Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$21,428.03

Service Code	APR-DRG 1974
Min. Negotiated Rate	$21,007.87
Max. Negotiated Rate	$21,428.03
Rate for Payer: UnitedHealthcare Community & State	$21,007.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,428.03
Rate for Payer: Wellpoint Medicaid Managed Care	$21,007.87

PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$12,181.62

Service Code	APR-DRG 1973
Min. Negotiated Rate	$11,942.76
Max. Negotiated Rate	$12,181.62
Rate for Payer: UnitedHealthcare Community & State	$11,942.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,181.62
Rate for Payer: Wellpoint Medicaid Managed Care	$11,942.76

PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$25,346.28

Service Code	APR-DRG 0484
Min. Negotiated Rate	$24,849.29
Max. Negotiated Rate	$25,346.28
Rate for Payer: UnitedHealthcare Community & State	$24,849.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,346.28
Rate for Payer: Wellpoint Medicaid Managed Care	$24,849.29

PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$9,649.48

Service Code	APR-DRG 0482
Min. Negotiated Rate	$9,460.27
Max. Negotiated Rate	$9,649.48
Rate for Payer: UnitedHealthcare Community & State	$9,460.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,649.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9,460.27

PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$13,160.43

Service Code	APR-DRG 0483
Min. Negotiated Rate	$12,902.38
Max. Negotiated Rate	$13,160.43
Rate for Payer: UnitedHealthcare Community & State	$12,902.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,160.43
Rate for Payer: Wellpoint Medicaid Managed Care	$12,902.38

PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$8,384.13

Service Code	APR-DRG 0481
Min. Negotiated Rate	$8,219.74
Max. Negotiated Rate	$8,384.13
Rate for Payer: UnitedHealthcare Community & State	$8,219.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,384.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8,219.74

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR

Facility

$88,929.39

Service Code	MSDRG 041
Min. Negotiated Rate	$27,077.86
Max. Negotiated Rate	$88,929.39
Rate for Payer: Aetna Medicare Advantage	$88,929.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61,782.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61,782.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,503.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61,782.15
Rate for Payer: Cigna Commercial	$49,015.62
Rate for Payer: Cigna Medicare Advantage	$28,503.01
Rate for Payer: Clover Medicare Advantage	$27,077.86
Rate for Payer: EmblemHealth Commercial	$85,509.03
Rate for Payer: Humana Medicare Advantage	$29,358.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$28,503.01
Rate for Payer: Oxford Commercial	$38,741.09
Rate for Payer: UnitedHealthcare Commercial	$51,856.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,503.01
Rate for Payer: Wellcare Medicare Advantage	$28,503.01

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

Facility

$141,453.72

Service Code	MSDRG 040
Min. Negotiated Rate	$43,070.84
Max. Negotiated Rate	$141,453.72
Rate for Payer: Aetna Medicare Advantage	$141,453.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106,664.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106,664.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,337.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106,664.25
Rate for Payer: Cigna Commercial	$86,077.73
Rate for Payer: Cigna Medicare Advantage	$45,337.73
Rate for Payer: Clover Medicare Advantage	$43,070.84
Rate for Payer: EmblemHealth Commercial	$136,013.19
Rate for Payer: Humana Medicare Advantage	$46,697.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$45,337.73
Rate for Payer: Oxford Commercial	$68,034.34
Rate for Payer: UnitedHealthcare Commercial	$91,066.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,337.73
Rate for Payer: Wellcare Medicare Advantage	$45,337.73

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC

Facility

$74,048.83

Service Code	MSDRG 042
Min. Negotiated Rate	$22,546.92
Max. Negotiated Rate	$74,048.83
Rate for Payer: Aetna Medicare Advantage	$74,048.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,206.70
Rate for Payer: Cigna Commercial	$38,515.62
Rate for Payer: Cigna Medicare Advantage	$23,733.60
Rate for Payer: Clover Medicare Advantage	$22,546.92
Rate for Payer: EmblemHealth Commercial	$71,200.80
Rate for Payer: Humana Medicare Advantage	$24,445.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,733.60
Rate for Payer: Oxford Commercial	$30,442.07
Rate for Payer: UnitedHealthcare Commercial	$40,747.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,733.60
Rate for Payer: Wellcare Medicare Advantage	$23,733.60

Peripheral Nerve Stimulator ES

Facility

$4,995.00

Hospital Charge Code	270684936
Hospital Revenue Code	272
Min. Negotiated Rate	$749.25
Max. Negotiated Rate	$749.25
Rate for Payer: Qualcare PPO/HMO/WC	$749.25

Peripheral Nerve Stimulator ES

Facility

$4,995.00

Hospital Charge Code	270684936
Hospital Revenue Code	272
Min. Negotiated Rate	$141.86
Max. Negotiated Rate	$2,497.50
Rate for Payer: Aetna Commercial	$1,898.10
Rate for Payer: Aetna Medicare Advantage	$1,498.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,273.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,273.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,273.72
Rate for Payer: Cigna Commercial	$2,497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,298.70
Rate for Payer: Oxford Commercial	$999.00
Rate for Payer: Qualcare PPO/HMO/WC	$749.25
Rate for Payer: UnitedHealthcare Commercial	$999.00
Rate for Payer: UnitedHealthcare Community & State	$157.84
Rate for Payer: Wellpoint Medicaid Managed Care	$141.86

PERIPHERAL VASCULAR DISORDERS WITH CC

Facility

$53,190.79

Service Code	MSDRG 300
Min. Negotiated Rate	$16,195.91
Max. Negotiated Rate	$53,190.79
Rate for Payer: Aetna Commercial	$39,741.61
Rate for Payer: Aetna Medicare Advantage	$53,190.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,644.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,048.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,644.35
Rate for Payer: Cigna Commercial	$23,797.78
Rate for Payer: Cigna Medicare Advantage	$17,048.33
Rate for Payer: Clover Medicare Advantage	$16,195.91
Rate for Payer: EmblemHealth Commercial	$51,144.99
Rate for Payer: Humana Medicare Advantage	$17,559.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,048.33
Rate for Payer: Oxford Commercial	$18,809.35
Rate for Payer: UnitedHealthcare Commercial	$25,176.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,048.33
Rate for Payer: Wellcare Medicare Advantage	$17,048.33

PERIPHERAL VASCULAR DISORDERS WITH MCC

Facility

$71,047.42

Service Code	MSDRG 299
Min. Negotiated Rate	$21,633.03
Max. Negotiated Rate	$71,047.42
Rate for Payer: Aetna Commercial	$52,459.29
Rate for Payer: Aetna Medicare Advantage	$71,047.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,773.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,773.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,771.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,773.90
Rate for Payer: Cigna Commercial	$36,397.78
Rate for Payer: Cigna Medicare Advantage	$22,771.61
Rate for Payer: Clover Medicare Advantage	$21,633.03
Rate for Payer: EmblemHealth Commercial	$68,314.83
Rate for Payer: Humana Medicare Advantage	$23,454.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,771.61
Rate for Payer: Oxford Commercial	$28,768.17
Rate for Payer: UnitedHealthcare Commercial	$38,507.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,771.61
Rate for Payer: Wellcare Medicare Advantage	$22,771.61

PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

Facility

$42,202.56

Service Code	MSDRG 301
Min. Negotiated Rate	$12,681.11
Max. Negotiated Rate	$42,202.56
Rate for Payer: Aetna Commercial	$31,915.65
Rate for Payer: Aetna Medicare Advantage	$42,202.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,670.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,526.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,670.55
Rate for Payer: Cigna Commercial	$16,044.27
Rate for Payer: Cigna Medicare Advantage	$13,526.46
Rate for Payer: Clover Medicare Advantage	$12,850.14
Rate for Payer: EmblemHealth Commercial	$40,579.38
Rate for Payer: Humana Medicare Advantage	$13,932.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,526.46
Rate for Payer: Oxford Commercial	$12,681.11
Rate for Payer: UnitedHealthcare Commercial	$16,974.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,526.46
Rate for Payer: Wellcare Medicare Advantage	$13,526.46

PERIPROSTH CAPSULECT BREAST

Facility

$31,541.30

Service Code	HCPCS 19371
Hospital Charge Code	16000358
Hospital Revenue Code	360
Min. Negotiated Rate	$4,731.19
Max. Negotiated Rate	$4,731.19
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19

PERIPROSTH CAPSULECT BREAST

Facility

$31,541.30

Service Code	HCPCS 19371
Hospital Charge Code	16000358
Hospital Revenue Code	360
Min. Negotiated Rate	$895.77
Max. Negotiated Rate	$16,873.82
Rate for Payer: Aetna Commercial	$12,652.46
Rate for Payer: Aetna Medicare Advantage	$15,071.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,873.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,651.64
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	$16,873.82
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: Cigna Medicare Advantage	$4,651.64
Rate for Payer: Clover Medicare Advantage	$4,419.06
Rate for Payer: EmblemHealth Commercial	$13,954.92
Rate for Payer: Humana Medicare Advantage	$4,791.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,651.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,200.74
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,731.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$996.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,651.64
Rate for Payer: Wellcare Medicare Advantage	$4,651.64
Rate for Payer: Wellpoint Medicaid Managed Care	$895.77

PERISCREW 3.5MMX10MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663180
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERISCREW 3.5MMX10MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663180
Hospital Revenue Code	278
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$67.24
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54
Rate for Payer: UnitedHealthcare Community & State	$5.59
Rate for Payer: Wellpoint Medicaid Managed Care	$5.03

PERISCREW 3.5MMX12MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663181
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$42.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54

PERISCREW 3.5MMX12MM W/2.7MM H

Facility

$176.95

Hospital Charge Code	270663181
Hospital Revenue Code	278
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$88.47
Rate for Payer: Aetna Commercial	$67.24
Rate for Payer: Aetna Medicare Advantage	$53.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.12
Rate for Payer: Cigna Commercial	$88.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.82
Rate for Payer: Qualcare PPO/HMO/WC	$26.54
Rate for Payer: UnitedHealthcare Community & State	$5.59
Rate for Payer: Wellpoint Medicaid Managed Care	$5.03

PERI SONOGRAM ABDOMINAL

Facility

$2,499.00

Service Code	HCPCS 76700
Hospital Charge Code	74308090
Hospital Revenue Code	402
Min. Negotiated Rate	$70.97
Max. Negotiated Rate	$2,904.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.54
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$649.74
Rate for Payer: Oxford Commercial	$2,697.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.85
Rate for Payer: UnitedHealthcare Commercial	$2,904.00
Rate for Payer: UnitedHealthcare Community & State	$78.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$70.97

PERI SONOGRAM ABDOMINAL

Facility

$2,499.00

Service Code	HCPCS 76700
Hospital Charge Code	74308090
Hospital Revenue Code	402
Min. Negotiated Rate	$374.85
Max. Negotiated Rate	$374.85
Rate for Payer: Qualcare PPO/HMO/WC	$374.85

PERI-STRIP

Facility

$330.00

Hospital Charge Code	270335371
Hospital Revenue Code	278
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$79.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

PERI-STRIP

Facility

$330.00

Hospital Charge Code	270335371
Hospital Revenue Code	278
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.86
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Community & State	$10.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.37

PERI-STRIP 45MM

Facility

$1,071.00

Hospital Charge Code	270672596
Hospital Revenue Code	272
Min. Negotiated Rate	$30.42
Max. Negotiated Rate	$535.50
Rate for Payer: Aetna Commercial	$406.98
Rate for Payer: Aetna Medicare Advantage	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.11
Rate for Payer: Cigna Commercial	$535.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.46
Rate for Payer: Oxford Commercial	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$160.65
Rate for Payer: UnitedHealthcare Commercial	$214.20
Rate for Payer: UnitedHealthcare Community & State	$33.84
Rate for Payer: Wellpoint Medicaid Managed Care	$30.42

Know your out-of-pocket cost for care.

All Charges