Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PATELLOFERMORAL RIGHT SZ 5

Facility

$12,580.00

Hospital Charge Code	270668863
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.00
Max. Negotiated Rate	$3,044.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00

PATELLOFERMORAL RIGHT SZ 6

Facility

$12,580.00

Hospital Charge Code	270668864
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.00
Max. Negotiated Rate	$3,044.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00

PATELLOFERMORAL RIGHT SZ 6

Facility

$12,580.00

Hospital Charge Code	270668864
Hospital Revenue Code	278
Min. Negotiated Rate	$357.27
Max. Negotiated Rate	$6,290.00
Rate for Payer: Aetna Commercial	$4,780.40
Rate for Payer: Aetna Medicare Advantage	$3,774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,207.90
Rate for Payer: Cigna Commercial	$6,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00
Rate for Payer: UnitedHealthcare Community & State	$397.53
Rate for Payer: Wellpoint Medicaid Managed Care	$357.27

PATELLOFERMORAL RIGHT SZ 7

Facility

$12,580.00

Hospital Charge Code	270668865
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.00
Max. Negotiated Rate	$3,044.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00

PATELLOFERMORAL RIGHT SZ 7

Facility

$12,580.00

Hospital Charge Code	270668865
Hospital Revenue Code	278
Min. Negotiated Rate	$357.27
Max. Negotiated Rate	$6,290.00
Rate for Payer: Aetna Commercial	$4,780.40
Rate for Payer: Aetna Medicare Advantage	$3,774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,207.90
Rate for Payer: Cigna Commercial	$6,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00
Rate for Payer: UnitedHealthcare Community & State	$397.53
Rate for Payer: Wellpoint Medicaid Managed Care	$357.27

PATELLOFERMORAL RIGHT SZ 8

Facility

$12,580.00

Hospital Charge Code	270668866
Hospital Revenue Code	278
Min. Negotiated Rate	$357.27
Max. Negotiated Rate	$6,290.00
Rate for Payer: Aetna Commercial	$4,780.40
Rate for Payer: Aetna Medicare Advantage	$3,774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,207.90
Rate for Payer: Cigna Commercial	$6,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00
Rate for Payer: UnitedHealthcare Community & State	$397.53
Rate for Payer: Wellpoint Medicaid Managed Care	$357.27

PATELLOFERMORAL RIGHT SZ 8

Facility

$12,580.00

Hospital Charge Code	270668866
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.00
Max. Negotiated Rate	$3,044.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00

PATEL STAND 34m X 8.5m 184766

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270639972
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATEL STAND 34m X 8.5m 184766

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270639972
Hospital Revenue Code	278
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

PATH CONSLT SURG CYT EXAM INIT

Facility

$101.00

Service Code	HCPCS 88333
Hospital Charge Code	38477124
Hospital Revenue Code	312
Min. Negotiated Rate	$2.87
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) 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	$26.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$73.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

PATH CONSLT SURG CYT EXAM INIT

Facility

$101.00

Service Code	HCPCS 88333
Hospital Charge Code	38477124
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATH CONSULT LIMITED

Facility

$101.00

Service Code	HCPCS 80500
Hospital Charge Code	38477122
Hospital Revenue Code	310
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATH CONSULT LIMITED

Facility

$101.00

Service Code	HCPCS 80500
Hospital Charge Code	38477122
Hospital Revenue Code	310
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$3.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$44.52
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$70.30
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.10
Rate for Payer: Oxford Commercial	$37.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$37.00
Rate for Payer: UnitedHealthcare Community & State	$5.85
Rate for Payer: Wellpoint Medicaid Managed Care	$5.25

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

Facility

$51,942.85

Service Code	MSDRG 543
Min. Negotiated Rate	$15,815.93
Max. Negotiated Rate	$51,942.85
Rate for Payer: Aetna Commercial	$38,852.78
Rate for Payer: Aetna Medicare Advantage	$51,942.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,648.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,198.45
Rate for Payer: Cigna Commercial	$22,917.20
Rate for Payer: Cigna Medicare Advantage	$16,648.35
Rate for Payer: Clover Medicare Advantage	$15,815.93
Rate for Payer: EmblemHealth Commercial	$49,945.05
Rate for Payer: Humana Medicare Advantage	$17,147.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,648.35
Rate for Payer: Oxford Commercial	$18,113.36
Rate for Payer: UnitedHealthcare Commercial	$24,245.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,648.35
Rate for Payer: Wellcare Medicare Advantage	$16,648.35

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

Facility

$75,274.68

Service Code	MSDRG 542
Min. Negotiated Rate	$22,920.17
Max. Negotiated Rate	$75,274.68
Rate for Payer: Aetna Commercial	$55,469.99
Rate for Payer: Aetna Medicare Advantage	$75,274.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,423.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,423.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,423.10
Rate for Payer: Cigna Commercial	$39,380.58
Rate for Payer: Cigna Medicare Advantage	$24,126.50
Rate for Payer: Clover Medicare Advantage	$22,920.17
Rate for Payer: EmblemHealth Commercial	$72,379.50
Rate for Payer: Humana Medicare Advantage	$24,850.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,126.50
Rate for Payer: Oxford Commercial	$31,125.73
Rate for Payer: UnitedHealthcare Commercial	$41,662.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,126.50
Rate for Payer: Wellcare Medicare Advantage	$24,126.50

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Facility

$43,305.13

Service Code	MSDRG 544
Min. Negotiated Rate	$13,185.86
Max. Negotiated Rate	$43,305.13
Rate for Payer: Aetna Commercial	$32,700.91
Rate for Payer: Aetna Medicare Advantage	$43,305.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,332.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,332.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,879.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,332.85
Rate for Payer: Cigna Commercial	$16,822.30
Rate for Payer: Cigna Medicare Advantage	$13,879.85
Rate for Payer: Clover Medicare Advantage	$13,185.86
Rate for Payer: EmblemHealth Commercial	$41,639.55
Rate for Payer: Humana Medicare Advantage	$14,296.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,879.85
Rate for Payer: Oxford Commercial	$13,296.05
Rate for Payer: UnitedHealthcare Commercial	$17,797.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,879.85
Rate for Payer: Wellcare Medicare Advantage	$13,879.85

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$142.20
Rate for Payer: Wellpoint Medicaid Managed Care	$127.80

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$892.50
Max. Negotiated Rate	$1,439.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: Qualcare PPO/HMO/WC	$892.50

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$168.98
Max. Negotiated Rate	$2,975.00
Rate for Payer: Aetna Commercial	$2,261.00
Rate for Payer: Aetna Medicare Advantage	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,517.25
Rate for Payer: Cigna Commercial	$2,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: Qualcare PPO/HMO/WC	$892.50
Rate for Payer: UnitedHealthcare Community & State	$188.02
Rate for Payer: Wellpoint Medicaid Managed Care	$168.98

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$29.11
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$32.39
Rate for Payer: Wellpoint Medicaid Managed Care	$29.11

Know your out-of-pocket cost for care.

All Charges