Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

PREMATURITY WITH MAJOR PROBLEMS

Facility

$147,702.95

Service Code	MSDRG 791
Min. Negotiated Rate	$5,458.00
Max. Negotiated Rate	$147,702.95
Rate for Payer: Aetna Commercial	$107,054.24
Rate for Payer: Aetna Medicare Advantage	$147,702.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113,590.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113,590.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,340.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113,590.50
Rate for Payer: Cigna Commercial	$90,487.29
Rate for Payer: Cigna Medicare Advantage	$47,340.69
Rate for Payer: Clover Medicare Advantage	$44,973.66
Rate for Payer: EmblemHealth Commercial	$142,022.07
Rate for Payer: Humana Medicare Advantage	$48,760.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$47,340.69
Rate for Payer: Oxford Commercial	$5,458.00
Rate for Payer: UnitedHealthcare Commercial	$6,193.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,340.69
Rate for Payer: Wellcare Medicare Advantage	$47,340.69

PREMATURITY WITHOUT MAJOR PROBLEMS

Facility

$96,843.61

Service Code	MSDRG 792
Min. Negotiated Rate	$4,678.00
Max. Negotiated Rate	$96,843.61
Rate for Payer: Aetna Commercial	$70,831.63
Rate for Payer: Aetna Medicare Advantage	$96,843.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,431.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,431.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,039.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,431.35
Rate for Payer: Cigna Commercial	$54,600.02
Rate for Payer: Cigna Medicare Advantage	$31,039.62
Rate for Payer: Clover Medicare Advantage	$29,487.64
Rate for Payer: EmblemHealth Commercial	$93,118.86
Rate for Payer: Humana Medicare Advantage	$31,970.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$31,039.62
Rate for Payer: Oxford Commercial	$4,678.00
Rate for Payer: UnitedHealthcare Commercial	$5,309.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,039.62
Rate for Payer: Wellcare Medicare Advantage	$31,039.62

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$15.54
Max. Negotiated Rate	$273.60
Rate for Payer: Aetna Commercial	$207.94
Rate for Payer: Aetna Medicare Advantage	$164.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.54
Rate for Payer: Cigna Commercial	$273.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.27
Rate for Payer: Oxford Commercial	$109.44
Rate for Payer: Qualcare PPO/HMO/WC	$82.08
Rate for Payer: UnitedHealthcare Commercial	$109.44
Rate for Payer: UnitedHealthcare Community & State	$17.29
Rate for Payer: Wellpoint Medicaid Managed Care	$15.54

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$82.08
Max. Negotiated Rate	$82.08
Rate for Payer: Qualcare PPO/HMO/WC	$82.08

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$88.65
Max. Negotiated Rate	$88.65
Rate for Payer: Qualcare PPO/HMO/WC	$88.65

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$16.78
Max. Negotiated Rate	$295.50
Rate for Payer: Aetna Commercial	$224.58
Rate for Payer: Aetna Medicare Advantage	$177.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.71
Rate for Payer: Cigna Commercial	$295.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.66
Rate for Payer: Oxford Commercial	$118.20
Rate for Payer: Qualcare PPO/HMO/WC	$88.65
Rate for Payer: UnitedHealthcare Commercial	$118.20
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$16.78

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$537.70
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.90
Rate for Payer: Oxford Commercial	$283.00
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$283.00
Rate for Payer: UnitedHealthcare Community & State	$44.71
Rate for Payer: Wellpoint Medicaid Managed Care	$40.19

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$270.81
Max. Negotiated Rate	$4,767.75
Rate for Payer: Aetna Commercial	$3,623.49
Rate for Payer: Aetna Medicare Advantage	$2,860.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,431.55
Rate for Payer: Cigna Commercial	$4,767.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33
Rate for Payer: UnitedHealthcare Community & State	$301.32
Rate for Payer: Wellpoint Medicaid Managed Care	$270.81

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,430.33
Max. Negotiated Rate	$2,307.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$56.70
Rate for Payer: Qualcare PPO/HMO/WC	$56.70

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$189.00
Rate for Payer: Aetna Commercial	$143.64
Rate for Payer: Aetna Medicare Advantage	$113.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.39
Rate for Payer: Cigna Commercial	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.28
Rate for Payer: Oxford Commercial	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Commercial	$75.60
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$10.74

PRESSURE MONITORING ACCY

Facility

$775.00

Hospital Charge Code	270687443
Hospital Revenue Code	272
Min. Negotiated Rate	$22.01
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$24.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.01

PRESSURE MONITORING ACCY

Facility

$775.00

Hospital Charge Code	270687443
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

PRESSURE MONITOR SYRINGE

Facility

$935.00

Hospital Charge Code	270325447
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

PRESSURE MONITOR SYRINGE

Facility

$935.00

Hospital Charge Code	270325447
Hospital Revenue Code	272
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.10
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$29.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

PRESTIGE (R) LP CERV DISC 5X16

Facility

$23,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270704991
Hospital Revenue Code	278
Min. Negotiated Rate	$3,493.50
Max. Negotiated Rate	$5,636.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,636.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,493.50

PRESTIGE (R) LP CERV DISC 5X16

Facility

$23,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270704991
Hospital Revenue Code	278
Min. Negotiated Rate	$661.44
Max. Negotiated Rate	$11,645.00
Rate for Payer: Aetna Commercial	$8,850.20
Rate for Payer: Aetna Medicare Advantage	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,938.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,938.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,658.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,938.95
Rate for Payer: Cigna Commercial	$11,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,636.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,493.50
Rate for Payer: UnitedHealthcare Community & State	$735.96
Rate for Payer: Wellpoint Medicaid Managed Care	$661.44

PRETREATMENT OF RBC FOR AB ID

Facility

$89.00

Service Code	HCPCS 86970
Hospital Charge Code	38471098
Hospital Revenue Code	300
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

PRETREATMENT OF RBC FOR AB ID

Facility

$89.00

Service Code	HCPCS 86970
Hospital Charge Code	38471098
Hospital Revenue Code	300
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$254.22
Rate for Payer: Aetna Commercial	$190.62
Rate for Payer: Aetna Medicare Advantage	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.22
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: Cigna Medicare Advantage	$70.08
Rate for Payer: Clover Medicare Advantage	$66.58
Rate for Payer: EmblemHealth Commercial	$210.24
Rate for Payer: Humana Medicare Advantage	$72.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$70.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.14
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.08
Rate for Payer: Wellcare Medicare Advantage	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$2.53

PRETREATMNT OF SERUM FOR AB ID

Facility

$149.00

Service Code	HCPCS 86975
Hospital Charge Code	38471099
Hospital Revenue Code	300
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$1,925.19
Rate for Payer: Aetna Commercial	$1,443.56
Rate for Payer: Aetna Medicare Advantage	$1,719.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,925.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,925.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$530.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,925.19
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: Cigna Medicare Advantage	$530.72
Rate for Payer: Clover Medicare Advantage	$504.18
Rate for Payer: EmblemHealth Commercial	$1,592.16
Rate for Payer: Humana Medicare Advantage	$546.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$530.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$25.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$530.72
Rate for Payer: Wellcare Medicare Advantage	$530.72
Rate for Payer: Wellpoint Medicaid Managed Care	$4.23

PRETREATMNT OF SERUM FOR AB ID

Facility

$149.00

Service Code	HCPCS 86975
Hospital Charge Code	38471099
Hospital Revenue Code	300
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

PREVALON TAP 2.0 TURN & POSITI

Facility

$623.80

Hospital Charge Code	270675835
Hospital Revenue Code	272
Min. Negotiated Rate	$17.72
Max. Negotiated Rate	$311.90
Rate for Payer: Aetna Commercial	$237.04
Rate for Payer: Aetna Medicare Advantage	$187.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.07
Rate for Payer: Cigna Commercial	$311.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.19
Rate for Payer: Oxford Commercial	$124.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.57
Rate for Payer: UnitedHealthcare Commercial	$124.76
Rate for Payer: UnitedHealthcare Community & State	$19.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

PREVALON TAP 2.0 TURN & POSITI

Facility

$623.80

Hospital Charge Code	270675835
Hospital Revenue Code	272
Min. Negotiated Rate	$93.57
Max. Negotiated Rate	$93.57
Rate for Payer: Qualcare PPO/HMO/WC	$93.57

PREV CONTRACEPTIVE KIT

Facility

$14.20

Service Code	NDC 68462063729
Hospital Charge Code	60635461
Hospital Revenue Code	250
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.13

Know your out-of-pocket cost for care.

All Charges