Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

AUTOCHONDROCYTE IMPLANT KNEE

Facility

$22,425.68

Service Code	HCPCS 27412
Hospital Charge Code	16000885
Hospital Revenue Code	360
Min. Negotiated Rate	$636.89
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,830.68
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,363.85
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$708.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$636.89

AUTOINJECTOR 2

Facility

$5,300.00

Hospital Charge Code	270690552
Hospital Revenue Code	270
Min. Negotiated Rate	$795.00
Max. Negotiated Rate	$795.00
Rate for Payer: Qualcare PPO/HMO/WC	$795.00

AUTOINJECTOR 2

Facility

$5,300.00

Hospital Charge Code	270690552
Hospital Revenue Code	270
Min. Negotiated Rate	$150.52
Max. Negotiated Rate	$2,650.00
Rate for Payer: Aetna Commercial	$2,014.00
Rate for Payer: Aetna Medicare Advantage	$1,590.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,351.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,351.50
Rate for Payer: Cigna Commercial	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,378.00
Rate for Payer: Oxford Commercial	$1,060.00
Rate for Payer: Qualcare PPO/HMO/WC	$795.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$167.48
Rate for Payer: Wellpoint Medicaid Managed Care	$150.52

AUTOINJECTOR O-PRIME PMA

Facility

$1,250.00

Hospital Charge Code	270677358
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

AUTOINJECTOR O-PRIME PMA

Facility

$1,250.00

Hospital Charge Code	270677358
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

AUTOLOGOUS BLOOD EA UNIT

Facility

$296.00

Service Code	HCPCS 86890
Hospital Charge Code	38471083
Hospital Revenue Code	309
Min. Negotiated Rate	$8.41
Max. Negotiated Rate	$734.21
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$734.21
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$75.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

AUTOLOGOUS BLOOD EA UNIT

Facility

$296.00

Service Code	HCPCS 86890
Hospital Charge Code	38471083
Hospital Revenue Code	309
Min. Negotiated Rate	$44.40
Max. Negotiated Rate	$44.40
Rate for Payer: Qualcare PPO/HMO/WC	$44.40

AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$51,111.05

Service Code	APR-DRG 0082
Min. Negotiated Rate	$50,108.87
Max. Negotiated Rate	$51,111.05
Rate for Payer: UnitedHealthcare Community & State	$50,108.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,111.05
Rate for Payer: Wellpoint Medicaid Managed Care	$50,108.87

AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$61,187.47

Service Code	APR-DRG 0083
Min. Negotiated Rate	$59,987.72
Max. Negotiated Rate	$61,187.47
Rate for Payer: UnitedHealthcare Community & State	$59,987.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$61,187.47
Rate for Payer: Wellpoint Medicaid Managed Care	$59,987.72

AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$31,761.49

Service Code	APR-DRG 0081
Min. Negotiated Rate	$31,138.72
Max. Negotiated Rate	$31,761.49
Rate for Payer: UnitedHealthcare Community & State	$31,138.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,761.49
Rate for Payer: Wellpoint Medicaid Managed Care	$31,138.72

AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$102,101.33

Service Code	APR-DRG 0084
Min. Negotiated Rate	$100,099.34
Max. Negotiated Rate	$102,101.33
Rate for Payer: UnitedHealthcare Community & State	$100,099.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$102,101.33
Rate for Payer: Wellpoint Medicaid Managed Care	$100,099.34

AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC

Facility

$206,804.99

Service Code	MSDRG 016
Min. Negotiated Rate	$62,969.47
Max. Negotiated Rate	$206,804.99
Rate for Payer: Aetna Medicare Advantage	$206,804.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171,216.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171,216.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$66,283.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171,216.90
Rate for Payer: Cigna Commercial	$132,190.80
Rate for Payer: Cigna Medicare Advantage	$66,283.65
Rate for Payer: Clover Medicare Advantage	$62,969.47
Rate for Payer: EmblemHealth Commercial	$198,850.95
Rate for Payer: Humana Medicare Advantage	$68,272.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$66,283.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$66,283.65
Rate for Payer: Wellcare Medicare Advantage	$66,283.65

AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC

Facility

$191,090.33

Service Code	MSDRG 017
Min. Negotiated Rate	$58,184.56
Max. Negotiated Rate	$191,090.33
Rate for Payer: Aetna Medicare Advantage	$191,090.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171,216.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171,216.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61,246.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171,216.90
Rate for Payer: Cigna Commercial	$107,860.22
Rate for Payer: Cigna Medicare Advantage	$61,246.90
Rate for Payer: Clover Medicare Advantage	$58,184.56
Rate for Payer: EmblemHealth Commercial	$183,740.70
Rate for Payer: Humana Medicare Advantage	$63,084.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61,246.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$61,246.90
Rate for Payer: Wellcare Medicare Advantage	$61,246.90

AUTOLOGOUS FIBRIN PLATELET SYS

Facility

$17,500.00

Hospital Charge Code	270670729
Hospital Revenue Code	272
Min. Negotiated Rate	$497.00
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$6,650.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,550.00
Rate for Payer: Oxford Commercial	$3,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00
Rate for Payer: UnitedHealthcare Commercial	$3,500.00
Rate for Payer: UnitedHealthcare Community & State	$553.00
Rate for Payer: Wellpoint Medicaid Managed Care	$497.00

AUTOLOGOUS FIBRIN PLATELET SYS

Facility

$17,500.00

Hospital Charge Code	270670729
Hospital Revenue Code	272
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$2,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

AUTOLOGOUS PLATELET SYSTEM 60M

Facility

$6,975.00

Service Code	HCPCS A4649
Hospital Charge Code	270696437
Hospital Revenue Code	272
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,046.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

AUTOLOGOUS PLATELET SYSTEM 60M

Facility

$6,975.00

Service Code	HCPCS A4649
Hospital Charge Code	270696437
Hospital Revenue Code	272
Min. Negotiated Rate	$198.09
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,813.50
Rate for Payer: Oxford Commercial	$1,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Commercial	$1,395.00
Rate for Payer: UnitedHealthcare Community & State	$220.41
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

AUTOLOGOUS TRANSFUSION UP TO 4

Facility

$2,492.00

Service Code	HCPCS 86891
Hospital Charge Code	38470100
Hospital Revenue Code	309
Min. Negotiated Rate	$373.80
Max. Negotiated Rate	$373.80
Rate for Payer: Qualcare PPO/HMO/WC	$373.80

AUTOLOGOUS TRANSFUSION UP TO 4

Facility

$2,492.00

Service Code	HCPCS 86891
Hospital Charge Code	38470100
Hospital Revenue Code	309
Min. Negotiated Rate	$69.81
Max. Negotiated Rate	$3,472.13
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,472.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,472.13
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.92
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$373.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$75.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$70.77

AUTOSRIVER DISP

Facility

$1,255.00

Hospital Charge Code	270703591
Hospital Revenue Code	278
Min. Negotiated Rate	$188.25
Max. Negotiated Rate	$303.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25

AUTOSRIVER DISP

Facility

$1,255.00

Hospital Charge Code	270703591
Hospital Revenue Code	278
Min. Negotiated Rate	$35.64
Max. Negotiated Rate	$627.50
Rate for Payer: Aetna Commercial	$476.90
Rate for Payer: Aetna Medicare Advantage	$376.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$251.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.02
Rate for Payer: Cigna Commercial	$627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.71
Rate for Payer: Qualcare PPO/HMO/WC	$188.25
Rate for Payer: UnitedHealthcare Community & State	$39.66
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

AUTOTOME 30MM STD

Facility

$1,072.45

Hospital Charge Code	270660086
Hospital Revenue Code	272
Min. Negotiated Rate	$160.87
Max. Negotiated Rate	$160.87
Rate for Payer: Qualcare PPO/HMO/WC	$160.87

AUTOTOME 30MM STD

Facility

$1,072.45

Hospital Charge Code	270660086
Hospital Revenue Code	272
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$536.23
Rate for Payer: Aetna Commercial	$407.53
Rate for Payer: Aetna Medicare Advantage	$321.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.47
Rate for Payer: Cigna Commercial	$536.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.84
Rate for Payer: Oxford Commercial	$214.49
Rate for Payer: Qualcare PPO/HMO/WC	$160.87
Rate for Payer: UnitedHealthcare Commercial	$214.49
Rate for Payer: UnitedHealthcare Community & State	$33.89
Rate for Payer: Wellpoint Medicaid Managed Care	$30.46

AUTOTOME 39

Facility

$1,069.80

Hospital Charge Code	270676503
Hospital Revenue Code	272
Min. Negotiated Rate	$160.47
Max. Negotiated Rate	$160.47
Rate for Payer: Qualcare PPO/HMO/WC	$160.47

AUTOTOME 39

Facility

$1,069.80

Hospital Charge Code	270676503
Hospital Revenue Code	272
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$534.90
Rate for Payer: Aetna Commercial	$406.52
Rate for Payer: Aetna Medicare Advantage	$320.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.80
Rate for Payer: Cigna Commercial	$534.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.15
Rate for Payer: Oxford Commercial	$213.96
Rate for Payer: Qualcare PPO/HMO/WC	$160.47
Rate for Payer: UnitedHealthcare Commercial	$213.96
Rate for Payer: UnitedHealthcare Community & State	$33.81
Rate for Payer: Wellpoint Medicaid Managed Care	$30.38

Know your out-of-pocket cost for care.

All Charges