Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PACK KIT LAPAROSCOPIC CHOLE 2

Facility

$173.05

Hospital Charge Code	270688555
Hospital Revenue Code	272
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$86.53
Rate for Payer: Aetna Commercial	$65.76
Rate for Payer: Aetna Medicare Advantage	$51.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.13
Rate for Payer: Cigna Commercial	$86.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.99
Rate for Payer: Oxford Commercial	$34.61
Rate for Payer: Qualcare PPO/HMO/WC	$25.96
Rate for Payer: UnitedHealthcare Commercial	$34.61
Rate for Payer: UnitedHealthcare Community & State	$5.47
Rate for Payer: Wellpoint Medicaid Managed Care	$4.91

PACK KIT LAPAROSCOPY CHOLE I

Facility

$191.99

Hospital Charge Code	270688554
Hospital Revenue Code	272
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PACK KIT LAPAROSCOPY CHOLE I

Facility

$191.99

Hospital Charge Code	270688554
Hospital Revenue Code	272
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$72.96
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.92
Rate for Payer: Oxford Commercial	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$38.40
Rate for Payer: UnitedHealthcare Community & State	$6.07
Rate for Payer: Wellpoint Medicaid Managed Care	$5.45

PACK KNEE ARTHROSCOPY

Facility

$305.10

Hospital Charge Code	270653776
Hospital Revenue Code	272
Min. Negotiated Rate	$45.77
Max. Negotiated Rate	$45.77
Rate for Payer: Qualcare PPO/HMO/WC	$45.77

PACK KNEE ARTHROSCOPY

Facility

$305.10

Hospital Charge Code	270653776
Hospital Revenue Code	272
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$152.55
Rate for Payer: Aetna Commercial	$115.94
Rate for Payer: Aetna Medicare Advantage	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.33
Rate for Payer: Oxford Commercial	$61.02
Rate for Payer: Qualcare PPO/HMO/WC	$45.77
Rate for Payer: UnitedHealthcare Commercial	$61.02
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

PACK LAPAROSCOPY GENERAL

Facility

$262.20

Hospital Charge Code	270653773
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$131.10
Rate for Payer: Aetna Commercial	$99.64
Rate for Payer: Aetna Medicare Advantage	$78.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.86
Rate for Payer: Cigna Commercial	$131.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.17
Rate for Payer: Oxford Commercial	$52.44
Rate for Payer: Qualcare PPO/HMO/WC	$39.33
Rate for Payer: UnitedHealthcare Commercial	$52.44
Rate for Payer: UnitedHealthcare Community & State	$8.29
Rate for Payer: Wellpoint Medicaid Managed Care	$7.45

PACK LAPAROSCOPY GENERAL

Facility

$262.20

Hospital Charge Code	270653773
Hospital Revenue Code	272
Min. Negotiated Rate	$39.33
Max. Negotiated Rate	$39.33
Rate for Payer: Qualcare PPO/HMO/WC	$39.33

PACK LITHOTOMY II 9175 PERI/GY

Facility

$100.37

Hospital Charge Code	270653803
Hospital Revenue Code	272
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$50.19
Rate for Payer: Aetna Commercial	$38.14
Rate for Payer: Aetna Medicare Advantage	$30.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.59
Rate for Payer: Cigna Commercial	$50.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.10
Rate for Payer: Oxford Commercial	$20.07
Rate for Payer: Qualcare PPO/HMO/WC	$15.06
Rate for Payer: UnitedHealthcare Commercial	$20.07
Rate for Payer: UnitedHealthcare Community & State	$3.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.85

PACK LITHOTOMY II 9175 PERI/GY

Facility

$100.37

Hospital Charge Code	270653803
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$15.06
Rate for Payer: Qualcare PPO/HMO/WC	$15.06

PACK MAJOR LAPAROTOMY CUSTOM

Facility

$245.60

Hospital Charge Code	270653792
Hospital Revenue Code	272
Min. Negotiated Rate	$6.98
Max. Negotiated Rate	$122.80
Rate for Payer: Aetna Commercial	$93.33
Rate for Payer: Aetna Medicare Advantage	$73.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.63
Rate for Payer: Cigna Commercial	$122.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.86
Rate for Payer: Oxford Commercial	$49.12
Rate for Payer: Qualcare PPO/HMO/WC	$36.84
Rate for Payer: UnitedHealthcare Commercial	$49.12
Rate for Payer: UnitedHealthcare Community & State	$7.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.98

PACK MAJOR LAPAROTOMY CUSTOM

Facility

$245.60

Hospital Charge Code	270653792
Hospital Revenue Code	272
Min. Negotiated Rate	$36.84
Max. Negotiated Rate	$36.84
Rate for Payer: Qualcare PPO/HMO/WC	$36.84

PACK MCP TOT JT DISPOS

Facility

$2,680.00

Hospital Charge Code	270697844
Hospital Revenue Code	270
Min. Negotiated Rate	$402.00
Max. Negotiated Rate	$402.00
Rate for Payer: Qualcare PPO/HMO/WC	$402.00

PACK MCP TOT JT DISPOS

Facility

$2,680.00

Hospital Charge Code	270697844
Hospital Revenue Code	270
Min. Negotiated Rate	$76.11
Max. Negotiated Rate	$1,340.00
Rate for Payer: Aetna Commercial	$1,018.40
Rate for Payer: Aetna Medicare Advantage	$804.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$683.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$683.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$683.40
Rate for Payer: Cigna Commercial	$1,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$696.80
Rate for Payer: Oxford Commercial	$536.00
Rate for Payer: Qualcare PPO/HMO/WC	$402.00
Rate for Payer: UnitedHealthcare Commercial	$536.00
Rate for Payer: UnitedHealthcare Community & State	$84.69
Rate for Payer: Wellpoint Medicaid Managed Care	$76.11

PACK MINOR CUSTOMIZED

Facility

$223.05

Hospital Charge Code	270653794
Hospital Revenue Code	272
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$111.53
Rate for Payer: Aetna Commercial	$84.76
Rate for Payer: Aetna Medicare Advantage	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.88
Rate for Payer: Cigna Commercial	$111.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.99
Rate for Payer: Oxford Commercial	$44.61
Rate for Payer: Qualcare PPO/HMO/WC	$33.46
Rate for Payer: UnitedHealthcare Commercial	$44.61
Rate for Payer: UnitedHealthcare Community & State	$7.05
Rate for Payer: Wellpoint Medicaid Managed Care	$6.33

PACK MINOR CUSTOMIZED

Facility

$223.05

Hospital Charge Code	270653794
Hospital Revenue Code	272
Min. Negotiated Rate	$33.46
Max. Negotiated Rate	$33.46
Rate for Payer: Qualcare PPO/HMO/WC	$33.46

PACK NASAL/FESS

Facility

$200.95

Hospital Charge Code	270653797
Hospital Revenue Code	272
Min. Negotiated Rate	$30.14
Max. Negotiated Rate	$30.14
Rate for Payer: Qualcare PPO/HMO/WC	$30.14

PACK NASAL/FESS

Facility

$200.95

Hospital Charge Code	270653797
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$100.47
Rate for Payer: Aetna Commercial	$76.36
Rate for Payer: Aetna Medicare Advantage	$60.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.24
Rate for Payer: Cigna Commercial	$100.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.25
Rate for Payer: Oxford Commercial	$40.19
Rate for Payer: Qualcare PPO/HMO/WC	$30.14
Rate for Payer: UnitedHealthcare Commercial	$40.19
Rate for Payer: UnitedHealthcare Community & State	$6.35
Rate for Payer: Wellpoint Medicaid Managed Care	$5.71

PACK ORTHO 2 UPPER EXTREMITY

Facility

$115.98

Hospital Charge Code	270688553
Hospital Revenue Code	272
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

PACK ORTHO 2 UPPER EXTREMITY

Facility

$115.98

Hospital Charge Code	270688553
Hospital Revenue Code	272
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$57.99
Rate for Payer: Aetna Commercial	$44.07
Rate for Payer: Aetna Medicare Advantage	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.57
Rate for Payer: Cigna Commercial	$57.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.15
Rate for Payer: Oxford Commercial	$23.20
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$23.20
Rate for Payer: UnitedHealthcare Community & State	$3.66
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353S
Hospital Revenue Code	272
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$186.60
Rate for Payer: Aetna Commercial	$141.82
Rate for Payer: Aetna Medicare Advantage	$111.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.03
Rate for Payer: Oxford Commercial	$74.64
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$74.64
Rate for Payer: UnitedHealthcare Community & State	$11.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353
Hospital Revenue Code	272
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$186.60
Rate for Payer: Aetna Commercial	$141.82
Rate for Payer: Aetna Medicare Advantage	$111.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.03
Rate for Payer: Oxford Commercial	$74.64
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$74.64
Rate for Payer: UnitedHealthcare Community & State	$11.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

PACK PACEMAKER

Facility

$372.20

Hospital Charge Code	270658353N
Hospital Revenue Code	272
Min. Negotiated Rate	$55.83
Max. Negotiated Rate	$55.83
Rate for Payer: Qualcare PPO/HMO/WC	$55.83

PACK PACEMAKER

Facility

$372.20

Hospital Charge Code	270658353N
Hospital Revenue Code	272
Min. Negotiated Rate	$10.57
Max. Negotiated Rate	$186.10
Rate for Payer: Aetna Commercial	$141.44
Rate for Payer: Aetna Medicare Advantage	$111.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.91
Rate for Payer: Cigna Commercial	$186.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.77
Rate for Payer: Oxford Commercial	$74.44
Rate for Payer: Qualcare PPO/HMO/WC	$55.83
Rate for Payer: UnitedHealthcare Commercial	$74.44
Rate for Payer: UnitedHealthcare Community & State	$11.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.57

PACK PACEMAKER

Facility

$373.20

Hospital Charge Code	270658353S
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

Know your out-of-pocket cost for care.

All Charges