Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

OTHER OPEN CRANIOTOMY

Facility

$70,181.13

Service Code	APR-DRG 0274
Min. Negotiated Rate	$68,805.03
Max. Negotiated Rate	$70,181.13
Rate for Payer: UnitedHealthcare Community & State	$68,805.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$70,181.13
Rate for Payer: Wellpoint Medicaid Managed Care	$68,805.03

OTHER OPEN CRANIOTOMY

Facility

$40,815.50

Service Code	APR-DRG 0273
Min. Negotiated Rate	$40,015.20
Max. Negotiated Rate	$40,815.50
Rate for Payer: UnitedHealthcare Community & State	$40,015.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,815.50
Rate for Payer: Wellpoint Medicaid Managed Care	$40,015.20

OTHER OPEN CRANIOTOMY

Facility

$23,397.01

Service Code	APR-DRG 0271
Min. Negotiated Rate	$22,938.25
Max. Negotiated Rate	$23,397.01
Rate for Payer: UnitedHealthcare Community & State	$22,938.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,397.01
Rate for Payer: Wellpoint Medicaid Managed Care	$22,938.25

OTHER OPEN CRANIOTOMY

Facility

$26,061.13

Service Code	APR-DRG 0272
Min. Negotiated Rate	$25,550.13
Max. Negotiated Rate	$26,061.13
Rate for Payer: UnitedHealthcare Community & State	$25,550.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,061.13
Rate for Payer: Wellpoint Medicaid Managed Care	$25,550.13

OTHER O.R. PROCEDURES FOR INJURIES WITH CC

Facility

$82,500.07

Service Code	MSDRG 908
Min. Negotiated Rate	$25,120.21
Max. Negotiated Rate	$82,500.07
Rate for Payer: Aetna Commercial	$60,616.03
Rate for Payer: Aetna Medicare Advantage	$82,500.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,442.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,410.00
Rate for Payer: Cigna Commercial	$44,478.99
Rate for Payer: Cigna Medicare Advantage	$26,442.33
Rate for Payer: Clover Medicare Advantage	$25,120.21
Rate for Payer: EmblemHealth Commercial	$79,326.99
Rate for Payer: Humana Medicare Advantage	$27,235.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,442.33
Rate for Payer: Oxford Commercial	$35,155.42
Rate for Payer: UnitedHealthcare Commercial	$47,056.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,442.33
Rate for Payer: Wellcare Medicare Advantage	$26,442.33

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

Facility

$140,761.86

Service Code	MSDRG 907
Min. Negotiated Rate	$42,860.18
Max. Negotiated Rate	$140,761.86
Rate for Payer: Aetna Commercial	$102,110.73
Rate for Payer: Aetna Medicare Advantage	$140,761.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103,062.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103,062.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,115.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103,062.60
Rate for Payer: Cigna Commercial	$85,589.51
Rate for Payer: Cigna Medicare Advantage	$45,115.98
Rate for Payer: Clover Medicare Advantage	$42,860.18
Rate for Payer: EmblemHealth Commercial	$135,347.94
Rate for Payer: Humana Medicare Advantage	$46,469.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$45,115.98
Rate for Payer: Oxford Commercial	$67,648.47
Rate for Payer: UnitedHealthcare Commercial	$90,549.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,115.98
Rate for Payer: Wellcare Medicare Advantage	$45,115.98

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

Facility

$60,937.47

Service Code	MSDRG 909
Min. Negotiated Rate	$18,554.68
Max. Negotiated Rate	$60,937.47
Rate for Payer: Aetna Commercial	$45,258.87
Rate for Payer: Aetna Medicare Advantage	$60,937.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,678.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,678.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,531.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,678.80
Rate for Payer: Cigna Commercial	$29,264.02
Rate for Payer: Cigna Medicare Advantage	$19,531.24
Rate for Payer: Clover Medicare Advantage	$18,554.68
Rate for Payer: EmblemHealth Commercial	$58,593.72
Rate for Payer: Humana Medicare Advantage	$20,117.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,531.24
Rate for Payer: Oxford Commercial	$23,129.77
Rate for Payer: UnitedHealthcare Commercial	$30,960.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,531.24
Rate for Payer: Wellcare Medicare Advantage	$19,531.24

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$33,692.48

Service Code	APR-DRG 6813
Min. Negotiated Rate	$33,031.84
Max. Negotiated Rate	$33,692.48
Rate for Payer: UnitedHealthcare Community & State	$33,031.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,692.48
Rate for Payer: Wellpoint Medicaid Managed Care	$33,031.84

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$76,273.37

Service Code	APR-DRG 6814
Min. Negotiated Rate	$74,777.81
Max. Negotiated Rate	$76,273.37
Rate for Payer: UnitedHealthcare Community & State	$74,777.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$76,273.37
Rate for Payer: Wellpoint Medicaid Managed Care	$74,777.81

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$20,607.91

Service Code	APR-DRG 6812
Min. Negotiated Rate	$20,203.83
Max. Negotiated Rate	$20,607.91
Rate for Payer: UnitedHealthcare Community & State	$20,203.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,607.91
Rate for Payer: Wellpoint Medicaid Managed Care	$20,203.83

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$15,925.66

Service Code	APR-DRG 6811
Min. Negotiated Rate	$15,613.39
Max. Negotiated Rate	$15,925.66
Rate for Payer: UnitedHealthcare Community & State	$15,613.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,925.66
Rate for Payer: Wellpoint Medicaid Managed Care	$15,613.39

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$152,596.77

Service Code	MSDRG 958
Min. Negotiated Rate	$46,463.76
Max. Negotiated Rate	$152,596.77
Rate for Payer: Aetna Commercial	$110,539.67
Rate for Payer: Aetna Medicare Advantage	$152,596.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111,928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111,928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,909.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111,928.20
Rate for Payer: Cigna Commercial	$93,940.47
Rate for Payer: Cigna Medicare Advantage	$48,909.22
Rate for Payer: Clover Medicare Advantage	$46,463.76
Rate for Payer: EmblemHealth Commercial	$146,727.66
Rate for Payer: Humana Medicare Advantage	$50,376.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,909.22
Rate for Payer: Oxford Commercial	$74,248.92
Rate for Payer: UnitedHealthcare Commercial	$99,384.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,909.22
Rate for Payer: Wellcare Medicare Advantage	$48,909.22

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$260,204.41

Service Code	MSDRG 957
Min. Negotiated Rate	$79,228.91
Max. Negotiated Rate	$260,204.41
Rate for Payer: Aetna Commercial	$187,179.10
Rate for Payer: Aetna Medicare Advantage	$260,204.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200,307.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200,307.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$83,398.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200,307.15
Rate for Payer: Cigna Commercial	$169,870.43
Rate for Payer: Cigna Medicare Advantage	$83,398.85
Rate for Payer: Clover Medicare Advantage	$79,228.91
Rate for Payer: EmblemHealth Commercial	$250,196.55
Rate for Payer: Humana Medicare Advantage	$85,900.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$83,398.85
Rate for Payer: Oxford Commercial	$134,262.64
Rate for Payer: UnitedHealthcare Commercial	$179,715.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$83,398.85
Rate for Payer: Wellcare Medicare Advantage	$83,398.85

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$112,479.28

Service Code	MSDRG 959
Min. Negotiated Rate	$34,248.50
Max. Negotiated Rate	$112,479.28
Rate for Payer: Aetna Commercial	$81,967.54
Rate for Payer: Aetna Medicare Advantage	$112,479.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70,093.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70,093.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,051.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70,093.65
Rate for Payer: Cigna Commercial	$65,632.82
Rate for Payer: Cigna Medicare Advantage	$36,051.05
Rate for Payer: Clover Medicare Advantage	$34,248.50
Rate for Payer: EmblemHealth Commercial	$108,153.15
Rate for Payer: Humana Medicare Advantage	$37,132.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$36,051.05
Rate for Payer: Oxford Commercial	$51,875.04
Rate for Payer: UnitedHealthcare Commercial	$69,436.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,051.05
Rate for Payer: Wellcare Medicare Advantage	$36,051.05

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

Facility

$78,193.94

Service Code	MSDRG 803
Min. Negotiated Rate	$23,809.05
Max. Negotiated Rate	$78,193.94
Rate for Payer: Aetna Commercial	$57,549.14
Rate for Payer: Aetna Medicare Advantage	$78,193.94
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	$25,062.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,531.30
Rate for Payer: Cigna Commercial	$41,440.46
Rate for Payer: Cigna Medicare Advantage	$25,062.16
Rate for Payer: Clover Medicare Advantage	$23,809.05
Rate for Payer: EmblemHealth Commercial	$75,186.48
Rate for Payer: Humana Medicare Advantage	$25,814.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,062.16
Rate for Payer: Oxford Commercial	$32,753.82
Rate for Payer: UnitedHealthcare Commercial	$43,842.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,062.16
Rate for Payer: Wellcare Medicare Advantage	$25,062.16

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

Facility

$145,336.56

Service Code	MSDRG 802
Min. Negotiated Rate	$44,253.12
Max. Negotiated Rate	$145,336.56
Rate for Payer: Aetna Commercial	$105,368.89
Rate for Payer: Aetna Medicare Advantage	$145,336.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,028.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,028.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46,582.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,028.15
Rate for Payer: Cigna Commercial	$88,817.54
Rate for Payer: Cigna Medicare Advantage	$46,582.23
Rate for Payer: Clover Medicare Advantage	$44,253.12
Rate for Payer: EmblemHealth Commercial	$139,746.69
Rate for Payer: Humana Medicare Advantage	$47,979.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46,582.23
Rate for Payer: Oxford Commercial	$70,199.84
Rate for Payer: UnitedHealthcare Commercial	$93,965.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$46,582.23
Rate for Payer: Wellcare Medicare Advantage	$46,582.23

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

Facility

$62,305.53

Service Code	MSDRG 804
Min. Negotiated Rate	$18,971.23
Max. Negotiated Rate	$62,305.53
Rate for Payer: Aetna Commercial	$46,233.21
Rate for Payer: Aetna Medicare Advantage	$62,305.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,523.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,523.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,969.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,523.05
Rate for Payer: Cigna Commercial	$30,229.31
Rate for Payer: Cigna Medicare Advantage	$19,969.72
Rate for Payer: Clover Medicare Advantage	$18,971.23
Rate for Payer: EmblemHealth Commercial	$59,909.16
Rate for Payer: Humana Medicare Advantage	$20,568.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,969.72
Rate for Payer: Oxford Commercial	$23,892.72
Rate for Payer: UnitedHealthcare Commercial	$31,981.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,969.72
Rate for Payer: Wellcare Medicare Advantage	$19,969.72

OTHER OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	9109152
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	9109152
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

OTHER OT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GO
Hospital Charge Code	9109154
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

OTHER OT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GO
Hospital Charge Code	9109154
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GO
Hospital Charge Code	9109153
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GO
Hospital Charge Code	9109153
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$54,658.55

Service Code	APR-DRG 0294
Min. Negotiated Rate	$53,586.81
Max. Negotiated Rate	$54,658.55
Rate for Payer: UnitedHealthcare Community & State	$53,586.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,658.55
Rate for Payer: Wellpoint Medicaid Managed Care	$53,586.81

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$31,003.10

Service Code	APR-DRG 0292
Min. Negotiated Rate	$30,395.20
Max. Negotiated Rate	$31,003.10
Rate for Payer: UnitedHealthcare Community & State	$30,395.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,003.10
Rate for Payer: Wellpoint Medicaid Managed Care	$30,395.20

Know your out-of-pocket cost for care.

All Charges