Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$24,923.55

Service Code	APR-DRG 1712
Min. Negotiated Rate	$24,434.85
Max. Negotiated Rate	$24,923.55
Rate for Payer: UnitedHealthcare Community & State	$24,434.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,923.55
Rate for Payer: Wellpoint Medicaid Managed Care	$24,434.85

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$50,595.65

Service Code	APR-DRG 1714
Min. Negotiated Rate	$49,603.58
Max. Negotiated Rate	$50,595.65
Rate for Payer: UnitedHealthcare Community & State	$49,603.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,595.65
Rate for Payer: Wellpoint Medicaid Managed Care	$49,603.58

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$21,974.36

Service Code	APR-DRG 1711
Min. Negotiated Rate	$21,543.49
Max. Negotiated Rate	$21,974.36
Rate for Payer: UnitedHealthcare Community & State	$21,543.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,974.36
Rate for Payer: Wellpoint Medicaid Managed Care	$21,543.49

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$32,351.36

Service Code	APR-DRG 1713
Min. Negotiated Rate	$31,717.02
Max. Negotiated Rate	$32,351.36
Rate for Payer: UnitedHealthcare Community & State	$31,717.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,351.36
Rate for Payer: Wellpoint Medicaid Managed Care	$31,717.02

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC

Facility

$76,570.01

Service Code	MSDRG 244
Min. Negotiated Rate	$23,314.59
Max. Negotiated Rate	$76,570.01
Rate for Payer: Aetna Commercial	$56,392.56
Rate for Payer: Aetna Medicare Advantage	$76,570.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,700.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,700.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,541.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,700.15
Rate for Payer: Cigna Commercial	$40,294.60
Rate for Payer: Cigna Medicare Advantage	$24,541.67
Rate for Payer: Clover Medicare Advantage	$23,314.59
Rate for Payer: EmblemHealth Commercial	$73,625.01
Rate for Payer: Humana Medicare Advantage	$25,277.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,541.67
Rate for Payer: Oxford Commercial	$31,848.15
Rate for Payer: UnitedHealthcare Commercial	$42,629.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,541.67
Rate for Payer: Wellcare Medicare Advantage	$24,541.67

PERMANENT NAIL REMOVAL

Facility

$1,287.45

Service Code	HCPCS 11750
Hospital Charge Code	160000199
Hospital Revenue Code	360
Min. Negotiated Rate	$36.56
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,751.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,751.90
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$334.74
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$193.12
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$40.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$36.56

PERMANENT NAIL REMOVAL

Facility

$1,287.45

Service Code	HCPCS 11750
Hospital Charge Code	160000199
Hospital Revenue Code	360
Min. Negotiated Rate	$193.12
Max. Negotiated Rate	$193.12
Rate for Payer: Qualcare PPO/HMO/WC	$193.12

PERMANENT PACEMAKER LEAD

Facility

$313.00

Hospital Charge Code	270331428
Hospital Revenue Code	275
Min. Negotiated Rate	$8.89
Max. Negotiated Rate	$156.50
Rate for Payer: Aetna Commercial	$118.94
Rate for Payer: Aetna Medicare Advantage	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.81
Rate for Payer: Cigna Commercial	$156.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$46.95
Rate for Payer: UnitedHealthcare Community & State	$9.89
Rate for Payer: Wellpoint Medicaid Managed Care	$8.89

PERMANENT PACEMAKER LEAD

Facility

$313.00

Hospital Charge Code	270331428
Hospital Revenue Code	275
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

PERMANENT SLED STERILE BAD

Facility

$75.00

Hospital Charge Code	270703399
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PERMANENT SLED STERILE BAD

Facility

$75.00

Hospital Charge Code	270703399
Hospital Revenue Code	278
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

PERMASOFT LAP ABSORB-35 CM

Facility

$124.00

Hospital Charge Code	270335800
Hospital Revenue Code	272
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$47.12
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.24
Rate for Payer: Oxford Commercial	$24.80
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$24.80
Rate for Payer: UnitedHealthcare Community & State	$3.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.52

PERMASOFT LAP ABSORB-35 CM

Facility

$124.00

Hospital Charge Code	270335800
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

PERMASOFT LAP FASTENERS 12-35

Facility

$226.00

Hospital Charge Code	270335801
Hospital Revenue Code	272
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$85.88
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.76
Rate for Payer: Oxford Commercial	$45.20
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$45.20
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: Wellpoint Medicaid Managed Care	$6.42

PERMASOFT LAP FASTENERS 12-35

Facility

$226.00

Hospital Charge Code	270335801
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

PERM CATHETER

Facility

$574.00

Hospital Charge Code	270332053
Hospital Revenue Code	278
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$138.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.91
Rate for Payer: Qualcare PPO/HMO/WC	$86.10

PERM CATHETER

Facility

$574.00

Hospital Charge Code	270332053
Hospital Revenue Code	278
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$287.00
Rate for Payer: Aetna Commercial	$218.12
Rate for Payer: Aetna Medicare Advantage	$172.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.37
Rate for Payer: Cigna Commercial	$287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.91
Rate for Payer: Qualcare PPO/HMO/WC	$86.10
Rate for Payer: UnitedHealthcare Community & State	$18.14
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

PERMETHRIN 1% CREME N GEL KIT

Facility

$70.28

Service Code	NDC 363095526
Hospital Charge Code	606350998
Hospital Revenue Code	250
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$35.14
Rate for Payer: Aetna Commercial	$26.71
Rate for Payer: Aetna Medicare Advantage	$21.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.92
Rate for Payer: Cigna Commercial	$35.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.27
Rate for Payer: Oxford Commercial	$14.06
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Commercial	$14.06
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

PERMETHRIN 1% CREME N GEL KIT

Facility

$70.28

Service Code	NDC 363095526
Hospital Charge Code	606350998
Hospital Revenue Code	250
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$10.54
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

PERMETHRIN 5 % CRE

Facility

$795.96

Service Code	NDC 45802026937
Hospital Charge Code	6010342
Hospital Revenue Code	250
Min. Negotiated Rate	$119.39
Max. Negotiated Rate	$119.39
Rate for Payer: Qualcare PPO/HMO/WC	$119.39

PERMETHRIN 5 % CRE

Facility

$795.96

Service Code	NDC 45802026937
Hospital Charge Code	6010342
Hospital Revenue Code	250
Min. Negotiated Rate	$22.61
Max. Negotiated Rate	$397.98
Rate for Payer: Aetna Commercial	$302.46
Rate for Payer: Aetna Medicare Advantage	$238.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.97
Rate for Payer: Cigna Commercial	$397.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.95
Rate for Payer: Oxford Commercial	$159.19
Rate for Payer: Qualcare PPO/HMO/WC	$119.39
Rate for Payer: UnitedHealthcare Commercial	$159.19
Rate for Payer: UnitedHealthcare Community & State	$25.15
Rate for Payer: Wellpoint Medicaid Managed Care	$22.61

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	7411009
Hospital Revenue Code	480
Min. Negotiated Rate	$8,677.87
Max. Negotiated Rate	$8,677.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	7411009
Hospital Revenue Code	480
Min. Negotiated Rate	$451.00
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,043.57
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,041.64
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,828.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,643.01

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	366833206
Hospital Revenue Code	480
Min. Negotiated Rate	$8,677.87
Max. Negotiated Rate	$8,677.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	366833206
Hospital Revenue Code	480
Min. Negotiated Rate	$451.00
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,043.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,043.57
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,041.64
Rate for Payer: Oxford Commercial	$2,441.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,828.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,643.01

Know your out-of-pocket cost for care.

All Charges