Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACEMKR,DUAL CHAMB,RATE RESPON

Facility

$44,614.00

Hospital Charge Code	270335377
Hospital Revenue Code	275
Min. Negotiated Rate	$1,267.04
Max. Negotiated Rate	$22,307.00
Rate for Payer: Aetna Commercial	$16,953.32
Rate for Payer: Aetna Medicare Advantage	$13,384.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,376.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,376.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,922.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,376.57
Rate for Payer: Cigna Commercial	$22,307.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,796.59
Rate for Payer: Qualcare PPO/HMO/WC	$6,692.10
Rate for Payer: UnitedHealthcare Community & State	$1,409.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,267.04

PACEMKR,DUAL CHAMB,RATE RESPON

Facility

$44,614.00

Hospital Charge Code	270335377
Hospital Revenue Code	275
Min. Negotiated Rate	$6,692.10
Max. Negotiated Rate	$10,796.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,922.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,796.59
Rate for Payer: Qualcare PPO/HMO/WC	$6,692.10

PACEMKR, SING CHAMBER NON RATE

Facility

$19,648.00

Hospital Charge Code	270335546
Hospital Revenue Code	275
Min. Negotiated Rate	$2,947.20
Max. Negotiated Rate	$4,754.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,929.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,754.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,947.20

PACEMKR, SING CHAMBER NON RATE

Facility

$19,648.00

Hospital Charge Code	270335546
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$9,824.00
Rate for Payer: Aetna Commercial	$7,466.24
Rate for Payer: Aetna Medicare Advantage	$5,894.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,010.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,010.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,929.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,010.24
Rate for Payer: Cigna Commercial	$9,824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,754.82
Rate for Payer: Qualcare PPO/HMO/WC	$2,947.20
Rate for Payer: UnitedHealthcare Community & State	$620.88
Rate for Payer: Wellpoint Medicaid Managed Care	$558.00

PACEMKR/SING/CHAMBER.RATE.RESP

Facility

$39,837.00

Hospital Charge Code	270335378
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.55
Max. Negotiated Rate	$9,640.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.55
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.55

PACEMKR/SING/CHAMBER.RATE.RESP

Facility

$39,837.00

Hospital Charge Code	270335378
Hospital Revenue Code	275
Min. Negotiated Rate	$1,131.37
Max. Negotiated Rate	$19,918.50
Rate for Payer: Aetna Commercial	$15,138.06
Rate for Payer: Aetna Medicare Advantage	$11,951.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,158.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,158.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,158.43
Rate for Payer: Cigna Commercial	$19,918.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.55
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.55
Rate for Payer: UnitedHealthcare Community & State	$1,258.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,131.37

Pacific Plus 2.5x120x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683470S
Hospital Revenue Code	278
Min. Negotiated Rate	$157.11
Max. Negotiated Rate	$253.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11

Pacific Plus 2.5x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683470N
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2.5x120x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683470S
Hospital Revenue Code	278
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$523.70
Rate for Payer: Aetna Commercial	$398.01
Rate for Payer: Aetna Medicare Advantage	$314.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.09
Rate for Payer: Cigna Commercial	$523.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11
Rate for Payer: UnitedHealthcare Community & State	$33.10
Rate for Payer: Wellpoint Medicaid Managed Care	$29.75

Pacific Plus 2.5x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683470N
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2.5x120x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683470
Hospital Revenue Code	278
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$523.70
Rate for Payer: Aetna Commercial	$398.01
Rate for Payer: Aetna Medicare Advantage	$314.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.09
Rate for Payer: Cigna Commercial	$523.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11
Rate for Payer: UnitedHealthcare Community & State	$33.10
Rate for Payer: Wellpoint Medicaid Managed Care	$29.75

Pacific Plus 2.5x120x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683470
Hospital Revenue Code	278
Min. Negotiated Rate	$157.11
Max. Negotiated Rate	$253.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11

Pacific Plus 2.5x40x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683468
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2.5x40x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683468N
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2.5x40x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683468N
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2.5x40x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683468
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2.5x80x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683469N
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2.5x80x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683469N
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2.5x80x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683469
Hospital Revenue Code	278
Min. Negotiated Rate	$157.11
Max. Negotiated Rate	$253.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11

Pacific Plus 2.5x80x180

Facility

$1,047.40

Service Code	HCPCS C1725
Hospital Charge Code	270683469
Hospital Revenue Code	278
Min. Negotiated Rate	$29.75
Max. Negotiated Rate	$523.70
Rate for Payer: Aetna Commercial	$398.01
Rate for Payer: Aetna Medicare Advantage	$314.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$209.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.09
Rate for Payer: Cigna Commercial	$523.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.47
Rate for Payer: Qualcare PPO/HMO/WC	$157.11
Rate for Payer: UnitedHealthcare Community & State	$33.10
Rate for Payer: Wellpoint Medicaid Managed Care	$29.75

Pacific Plus 2x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683466
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683466
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683466S
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Pacific Plus 2x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683466N
Hospital Revenue Code	278
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$275.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

Pacific Plus 2x120x180

Facility

$1,140.00

Service Code	HCPCS C1725
Hospital Charge Code	270683466N
Hospital Revenue Code	278
Min. Negotiated Rate	$32.38
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.88
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$32.38

Know your out-of-pocket cost for care.

All Charges