Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$33,406.03

Service Code	APR-DRG 0302
Min. Negotiated Rate	$32,751.01
Max. Negotiated Rate	$33,406.03
Rate for Payer: UnitedHealthcare Community & State	$32,751.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,406.03
Rate for Payer: Wellpoint Medicaid Managed Care	$32,751.01

PERCUTANEOUS LAMINOTOMY/LAMINECTOMY (INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WITH OR WITHOUT LIGAMENTOUS RESECTION, DISCECTOMY, FACETECTOMY AND/OR FORAMINOTOMY), ANY METHOD, UNDER INDIRECT IMAGE GUIDANCE (EG, FLUOROSCOPIC, CT), SINGLE OR MULTIPLE LEVELS, UNILATERAL OR BILATERAL; LUMBAR

Facility

$14,869.00

Service Code	CPT 0275T
Hospital Revenue Code	360
Min. Negotiated Rate	$3,536.00
Max. Negotiated Rate	$14,869.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: UnitedHealthcare Commercial	$14,869.00

PERCUTANEOUS LMBR DECOMPR

Facility

$18,840.10

Service Code	HCPCS 22533
Hospital Charge Code	1600000821
Hospital Revenue Code	360
Min. Negotiated Rate	$2,826.01
Max. Negotiated Rate	$2,826.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,826.01

PERCUTANEOUS LMBR DECOMPR

Facility

$18,840.10

Service Code	HCPCS 22533
Hospital Charge Code	1600000821
Hospital Revenue Code	360
Min. Negotiated Rate	$535.06
Max. Negotiated Rate	$75,563.15
Rate for Payer: Aetna Commercial	$56,659.34
Rate for Payer: Aetna Medicare Advantage	$67,491.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,563.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,830.64
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	$75,563.15
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: Cigna Medicare Advantage	$20,830.64
Rate for Payer: Clover Medicare Advantage	$19,789.11
Rate for Payer: EmblemHealth Commercial	$62,491.92
Rate for Payer: Humana Medicare Advantage	$21,455.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,830.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,898.43
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,826.01
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$595.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,830.64
Rate for Payer: Wellcare Medicare Advantage	$20,830.64
Rate for Payer: Wellpoint Medicaid Managed Care	$535.06

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$54,706.30

Service Code	APR-DRG 1832
Min. Negotiated Rate	$53,633.63
Max. Negotiated Rate	$54,706.30
Rate for Payer: UnitedHealthcare Community & State	$53,633.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,706.30
Rate for Payer: Wellpoint Medicaid Managed Care	$53,633.63

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$53,542.07

Service Code	APR-DRG 1831
Min. Negotiated Rate	$52,492.23
Max. Negotiated Rate	$53,542.07
Rate for Payer: UnitedHealthcare Community & State	$52,492.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,542.07
Rate for Payer: Wellpoint Medicaid Managed Care	$52,492.23

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$63,485.07

Service Code	APR-DRG 1833
Min. Negotiated Rate	$62,240.26
Max. Negotiated Rate	$63,485.07
Rate for Payer: UnitedHealthcare Community & State	$62,240.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,485.07
Rate for Payer: Wellpoint Medicaid Managed Care	$62,240.26

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$95,044.33

Service Code	APR-DRG 1834
Min. Negotiated Rate	$93,180.72
Max. Negotiated Rate	$95,044.33
Rate for Payer: UnitedHealthcare Community & State	$93,180.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$95,044.33
Rate for Payer: Wellpoint Medicaid Managed Care	$93,180.72

PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH

Facility

$49,750.44

Service Code	CPT C9600
Hospital Revenue Code	481
Min. Negotiated Rate	$4,213.00
Max. Negotiated Rate	$49,750.44
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,750.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,750.44
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80

PERCUTAN INSERT KIT ARTERIAL

Facility

$284.75

Hospital Charge Code	2703110S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.09
Max. Negotiated Rate	$142.38
Rate for Payer: Aetna Commercial	$108.20
Rate for Payer: Aetna Medicare Advantage	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.61
Rate for Payer: Cigna Commercial	$142.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.03
Rate for Payer: Oxford Commercial	$56.95
Rate for Payer: Qualcare PPO/HMO/WC	$42.71
Rate for Payer: UnitedHealthcare Commercial	$56.95
Rate for Payer: UnitedHealthcare Community & State	$9.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.09

PERCUTAN INSERT KIT ARTERIAL

Facility

$284.75

Hospital Charge Code	2703110S
Hospital Revenue Code	272
Min. Negotiated Rate	$42.71
Max. Negotiated Rate	$42.71
Rate for Payer: Qualcare PPO/HMO/WC	$42.71

PERCUTAN INSERT KIT VENOUS

Facility

$284.75

Hospital Charge Code	2703110T
Hospital Revenue Code	272
Min. Negotiated Rate	$42.71
Max. Negotiated Rate	$42.71
Rate for Payer: Qualcare PPO/HMO/WC	$42.71

PERCUTAN INSERT KIT VENOUS

Facility

$284.75

Hospital Charge Code	2703110T
Hospital Revenue Code	272
Min. Negotiated Rate	$8.09
Max. Negotiated Rate	$142.38
Rate for Payer: Aetna Commercial	$108.20
Rate for Payer: Aetna Medicare Advantage	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.61
Rate for Payer: Cigna Commercial	$142.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.03
Rate for Payer: Oxford Commercial	$56.95
Rate for Payer: Qualcare PPO/HMO/WC	$42.71
Rate for Payer: UnitedHealthcare Commercial	$56.95
Rate for Payer: UnitedHealthcare Community & State	$9.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.09

PERCUT BX LUNG/MEDIASTINUM

Facility

$8,407.60

Service Code	HCPCS 32408
Hospital Charge Code	16000183
Hospital Revenue Code	360
Min. Negotiated Rate	$1,261.14
Max. Negotiated Rate	$1,261.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,261.14

PERCUT BX LUNG/MEDIASTINUM

Facility

$8,407.60

Service Code	HCPCS 32408
Hospital Charge Code	16000183
Hospital Revenue Code	360
Min. Negotiated Rate	$238.78
Max. Negotiated Rate	$7,117.66
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,117.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,117.66
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,185.98
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,261.14
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$265.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$238.78

PERFECT SCALPEL

Facility

$825.00

Hospital Charge Code	270704788
Hospital Revenue Code	279
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$23.43

PERFECT SCALPEL

Facility

$825.00

Hospital Charge Code	270704788
Hospital Revenue Code	279
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

PERFLUTREN LIPD MICRO SUSP 2ML

Facility

$1,045.20

Service Code	NDC 11994001104
Hospital Charge Code	6063943158
Hospital Revenue Code	250
Min. Negotiated Rate	$29.68
Max. Negotiated Rate	$522.60
Rate for Payer: Aetna Commercial	$397.18
Rate for Payer: Aetna Medicare Advantage	$313.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.53
Rate for Payer: Cigna Commercial	$522.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.75
Rate for Payer: Oxford Commercial	$209.04
Rate for Payer: Qualcare PPO/HMO/WC	$156.78
Rate for Payer: UnitedHealthcare Commercial	$209.04
Rate for Payer: UnitedHealthcare Community & State	$33.03
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

PERFLUTREN LIPD MICRO SUSP 2ML

Facility

$1,045.20

Service Code	NDC 11994001104
Hospital Charge Code	6063943158
Hospital Revenue Code	250
Min. Negotiated Rate	$156.78
Max. Negotiated Rate	$156.78
Rate for Payer: Qualcare PPO/HMO/WC	$156.78

PERFORATOR CRANIAL 14MM 261221

Facility

$890.45

Hospital Charge Code	270061175
Hospital Revenue Code	272
Min. Negotiated Rate	$25.29
Max. Negotiated Rate	$445.23
Rate for Payer: Aetna Commercial	$338.37
Rate for Payer: Aetna Medicare Advantage	$267.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.06
Rate for Payer: Cigna Commercial	$445.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.52
Rate for Payer: Oxford Commercial	$178.09
Rate for Payer: Qualcare PPO/HMO/WC	$133.57
Rate for Payer: UnitedHealthcare Commercial	$178.09
Rate for Payer: UnitedHealthcare Community & State	$28.14
Rate for Payer: Wellpoint Medicaid Managed Care	$25.29

PERFORATOR CRANIAL 14MM 261221

Facility

$890.45

Hospital Charge Code	270061175
Hospital Revenue Code	272
Min. Negotiated Rate	$133.57
Max. Negotiated Rate	$133.57
Rate for Payer: Qualcare PPO/HMO/WC	$133.57

PERFORMAX EE LEAK 2 SU XS

Facility

$1,330.10

Hospital Charge Code	270684816
Hospital Revenue Code	272
Min. Negotiated Rate	$37.77
Max. Negotiated Rate	$665.05
Rate for Payer: Aetna Commercial	$505.44
Rate for Payer: Aetna Medicare Advantage	$399.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.18
Rate for Payer: Cigna Commercial	$665.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.83
Rate for Payer: Oxford Commercial	$266.02
Rate for Payer: Qualcare PPO/HMO/WC	$199.51
Rate for Payer: UnitedHealthcare Commercial	$266.02
Rate for Payer: UnitedHealthcare Community & State	$42.03
Rate for Payer: Wellpoint Medicaid Managed Care	$37.77

PERFORMAX EE LEAK 2 SU XS

Facility

$1,330.10

Hospital Charge Code	270684816
Hospital Revenue Code	272
Min. Negotiated Rate	$199.51
Max. Negotiated Rate	$199.51
Rate for Payer: Qualcare PPO/HMO/WC	$199.51

PERFOROMIST 20MCG/2ML NEB VIAL

Facility

$190.28

Service Code	NDC 49502060530
Hospital Charge Code	606390223
Hospital Revenue Code	250
Min. Negotiated Rate	$28.54
Max. Negotiated Rate	$28.54
Rate for Payer: Qualcare PPO/HMO/WC	$28.54

PERFOROMIST 20MCG/2ML NEB VIAL

Facility

$190.28

Service Code	NDC 49502060530
Hospital Charge Code	606390223
Hospital Revenue Code	250
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$95.14
Rate for Payer: Aetna Commercial	$72.31
Rate for Payer: Aetna Medicare Advantage	$57.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.52
Rate for Payer: Cigna Commercial	$95.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.47
Rate for Payer: Oxford Commercial	$38.06
Rate for Payer: Qualcare PPO/HMO/WC	$28.54
Rate for Payer: UnitedHealthcare Commercial	$38.06
Rate for Payer: UnitedHealthcare Community & State	$6.01
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

Know your out-of-pocket cost for care.

All Charges