Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PERC PORTAL VEIN CATHETEZATION

Facility

$3,987.20

Service Code	HCPCS 36481
Hospital Charge Code	16000734
Hospital Revenue Code	360
Min. Negotiated Rate	$598.08
Max. Negotiated Rate	$598.08
Rate for Payer: Qualcare PPO/HMO/WC	$598.08

PERC PORTAL VEIN CATHETEZATION

Facility

$3,987.20

Service Code	HCPCS 36481
Hospital Charge Code	16000734
Hospital Revenue Code	360
Min. Negotiated Rate	$113.24
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,515.14
Rate for Payer: Aetna Medicare Advantage	$1,196.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,016.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,016.74
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	$1,016.74
Rate for Payer: Cigna Commercial	$1,993.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,036.67
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$598.08
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$126.00
Rate for Payer: Wellpoint Medicaid Managed Care	$113.24

PERC PRE-BENT ROD 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703858
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

PERC PRE-BENT ROD 70MM

Facility

$1,325.00

Service Code	HCPCS C1889
Hospital Charge Code	2707038583
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PERC PRE-BENT ROD 70MM

Facility

$1,325.00

Service Code	HCPCS C1889
Hospital Charge Code	2707038583
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

PERC PRE-BENT ROD 70MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270703858
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PERC ROD 150MM

Facility

$1,541.05

Hospital Charge Code	270703338
Hospital Revenue Code	279
Min. Negotiated Rate	$43.77
Max. Negotiated Rate	$770.52
Rate for Payer: Aetna Commercial	$585.60
Rate for Payer: Aetna Medicare Advantage	$462.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$392.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$392.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$392.97
Rate for Payer: Cigna Commercial	$770.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.67
Rate for Payer: Oxford Commercial	$308.21
Rate for Payer: Qualcare PPO/HMO/WC	$231.16
Rate for Payer: UnitedHealthcare Commercial	$308.21
Rate for Payer: UnitedHealthcare Community & State	$48.70
Rate for Payer: Wellpoint Medicaid Managed Care	$43.77

PERC ROD 150MM

Facility

$1,541.05

Hospital Charge Code	270703338
Hospital Revenue Code	279
Min. Negotiated Rate	$231.16
Max. Negotiated Rate	$231.16
Rate for Payer: Qualcare PPO/HMO/WC	$231.16

PERC ROD PRE-BENT 5.5X50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270704528
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

PERC ROD PRE-BENT 5.5X50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270704528
Hospital Revenue Code	278
Min. Negotiated Rate	$37.63
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$41.87
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

PERC SK FIXATION MC FX,EA BONE

Facility

$23,899.60

Service Code	HCPCS 26608
Hospital Charge Code	16000292
Hospital Revenue Code	360
Min. Negotiated Rate	$678.75
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	$6,213.90
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$755.23
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	$678.75

PERC SK FIXATION MC FX,EA BONE

Facility

$23,899.60

Service Code	HCPCS 26608
Hospital Charge Code	16000292
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

PERC SK FIX METATARSAL FX W MA

Facility

$28,255.00

Service Code	HCPCS 28476
Hospital Charge Code	16000725
Hospital Revenue Code	360
Min. Negotiated Rate	$802.44
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	$7,346.30
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$892.86
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	$802.44

PERC SK FIX METATARSAL FX W MA

Facility

$28,255.00

Service Code	HCPCS 28476
Hospital Charge Code	16000725
Hospital Revenue Code	360
Min. Negotiated Rate	$4,238.25
Max. Negotiated Rate	$4,238.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,238.25

PERC SK FIX UNST PHAL SHFT F1

Facility

$23,899.60

Service Code	HCPCS 26727
Hospital Charge Code	16000293
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

PERC SK FIX UNST PHAL SHFT F1

Facility

$23,899.60

Service Code	HCPCS 26727
Hospital Charge Code	16000293
Hospital Revenue Code	360
Min. Negotiated Rate	$678.75
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	$6,213.90
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$755.23
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	$678.75

PERC SKTL FX D PHA FX FNGR/THM

Facility

$23,899.60

Service Code	HCPCS 26756
Hospital Charge Code	16000476
Hospital Revenue Code	360
Min. Negotiated Rate	$3,584.94
Max. Negotiated Rate	$3,584.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94

PERC SKTL FX D PHA FX FNGR/THM

Facility

$23,899.60

Service Code	HCPCS 26756
Hospital Charge Code	16000476
Hospital Revenue Code	360
Min. Negotiated Rate	$678.75
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	$6,213.90
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,584.94
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$755.23
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	$678.75

PERCUCUT BIOPSY NEEDLE 21G X 1

Facility

$180.00

Hospital Charge Code	270331868
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

PERCUCUT BIOPSY NEEDLE 21G X 1

Facility

$180.00

Hospital Charge Code	270331868
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC

Facility

$149,803.90

Service Code	MSDRG 273
Min. Negotiated Rate	$45,613.37
Max. Negotiated Rate	$149,803.90
Rate for Payer: Aetna Commercial	$108,550.59
Rate for Payer: Aetna Medicare Advantage	$149,803.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108,049.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108,049.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,014.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108,049.50
Rate for Payer: Cigna Commercial	$91,969.77
Rate for Payer: Cigna Medicare Advantage	$48,014.07
Rate for Payer: Clover Medicare Advantage	$45,613.37
Rate for Payer: EmblemHealth Commercial	$144,042.21
Rate for Payer: Humana Medicare Advantage	$49,454.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,014.07
Rate for Payer: Oxford Commercial	$72,691.31
Rate for Payer: UnitedHealthcare Commercial	$97,299.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,014.07
Rate for Payer: Wellcare Medicare Advantage	$48,014.07

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC

Facility

$123,461.21

Service Code	MSDRG 274
Min. Negotiated Rate	$37,592.36
Max. Negotiated Rate	$123,461.21
Rate for Payer: Aetna Commercial	$89,788.99
Rate for Payer: Aetna Medicare Advantage	$123,461.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,764.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,764.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,570.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89,764.20
Rate for Payer: Cigna Commercial	$73,381.87
Rate for Payer: Cigna Medicare Advantage	$39,570.90
Rate for Payer: Clover Medicare Advantage	$37,592.36
Rate for Payer: EmblemHealth Commercial	$118,712.70
Rate for Payer: Humana Medicare Advantage	$40,758.03
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,570.90
Rate for Payer: Oxford Commercial	$57,999.75
Rate for Payer: UnitedHealthcare Commercial	$77,634.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,570.90
Rate for Payer: Wellcare Medicare Advantage	$39,570.90

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$52,231.74

Service Code	APR-DRG 1744
Min. Negotiated Rate	$51,207.59
Max. Negotiated Rate	$52,231.74
Rate for Payer: UnitedHealthcare Community & State	$51,207.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,231.74
Rate for Payer: Wellpoint Medicaid Managed Care	$51,207.59

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$36,383.32

Service Code	APR-DRG 1743
Min. Negotiated Rate	$35,669.92
Max. Negotiated Rate	$36,383.32
Rate for Payer: UnitedHealthcare Community & State	$35,669.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,383.32
Rate for Payer: Wellpoint Medicaid Managed Care	$35,669.92

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$29,223.75

Service Code	APR-DRG 1742
Min. Negotiated Rate	$28,650.74
Max. Negotiated Rate	$29,223.75
Rate for Payer: UnitedHealthcare Community & State	$28,650.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,223.75
Rate for Payer: Wellpoint Medicaid Managed Care	$28,650.74

Know your out-of-pocket cost for care.

All Charges