Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RECOV ROOM 3 TO 3 1/2 HRS

Facility

$6,421.80

Hospital Charge Code	1500073
Hospital Revenue Code	710
Min. Negotiated Rate	$963.27
Max. Negotiated Rate	$963.27
Rate for Payer: Qualcare PPO/HMO/WC	$963.27

RECOV ROOM 3 TO 3 1/2 HRS

Facility

$6,421.80

Hospital Charge Code	1500073
Hospital Revenue Code	710
Min. Negotiated Rate	$182.38
Max. Negotiated Rate	$3,210.90
Rate for Payer: Aetna Commercial	$2,440.28
Rate for Payer: Aetna Medicare Advantage	$1,926.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,637.56
Rate for Payer: Cigna Commercial	$3,210.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,669.67
Rate for Payer: Oxford Commercial	$1,284.36
Rate for Payer: Qualcare PPO/HMO/WC	$963.27
Rate for Payer: UnitedHealthcare Commercial	$1,284.36
Rate for Payer: UnitedHealthcare Community & State	$202.93
Rate for Payer: Wellpoint Medicaid Managed Care	$182.38

RECOV ROOM ADD 1/2 HR

Facility

$826.00

Hospital Charge Code	1500099
Hospital Revenue Code	710
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$413.00
Rate for Payer: Aetna Commercial	$313.88
Rate for Payer: Aetna Medicare Advantage	$247.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.63
Rate for Payer: Cigna Commercial	$413.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.76
Rate for Payer: Oxford Commercial	$165.20
Rate for Payer: Qualcare PPO/HMO/WC	$123.90
Rate for Payer: UnitedHealthcare Commercial	$165.20
Rate for Payer: UnitedHealthcare Community & State	$26.10
Rate for Payer: Wellpoint Medicaid Managed Care	$23.46

RECOV ROOM ADD 1/2 HR

Facility

$551.00

Hospital Charge Code	41101015
Hospital Revenue Code	710
Min. Negotiated Rate	$15.65
Max. Negotiated Rate	$275.50
Rate for Payer: Aetna Commercial	$209.38
Rate for Payer: Aetna Medicare Advantage	$165.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.50
Rate for Payer: Cigna Commercial	$275.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.26
Rate for Payer: Oxford Commercial	$110.20
Rate for Payer: Qualcare PPO/HMO/WC	$82.65
Rate for Payer: UnitedHealthcare Commercial	$110.20
Rate for Payer: UnitedHealthcare Community & State	$17.41
Rate for Payer: Wellpoint Medicaid Managed Care	$15.65

RECOV ROOM ADD 1/2 HR

Facility

$551.00

Hospital Charge Code	41101015
Hospital Revenue Code	710
Min. Negotiated Rate	$82.65
Max. Negotiated Rate	$82.65
Rate for Payer: Qualcare PPO/HMO/WC	$82.65

RECOV ROOM ADD 1/2 HR

Facility

$826.00

Hospital Charge Code	1500099
Hospital Revenue Code	710
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$123.90
Rate for Payer: Qualcare PPO/HMO/WC	$123.90

RECOV ROOM COMX 1 1/2 TO 2 HR

Facility

$5,028.45

Hospital Charge Code	1500007
Hospital Revenue Code	710
Min. Negotiated Rate	$142.81
Max. Negotiated Rate	$2,514.22
Rate for Payer: Aetna Commercial	$1,910.81
Rate for Payer: Aetna Medicare Advantage	$1,508.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,282.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,282.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,282.25
Rate for Payer: Cigna Commercial	$2,514.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,307.40
Rate for Payer: Oxford Commercial	$1,005.69
Rate for Payer: Qualcare PPO/HMO/WC	$754.27
Rate for Payer: UnitedHealthcare Commercial	$1,005.69
Rate for Payer: UnitedHealthcare Community & State	$158.90
Rate for Payer: Wellpoint Medicaid Managed Care	$142.81

RECOV ROOM COMX 1 1/2 TO 2 HR

Facility

$5,028.45

Hospital Charge Code	1500007
Hospital Revenue Code	710
Min. Negotiated Rate	$754.27
Max. Negotiated Rate	$754.27
Rate for Payer: Qualcare PPO/HMO/WC	$754.27

RECOV ROOM COMX 1 HOUR

Facility

$3,029.25

Hospital Charge Code	1500003
Hospital Revenue Code	710
Min. Negotiated Rate	$86.03
Max. Negotiated Rate	$1,514.62
Rate for Payer: Aetna Commercial	$1,151.12
Rate for Payer: Aetna Medicare Advantage	$908.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.46
Rate for Payer: Cigna Commercial	$1,514.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$787.61
Rate for Payer: Oxford Commercial	$605.85
Rate for Payer: Qualcare PPO/HMO/WC	$454.39
Rate for Payer: UnitedHealthcare Commercial	$605.85
Rate for Payer: UnitedHealthcare Community & State	$95.72
Rate for Payer: Wellpoint Medicaid Managed Care	$86.03

RECOV ROOM COMX 1 HOUR

Facility

$3,029.25

Hospital Charge Code	1500003
Hospital Revenue Code	710
Min. Negotiated Rate	$454.39
Max. Negotiated Rate	$454.39
Rate for Payer: Qualcare PPO/HMO/WC	$454.39

RECOV ROOM COMX < 1 HR

Facility

$2,500.00

Hospital Charge Code	1500001
Hospital Revenue Code	710
Min. Negotiated Rate	$71.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$650.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$79.00
Rate for Payer: Wellpoint Medicaid Managed Care	$71.00

RECOV ROOM COMX < 1 HR

Facility

$2,500.00

Hospital Charge Code	1500001
Hospital Revenue Code	710
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

RECOV ROOM COMX 1 TO 1 1/2 HR

Facility

$4,028.85

Hospital Charge Code	1500005
Hospital Revenue Code	710
Min. Negotiated Rate	$604.33
Max. Negotiated Rate	$604.33
Rate for Payer: Qualcare PPO/HMO/WC	$604.33

RECOV ROOM COMX 1 TO 1 1/2 HR

Facility

$4,028.85

Hospital Charge Code	1500005
Hospital Revenue Code	710
Min. Negotiated Rate	$114.42
Max. Negotiated Rate	$2,014.42
Rate for Payer: Aetna Commercial	$1,530.96
Rate for Payer: Aetna Medicare Advantage	$1,208.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,027.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,027.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,027.36
Rate for Payer: Cigna Commercial	$2,014.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,047.50
Rate for Payer: Oxford Commercial	$805.77
Rate for Payer: Qualcare PPO/HMO/WC	$604.33
Rate for Payer: UnitedHealthcare Commercial	$805.77
Rate for Payer: UnitedHealthcare Community & State	$127.31
Rate for Payer: Wellpoint Medicaid Managed Care	$114.42

RECOV ROOM COMX 2 1/2 TO 3 HR

Facility

$7,027.65

Hospital Charge Code	1500011
Hospital Revenue Code	710
Min. Negotiated Rate	$1,054.15
Max. Negotiated Rate	$1,054.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.15

RECOV ROOM COMX 2 1/2 TO 3 HR

Facility

$7,027.65

Hospital Charge Code	1500011
Hospital Revenue Code	710
Min. Negotiated Rate	$199.59
Max. Negotiated Rate	$3,513.82
Rate for Payer: Aetna Commercial	$2,670.51
Rate for Payer: Aetna Medicare Advantage	$2,108.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,792.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,792.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,792.05
Rate for Payer: Cigna Commercial	$3,513.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,827.19
Rate for Payer: Oxford Commercial	$1,405.53
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.15
Rate for Payer: UnitedHealthcare Commercial	$1,405.53
Rate for Payer: UnitedHealthcare Community & State	$222.07
Rate for Payer: Wellpoint Medicaid Managed Care	$199.59

RECOV ROOM COMX 2 TO 2 1/2 HR

Facility

$6,028.05

Hospital Charge Code	1500009
Hospital Revenue Code	710
Min. Negotiated Rate	$171.20
Max. Negotiated Rate	$3,014.03
Rate for Payer: Aetna Commercial	$2,290.66
Rate for Payer: Aetna Medicare Advantage	$1,808.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,537.15
Rate for Payer: Cigna Commercial	$3,014.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.29
Rate for Payer: Oxford Commercial	$1,205.61
Rate for Payer: Qualcare PPO/HMO/WC	$904.21
Rate for Payer: UnitedHealthcare Commercial	$1,205.61
Rate for Payer: UnitedHealthcare Community & State	$190.49
Rate for Payer: Wellpoint Medicaid Managed Care	$171.20

RECOV ROOM COMX 2 TO 2 1/2 HR

Facility

$6,028.05

Hospital Charge Code	1500009
Hospital Revenue Code	710
Min. Negotiated Rate	$904.21
Max. Negotiated Rate	$904.21
Rate for Payer: Qualcare PPO/HMO/WC	$904.21

RECOV ROOM COMX 3 1/2 TO 4 HR

Facility

$9,026.85

Hospital Charge Code	1500015
Hospital Revenue Code	710
Min. Negotiated Rate	$1,354.03
Max. Negotiated Rate	$1,354.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,354.03

RECOV ROOM COMX 3 1/2 TO 4 HR

Facility

$9,026.85

Hospital Charge Code	1500015
Hospital Revenue Code	710
Min. Negotiated Rate	$256.36
Max. Negotiated Rate	$4,513.43
Rate for Payer: Aetna Commercial	$3,430.20
Rate for Payer: Aetna Medicare Advantage	$2,708.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,301.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,301.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,301.85
Rate for Payer: Cigna Commercial	$4,513.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,346.98
Rate for Payer: Oxford Commercial	$1,805.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,354.03
Rate for Payer: UnitedHealthcare Commercial	$1,805.37
Rate for Payer: UnitedHealthcare Community & State	$285.25
Rate for Payer: Wellpoint Medicaid Managed Care	$256.36

RECOV ROOM COMX 3 TO 3 1/2 HR

Facility

$8,027.25

Hospital Charge Code	1500013
Hospital Revenue Code	710
Min. Negotiated Rate	$1,204.09
Max. Negotiated Rate	$1,204.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,204.09

RECOV ROOM COMX 3 TO 3 1/2 HR

Facility

$8,027.25

Hospital Charge Code	1500013
Hospital Revenue Code	710
Min. Negotiated Rate	$227.97
Max. Negotiated Rate	$4,013.62
Rate for Payer: Aetna Commercial	$3,050.36
Rate for Payer: Aetna Medicare Advantage	$2,408.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,046.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,046.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,046.95
Rate for Payer: Cigna Commercial	$4,013.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,087.09
Rate for Payer: Oxford Commercial	$1,605.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,204.09
Rate for Payer: UnitedHealthcare Commercial	$1,605.45
Rate for Payer: UnitedHealthcare Community & State	$253.66
Rate for Payer: Wellpoint Medicaid Managed Care	$227.97

RECOV ROOM COMX ADD 1/2 HR

Facility

$996.60

Hospital Charge Code	1500017
Hospital Revenue Code	710
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$498.30
Rate for Payer: Aetna Commercial	$378.71
Rate for Payer: Aetna Medicare Advantage	$298.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.13
Rate for Payer: Cigna Commercial	$498.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.12
Rate for Payer: Oxford Commercial	$199.32
Rate for Payer: Qualcare PPO/HMO/WC	$149.49
Rate for Payer: UnitedHealthcare Commercial	$199.32
Rate for Payer: UnitedHealthcare Community & State	$31.49
Rate for Payer: Wellpoint Medicaid Managed Care	$28.30

RECOV ROOM COMX ADD 1/2 HR

Facility

$996.60

Hospital Charge Code	1500017
Hospital Revenue Code	710
Min. Negotiated Rate	$149.49
Max. Negotiated Rate	$149.49
Rate for Payer: Qualcare PPO/HMO/WC	$149.49

REC - PROC ONLY

Facility

$664.00

Hospital Charge Code	73190155
Hospital Revenue Code	710
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

Know your out-of-pocket cost for care.

All Charges