Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PARTIAL REMOVAL OF RADIUS

Facility

$12,406.91

Service Code	HCPCS 25230
Hospital Charge Code	16000832
Hospital Revenue Code	360
Min. Negotiated Rate	$352.36
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,225.80
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$392.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$352.36

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$2,342.15
Max. Negotiated Rate	$2,342.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$443.45
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$5,933.45
Rate for Payer: Aetna Medicare Advantage	$4,684.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,981.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,981.66
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	$3,981.66
Rate for Payer: Cigna Commercial	$7,807.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,059.73
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$493.41
Rate for Payer: Wellpoint Medicaid Managed Care	$443.45

PARTIAL REMOVAL OF TOES

Facility

$19,105.00

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.75
Max. Negotiated Rate	$2,865.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.75

PARTIAL REMOVAL OF TOES

Facility

$19,105.00

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$542.58
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,967.30
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.75
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$603.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$542.58

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$542.59
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,967.36
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$603.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$542.59

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$14,489.04

Service Code	APR-DRG 8443
Min. Negotiated Rate	$14,204.94
Max. Negotiated Rate	$14,489.04
Rate for Payer: UnitedHealthcare Community & State	$14,204.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,489.04
Rate for Payer: Wellpoint Medicaid Managed Care	$14,204.94

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$8,294.31

Service Code	APR-DRG 8442
Min. Negotiated Rate	$8,131.68
Max. Negotiated Rate	$8,294.31
Rate for Payer: UnitedHealthcare Community & State	$8,131.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,294.31
Rate for Payer: Wellpoint Medicaid Managed Care	$8,131.68

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$4,963.09

Service Code	APR-DRG 8441
Min. Negotiated Rate	$4,865.77
Max. Negotiated Rate	$4,963.09
Rate for Payer: UnitedHealthcare Community & State	$4,865.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,963.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4,865.77

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$31,667.37

Service Code	APR-DRG 8444
Min. Negotiated Rate	$31,046.44
Max. Negotiated Rate	$31,667.37
Rate for Payer: UnitedHealthcare Community & State	$31,046.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,667.37
Rate for Payer: Wellpoint Medicaid Managed Care	$31,046.44

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$3,738.16
Max. Negotiated Rate	$3,738.16
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$707.76
Max. Negotiated Rate	$26,053.61
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,053.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
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	$26,053.61
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,479.48
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$787.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$707.76

PARTICLE AGGLUTINATION;TITER,@

Facility

$75.00

Service Code	HCPCS 86406
Hospital Charge Code	38477074
Hospital Revenue Code	302
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PARTICLE AGGLUTINATION;TITER,@

Facility

$75.00

Service Code	HCPCS 86406
Hospital Charge Code	38477074
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$28.94
Rate for Payer: Aetna Medicare Advantage	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.60
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: Cigna Medicare Advantage	$10.64
Rate for Payer: Clover Medicare Advantage	$10.11
Rate for Payer: EmblemHealth Commercial	$31.92
Rate for Payer: Humana Medicare Advantage	$10.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$8.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.64
Rate for Payer: Wellcare Medicare Advantage	$10.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

PARTICLES PVA CONTOUR MED

Facility

$1,425.60

Hospital Charge Code	270651697
Hospital Revenue Code	272
Min. Negotiated Rate	$213.84
Max. Negotiated Rate	$213.84
Rate for Payer: Qualcare PPO/HMO/WC	$213.84

PARTICLES PVA CONTOUR MED

Facility

$1,425.60

Hospital Charge Code	270651697
Hospital Revenue Code	272
Min. Negotiated Rate	$40.49
Max. Negotiated Rate	$712.80
Rate for Payer: Aetna Commercial	$541.73
Rate for Payer: Aetna Medicare Advantage	$427.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.53
Rate for Payer: Cigna Commercial	$712.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.66
Rate for Payer: Oxford Commercial	$285.12
Rate for Payer: Qualcare PPO/HMO/WC	$213.84
Rate for Payer: UnitedHealthcare Commercial	$285.12
Rate for Payer: UnitedHealthcare Community & State	$45.05
Rate for Payer: Wellpoint Medicaid Managed Care	$40.49

PARTICULES EMB 700-900

Facility

$1,840.00

Hospital Charge Code	270668927
Hospital Revenue Code	272
Min. Negotiated Rate	$52.26
Max. Negotiated Rate	$920.00
Rate for Payer: Aetna Commercial	$699.20
Rate for Payer: Aetna Medicare Advantage	$552.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.20
Rate for Payer: Cigna Commercial	$920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.40
Rate for Payer: Oxford Commercial	$368.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.00
Rate for Payer: UnitedHealthcare Commercial	$368.00
Rate for Payer: UnitedHealthcare Community & State	$58.14
Rate for Payer: Wellpoint Medicaid Managed Care	$52.26

PARTICULES EMB 700-900

Facility

$1,840.00

Hospital Charge Code	270668927
Hospital Revenue Code	272
Min. Negotiated Rate	$276.00
Max. Negotiated Rate	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.00

PARTL EXC ANKLE OR HEEL BONELT

Facility

$22,175.00

Service Code	HCPCS 28120
Hospital Charge Code	16000572
Hospital Revenue Code	360
Min. Negotiated Rate	$629.77
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,765.50
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,326.25
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$700.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$629.77

PARTL EXC ANKLE OR HEEL BONELT

Facility

$22,175.00

Service Code	HCPCS 28120
Hospital Charge Code	16000572
Hospital Revenue Code	360
Min. Negotiated Rate	$3,326.25
Max. Negotiated Rate	$3,326.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,326.25

PARTL EXC TRSL/MTARSL BONE-LT

Facility

$26,594.63

Service Code	HCPCS 28122
Hospital Charge Code	16000340
Hospital Revenue Code	360
Min. Negotiated Rate	$3,989.19
Max. Negotiated Rate	$3,989.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,989.19

PARTL EXC TRSL/MTARSL BONE-LT

Facility

$26,594.63

Service Code	HCPCS 28122
Hospital Charge Code	16000340
Hospital Revenue Code	360
Min. Negotiated Rate	$755.29
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,914.60
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,989.19
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$840.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$755.29

PART REMOVAL OF METATARSAL-50

Facility

$29,836.88

Service Code	HCPCS 28110
Hospital Charge Code	16000283
Hospital Revenue Code	360
Min. Negotiated Rate	$4,475.53
Max. Negotiated Rate	$4,475.53
Rate for Payer: Qualcare PPO/HMO/WC	$4,475.53

PART REMOVAL OF METATARSAL-50

Facility

$29,836.88

Service Code	HCPCS 28110
Hospital Charge Code	16000283
Hospital Revenue Code	360
Min. Negotiated Rate	$847.37
Max. Negotiated Rate	$14,100.89
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,757.59
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,475.53
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$942.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$847.37

Know your out-of-pocket cost for care.

All Charges