Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RECOVERY EXTEND/HR AFTER 3

Facility

$664.00

Hospital Charge Code	73190156
Hospital Revenue Code	710
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

RECOVERY INITIAL HOUR

Facility

$1,103.00

Hospital Charge Code	93500172
Hospital Revenue Code	710
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$551.50
Rate for Payer: Aetna Commercial	$419.14
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.78
Rate for Payer: Oxford Commercial	$220.60
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$220.60
Rate for Payer: UnitedHealthcare Community & State	$34.85
Rate for Payer: Wellpoint Medicaid Managed Care	$31.33

RECOVERY INITIAL HOUR

Facility

$1,103.00

Hospital Charge Code	93500172
Hospital Revenue Code	710
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

RECOVERY REMOVAL SYSTEM

Facility

$4,350.00

Hospital Charge Code	270676335
Hospital Revenue Code	272
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

RECOVERY REMOVAL SYSTEM

Facility

$4,350.00

Hospital Charge Code	270676335
Hospital Revenue Code	272
Min. Negotiated Rate	$123.54
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,653.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,131.00
Rate for Payer: Oxford Commercial	$870.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Commercial	$870.00
Rate for Payer: UnitedHealthcare Community & State	$137.46
Rate for Payer: Wellpoint Medicaid Managed Care	$123.54

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	1001188
Hospital Revenue Code	710
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	1001188
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	41101000
Hospital Revenue Code	710
Min. Negotiated Rate	$22.72
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$25.28
Rate for Payer: Wellpoint Medicaid Managed Care	$22.72

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	41101000
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

RECOV ROOM 1 1/2 TO 2 HRS

Facility

$4,022.76

Hospital Charge Code	1500040
Hospital Revenue Code	710
Min. Negotiated Rate	$114.25
Max. Negotiated Rate	$2,011.38
Rate for Payer: Aetna Commercial	$1,528.65
Rate for Payer: Aetna Medicare Advantage	$1,206.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,025.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,025.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,025.80
Rate for Payer: Cigna Commercial	$2,011.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,045.92
Rate for Payer: Oxford Commercial	$804.55
Rate for Payer: Qualcare PPO/HMO/WC	$603.41
Rate for Payer: UnitedHealthcare Commercial	$804.55
Rate for Payer: UnitedHealthcare Community & State	$127.12
Rate for Payer: Wellpoint Medicaid Managed Care	$114.25

RECOV ROOM 1 1/2 TO 2 HRS

Facility

$4,022.76

Hospital Charge Code	1500040
Hospital Revenue Code	710
Min. Negotiated Rate	$603.41
Max. Negotiated Rate	$603.41
Rate for Payer: Qualcare PPO/HMO/WC	$603.41

RECOV ROOM 1 HOUR

Facility

$2,423.40

Hospital Charge Code	41101010
Hospital Revenue Code	710
Min. Negotiated Rate	$363.51
Max. Negotiated Rate	$363.51
Rate for Payer: Qualcare PPO/HMO/WC	$363.51

RECOV ROOM 1 HOUR

Facility

$2,423.40

Hospital Charge Code	1500024
Hospital Revenue Code	710
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$1,211.70
Rate for Payer: Aetna Commercial	$920.89
Rate for Payer: Aetna Medicare Advantage	$727.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.97
Rate for Payer: Cigna Commercial	$1,211.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.08
Rate for Payer: Oxford Commercial	$484.68
Rate for Payer: Qualcare PPO/HMO/WC	$363.51
Rate for Payer: UnitedHealthcare Commercial	$484.68
Rate for Payer: UnitedHealthcare Community & State	$76.58
Rate for Payer: Wellpoint Medicaid Managed Care	$68.82

RECOV ROOM 1 HOUR

Facility

$2,423.40

Hospital Charge Code	1500024
Hospital Revenue Code	710
Min. Negotiated Rate	$363.51
Max. Negotiated Rate	$363.51
Rate for Payer: Qualcare PPO/HMO/WC	$363.51

RECOV ROOM 1 HOUR

Facility

$2,423.40

Hospital Charge Code	41101010
Hospital Revenue Code	710
Min. Negotiated Rate	$68.82
Max. Negotiated Rate	$1,211.70
Rate for Payer: Aetna Commercial	$920.89
Rate for Payer: Aetna Medicare Advantage	$727.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.97
Rate for Payer: Cigna Commercial	$1,211.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.08
Rate for Payer: Oxford Commercial	$484.68
Rate for Payer: Qualcare PPO/HMO/WC	$363.51
Rate for Payer: UnitedHealthcare Commercial	$484.68
Rate for Payer: UnitedHealthcare Community & State	$76.58
Rate for Payer: Wellpoint Medicaid Managed Care	$68.82

RECOV ROOM < 1 HR

Facility

$2,000.00

Hospital Charge Code	1500020
Hospital Revenue Code	710
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$63.20
Rate for Payer: Wellpoint Medicaid Managed Care	$56.80

RECOV ROOM < 1 HR

Facility

$2,000.00

Hospital Charge Code	1500020
Hospital Revenue Code	710
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

RECOV ROOM 1 TO 1 1/2 HR

Facility

$3,223.08

Hospital Charge Code	1500032
Hospital Revenue Code	710
Min. Negotiated Rate	$91.54
Max. Negotiated Rate	$1,611.54
Rate for Payer: Aetna Commercial	$1,224.77
Rate for Payer: Aetna Medicare Advantage	$966.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$821.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$821.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$821.89
Rate for Payer: Cigna Commercial	$1,611.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$838.00
Rate for Payer: Oxford Commercial	$644.62
Rate for Payer: Qualcare PPO/HMO/WC	$483.46
Rate for Payer: UnitedHealthcare Commercial	$644.62
Rate for Payer: UnitedHealthcare Community & State	$101.85
Rate for Payer: Wellpoint Medicaid Managed Care	$91.54

RECOV ROOM 1 TO 1 1/2 HR

Facility

$3,223.08

Hospital Charge Code	1500032
Hospital Revenue Code	710
Min. Negotiated Rate	$483.46
Max. Negotiated Rate	$483.46
Rate for Payer: Qualcare PPO/HMO/WC	$483.46

RECOV ROOM 2 1/2 TO 3 HRS

Facility

$5,622.12

Hospital Charge Code	1500065
Hospital Revenue Code	710
Min. Negotiated Rate	$159.67
Max. Negotiated Rate	$2,811.06
Rate for Payer: Aetna Commercial	$2,136.41
Rate for Payer: Aetna Medicare Advantage	$1,686.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,433.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,433.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,433.64
Rate for Payer: Cigna Commercial	$2,811.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,461.75
Rate for Payer: Oxford Commercial	$1,124.42
Rate for Payer: Qualcare PPO/HMO/WC	$843.32
Rate for Payer: UnitedHealthcare Commercial	$1,124.42
Rate for Payer: UnitedHealthcare Community & State	$177.66
Rate for Payer: Wellpoint Medicaid Managed Care	$159.67

RECOV ROOM 2 1/2 TO 3 HRS

Facility

$5,622.12

Hospital Charge Code	1500065
Hospital Revenue Code	710
Min. Negotiated Rate	$843.32
Max. Negotiated Rate	$843.32
Rate for Payer: Qualcare PPO/HMO/WC	$843.32

RECOV ROOM 2 TO 2 1/2 HRS

Facility

$4,822.44

Hospital Charge Code	1500057
Hospital Revenue Code	710
Min. Negotiated Rate	$723.37
Max. Negotiated Rate	$723.37
Rate for Payer: Qualcare PPO/HMO/WC	$723.37

RECOV ROOM 2 TO 2 1/2 HRS

Facility

$4,822.44

Hospital Charge Code	1500057
Hospital Revenue Code	710
Min. Negotiated Rate	$136.96
Max. Negotiated Rate	$2,411.22
Rate for Payer: Aetna Commercial	$1,832.53
Rate for Payer: Aetna Medicare Advantage	$1,446.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,229.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,229.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,229.72
Rate for Payer: Cigna Commercial	$2,411.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,253.83
Rate for Payer: Oxford Commercial	$964.49
Rate for Payer: Qualcare PPO/HMO/WC	$723.37
Rate for Payer: UnitedHealthcare Commercial	$964.49
Rate for Payer: UnitedHealthcare Community & State	$152.39
Rate for Payer: Wellpoint Medicaid Managed Care	$136.96

RECOV ROOM 3 1/2 TO 4 HRS

Facility

$7,221.48

Hospital Charge Code	1500081
Hospital Revenue Code	710
Min. Negotiated Rate	$1,083.22
Max. Negotiated Rate	$1,083.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.22

RECOV ROOM 3 1/2 TO 4 HRS

Facility

$7,221.48

Hospital Charge Code	1500081
Hospital Revenue Code	710
Min. Negotiated Rate	$205.09
Max. Negotiated Rate	$3,610.74
Rate for Payer: Aetna Commercial	$2,744.16
Rate for Payer: Aetna Medicare Advantage	$2,166.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,841.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,841.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,841.48
Rate for Payer: Cigna Commercial	$3,610.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.58
Rate for Payer: Oxford Commercial	$1,444.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,083.22
Rate for Payer: UnitedHealthcare Commercial	$1,444.30
Rate for Payer: UnitedHealthcare Community & State	$228.20
Rate for Payer: Wellpoint Medicaid Managed Care	$205.09

Know your out-of-pocket cost for care.

All Charges