902.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,020.60
Rate for Payer: Wellpoint Medicaid Managed Care	$5,902.55

Know your out-of-pocket cost for care.

All Charges