Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$27,072.27

Service Code	APR-DRG 1741
Min. Negotiated Rate	$26,541.44
Max. Negotiated Rate	$27,072.27
Rate for Payer: UnitedHealthcare Community & State	$26,541.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,072.27
Rate for Payer: Wellpoint Medicaid Managed Care	$26,541.44

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$27,687.39

Service Code	APR-DRG 1751
Min. Negotiated Rate	$27,144.50
Max. Negotiated Rate	$27,687.39
Rate for Payer: UnitedHealthcare Community & State	$27,144.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,687.39
Rate for Payer: Wellpoint Medicaid Managed Care	$27,144.50

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$31,109.83

Service Code	APR-DRG 1752
Min. Negotiated Rate	$30,499.83
Max. Negotiated Rate	$31,109.83
Rate for Payer: UnitedHealthcare Community & State	$30,499.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,109.83
Rate for Payer: Wellpoint Medicaid Managed Care	$30,499.83

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$58,124.51

Service Code	APR-DRG 1754
Min. Negotiated Rate	$56,984.81
Max. Negotiated Rate	$58,124.51
Rate for Payer: UnitedHealthcare Community & State	$56,984.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,124.51
Rate for Payer: Wellpoint Medicaid Managed Care	$56,984.81

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$38,784.79

Service Code	APR-DRG 1753
Min. Negotiated Rate	$38,024.30
Max. Negotiated Rate	$38,784.79
Rate for Payer: UnitedHealthcare Community & State	$38,024.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$38,784.79
Rate for Payer: Wellpoint Medicaid Managed Care	$38,024.30

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

Facility

$105,424.46

Service Code	MSDRG 321
Min. Negotiated Rate	$32,100.40
Max. Negotiated Rate	$105,424.46
Rate for Payer: Aetna Commercial	$76,943.01
Rate for Payer: Aetna Medicare Advantage	$105,424.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,789.89
Rate for Payer: Cigna Commercial	$60,654.79
Rate for Payer: Cigna Medicare Advantage	$33,789.89
Rate for Payer: Clover Medicare Advantage	$32,100.40
Rate for Payer: EmblemHealth Commercial	$101,369.67
Rate for Payer: Humana Medicare Advantage	$34,803.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,789.89
Rate for Payer: Oxford Commercial	$47,940.50
Rate for Payer: UnitedHealthcare Commercial	$64,170.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,789.89
Rate for Payer: Wellcare Medicare Advantage	$33,789.89

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$75,164.11

Service Code	MSDRG 322
Min. Negotiated Rate	$22,886.51
Max. Negotiated Rate	$75,164.11
Rate for Payer: Aetna Commercial	$55,391.24
Rate for Payer: Aetna Medicare Advantage	$75,164.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,091.06
Rate for Payer: Cigna Commercial	$39,302.56
Rate for Payer: Cigna Medicare Advantage	$24,091.06
Rate for Payer: Clover Medicare Advantage	$22,886.51
Rate for Payer: EmblemHealth Commercial	$72,273.18
Rate for Payer: Humana Medicare Advantage	$24,813.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,091.06
Rate for Payer: Oxford Commercial	$31,064.06
Rate for Payer: UnitedHealthcare Commercial	$41,580.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,091.06
Rate for Payer: Wellcare Medicare Advantage	$24,091.06

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC

Facility

$88,417.59

Service Code	MSDRG 250
Min. Negotiated Rate	$26,922.02
Max. Negotiated Rate	$88,417.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,106.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,106.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,106.75

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC

Facility

$66,681.26

Service Code	MSDRG 251
Min. Negotiated Rate	$20,303.59
Max. Negotiated Rate	$66,681.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,050.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,050.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,050.95

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC

Facility

$88,417.59

Service Code	MSDRG 250
Min. Negotiated Rate	$26,922.02
Max. Negotiated Rate	$88,417.59
Rate for Payer: Aetna Commercial	$64,830.53
Rate for Payer: Aetna Medicare Advantage	$88,417.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,338.97
Rate for Payer: Cigna Commercial	$48,654.47
Rate for Payer: Cigna Medicare Advantage	$28,338.97
Rate for Payer: Clover Medicare Advantage	$26,922.02
Rate for Payer: EmblemHealth Commercial	$85,016.91
Rate for Payer: Humana Medicare Advantage	$29,189.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$28,338.97
Rate for Payer: Oxford Commercial	$38,455.65
Rate for Payer: UnitedHealthcare Commercial	$51,474.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,338.97
Rate for Payer: Wellcare Medicare Advantage	$28,338.97

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC

Facility

$66,681.26

Service Code	MSDRG 251
Min. Negotiated Rate	$20,303.59
Max. Negotiated Rate	$66,681.26
Rate for Payer: Aetna Commercial	$49,349.66
Rate for Payer: Aetna Medicare Advantage	$66,681.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,372.20
Rate for Payer: Cigna Commercial	$33,316.89
Rate for Payer: Cigna Medicare Advantage	$21,372.20
Rate for Payer: Clover Medicare Advantage	$20,303.59
Rate for Payer: EmblemHealth Commercial	$64,116.60
Rate for Payer: Humana Medicare Advantage	$22,013.37
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,372.20
Rate for Payer: Oxford Commercial	$26,333.09
Rate for Payer: UnitedHealthcare Commercial	$35,247.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,372.20
Rate for Payer: Wellcare Medicare Advantage	$21,372.20

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC

Facility

$128,102.33

Service Code	MSDRG 359
Min. Negotiated Rate	$39,005.52
Max. Negotiated Rate	$128,102.33
Rate for Payer: Aetna Commercial	$93,094.47
Rate for Payer: Aetna Medicare Advantage	$128,102.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,058.44
Rate for Payer: Cigna Commercial	$76,656.71
Rate for Payer: Cigna Medicare Advantage	$41,058.44
Rate for Payer: Clover Medicare Advantage	$39,005.52
Rate for Payer: EmblemHealth Commercial	$123,175.32
Rate for Payer: Humana Medicare Advantage	$42,290.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41,058.44
Rate for Payer: Oxford Commercial	$60,588.13
Rate for Payer: UnitedHealthcare Commercial	$81,099.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,058.44
Rate for Payer: Wellcare Medicare Advantage	$41,058.44

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$95,740.91

Service Code	MSDRG 360
Min. Negotiated Rate	$29,151.88
Max. Negotiated Rate	$95,740.91
Rate for Payer: Aetna Commercial	$70,046.30
Rate for Payer: Aetna Medicare Advantage	$95,740.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,686.19
Rate for Payer: Cigna Commercial	$53,821.99
Rate for Payer: Cigna Medicare Advantage	$30,686.19
Rate for Payer: Clover Medicare Advantage	$29,151.88
Rate for Payer: EmblemHealth Commercial	$92,058.57
Rate for Payer: Humana Medicare Advantage	$31,606.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30,686.19
Rate for Payer: Oxford Commercial	$42,539.97
Rate for Payer: UnitedHealthcare Commercial	$56,941.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,686.19
Rate for Payer: Wellcare Medicare Advantage	$30,686.19

PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE

Facility

$95,990.54

Service Code	MSDRG 318
Min. Negotiated Rate	$29,227.89
Max. Negotiated Rate	$95,990.54
Rate for Payer: Aetna Commercial	$70,224.08
Rate for Payer: Aetna Medicare Advantage	$95,990.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,766.20
Rate for Payer: Cigna Commercial	$53,998.10
Rate for Payer: Cigna Medicare Advantage	$30,766.20
Rate for Payer: Clover Medicare Advantage	$29,227.89
Rate for Payer: EmblemHealth Commercial	$92,298.60
Rate for Payer: Humana Medicare Advantage	$31,689.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30,766.20
Rate for Payer: Oxford Commercial	$42,679.16
Rate for Payer: UnitedHealthcare Commercial	$57,127.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,766.20
Rate for Payer: Wellcare Medicare Advantage	$30,766.20

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62887
Hospital Charge Code	1600000400
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62287
Hospital Charge Code	1600000268
Hospital Revenue Code	360
Min. Negotiated Rate	$616.42
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$6,310.10
Rate for Payer: Aetna Medicare Advantage	$7,516.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,319.89
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	$8,415.40
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: Cigna Medicare Advantage	$2,319.89
Rate for Payer: Clover Medicare Advantage	$2,203.90
Rate for Payer: EmblemHealth Commercial	$6,959.67
Rate for Payer: Humana Medicare Advantage	$2,389.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,319.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,643.25
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$685.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,319.89
Rate for Payer: Wellcare Medicare Advantage	$2,319.89
Rate for Payer: Wellpoint Medicaid Managed Care	$616.42

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62887
Hospital Charge Code	1600000400
Hospital Revenue Code	360
Min. Negotiated Rate	$616.42
Max. Negotiated Rate	$10,852.40
Rate for Payer: Aetna Commercial	$8,247.82
Rate for Payer: Aetna Medicare Advantage	$6,511.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,534.72
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	$5,534.72
Rate for Payer: Cigna Commercial	$10,852.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,643.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72
Rate for Payer: UnitedHealthcare Community & State	$685.87
Rate for Payer: Wellpoint Medicaid Managed Care	$616.42

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62287
Hospital Charge Code	1600000268
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

PERCUTANEOUS DISKECTOMY-

Facility

$16,003.26

Service Code	HCPCS 62380
Hospital Charge Code	16000768
Hospital Revenue Code	360
Min. Negotiated Rate	$2,400.49
Max. Negotiated Rate	$2,400.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.49

PERCUTANEOUS DISKECTOMY-

Facility

$16,003.26

Service Code	HCPCS 62380
Hospital Charge Code	16000768
Hospital Revenue Code	360
Min. Negotiated Rate	$454.49
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,160.85
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.49
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$505.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$454.49

PERCUTANEOUS INSERTION KIT

Facility

$1,395.00

Hospital Charge Code	270675965
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

PERCUTANEOUS INSERTION KIT

Facility

$1,395.00

Hospital Charge Code	270675965
Hospital Revenue Code	272
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$530.10
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.70
Rate for Payer: Oxford Commercial	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.08
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$60,665.09

Service Code	APR-DRG 0304
Min. Negotiated Rate	$59,475.58
Max. Negotiated Rate	$60,665.09
Rate for Payer: UnitedHealthcare Community & State	$59,475.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,665.09
Rate for Payer: Wellpoint Medicaid Managed Care	$59,475.58

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$45,619.90

Service Code	APR-DRG 0303
Min. Negotiated Rate	$44,725.39
Max. Negotiated Rate	$45,619.90
Rate for Payer: UnitedHealthcare Community & State	$44,725.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,619.90
Rate for Payer: Wellpoint Medicaid Managed Care	$44,725.39

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$25,240.93

Service Code	APR-DRG 0301
Min. Negotiated Rate	$24,746.01
Max. Negotiated Rate	$25,240.93
Rate for Payer: UnitedHealthcare Community & State	$24,746.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,240.93
Rate for Payer: Wellpoint Medicaid Managed Care	$24,746.01

Know your out-of-pocket cost for care.

All Charges