Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

REC - PROC ONLY

Facility

$664.00

Hospital Charge Code	73190155
Hospital Revenue Code	710
Min. Negotiated Rate	$18.86
Max. Negotiated Rate	$332.00
Rate for Payer: Aetna Commercial	$252.32
Rate for Payer: Aetna Medicare Advantage	$199.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.32
Rate for Payer: Cigna Commercial	$332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.64
Rate for Payer: Oxford Commercial	$132.80
Rate for Payer: Qualcare PPO/HMO/WC	$99.60
Rate for Payer: UnitedHealthcare Commercial	$132.80
Rate for Payer: UnitedHealthcare Community & State	$20.98
Rate for Payer: Wellpoint Medicaid Managed Care	$18.86

RECTAL RESECTION WITH CC

Facility

$93,463.09

Service Code	MSDRG 333
Min. Negotiated Rate	$28,458.31
Max. Negotiated Rate	$93,463.09
Rate for Payer: Aetna Commercial	$68,423.97
Rate for Payer: Aetna Medicare Advantage	$93,463.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,626.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,626.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,956.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,626.40
Rate for Payer: Cigna Commercial	$52,214.66
Rate for Payer: Cigna Medicare Advantage	$29,956.12
Rate for Payer: Clover Medicare Advantage	$28,458.31
Rate for Payer: EmblemHealth Commercial	$89,868.36
Rate for Payer: Humana Medicare Advantage	$30,854.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,956.12
Rate for Payer: Oxford Commercial	$41,269.56
Rate for Payer: UnitedHealthcare Commercial	$55,240.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,956.12
Rate for Payer: Wellcare Medicare Advantage	$29,956.12

RECTAL RESECTION WITH MCC

Facility

$133,855.49

Service Code	MSDRG 332
Min. Negotiated Rate	$40,757.28
Max. Negotiated Rate	$133,855.49
Rate for Payer: Aetna Commercial	$97,191.91
Rate for Payer: Aetna Medicare Advantage	$133,855.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101,123.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101,123.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42,902.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101,123.25
Rate for Payer: Cigna Commercial	$80,716.27
Rate for Payer: Cigna Medicare Advantage	$42,902.40
Rate for Payer: Clover Medicare Advantage	$40,757.28
Rate for Payer: EmblemHealth Commercial	$128,707.20
Rate for Payer: Humana Medicare Advantage	$44,189.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$42,902.40
Rate for Payer: Oxford Commercial	$63,796.73
Rate for Payer: UnitedHealthcare Commercial	$85,394.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$42,902.40
Rate for Payer: Wellcare Medicare Advantage	$42,902.40

RECTAL RESECTION WITHOUT CC/MCC

Facility

$71,211.75

Service Code	MSDRG 334
Min. Negotiated Rate	$21,683.07
Max. Negotiated Rate	$71,211.75
Rate for Payer: Aetna Commercial	$52,576.32
Rate for Payer: Aetna Medicare Advantage	$71,211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,824.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,605.05
Rate for Payer: Cigna Commercial	$36,513.70
Rate for Payer: Cigna Medicare Advantage	$22,824.28
Rate for Payer: Clover Medicare Advantage	$21,683.07
Rate for Payer: EmblemHealth Commercial	$68,472.84
Rate for Payer: Humana Medicare Advantage	$23,509.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,824.28
Rate for Payer: Oxford Commercial	$28,859.80
Rate for Payer: UnitedHealthcare Commercial	$38,629.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,824.28
Rate for Payer: Wellcare Medicare Advantage	$22,824.28

RECTANGLE EXPANDER 100CC

Facility

$6,750.00

Hospital Charge Code	270702233
Hospital Revenue Code	278
Min. Negotiated Rate	$191.70
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$213.30
Rate for Payer: Wellpoint Medicaid Managed Care	$191.70

RECTANGLE EXPANDER 100CC

Facility

$6,750.00

Hospital Charge Code	270702233
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

REC - VAG DELIVERY

Facility

$1,162.00

Hospital Charge Code	73190152
Hospital Revenue Code	710
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$581.00
Rate for Payer: Aetna Commercial	$441.56
Rate for Payer: Aetna Medicare Advantage	$348.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.31
Rate for Payer: Cigna Commercial	$581.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.12
Rate for Payer: Oxford Commercial	$232.40
Rate for Payer: Qualcare PPO/HMO/WC	$174.30
Rate for Payer: UnitedHealthcare Commercial	$232.40
Rate for Payer: UnitedHealthcare Community & State	$36.72
Rate for Payer: Wellpoint Medicaid Managed Care	$33.00

REC - VAG DELIVERY

Facility

$1,162.00

Hospital Charge Code	73190152
Hospital Revenue Code	710
Min. Negotiated Rate	$174.30
Max. Negotiated Rate	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$174.30

RED BLOOD CELL CMV NEG LEUKO

Facility

$1,067.00

Hospital Charge Code	38471208
Hospital Revenue Code	390
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$405.46
Rate for Payer: Aetna Medicare Advantage	$320.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.08
Rate for Payer: Cigna Commercial	$533.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.42
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.05
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$33.72
Rate for Payer: Wellpoint Medicaid Managed Care	$30.30

RED BLOOD CELL CMV NEG LEUKO

Facility

$1,067.00

Hospital Charge Code	38471208
Hospital Revenue Code	390
Min. Negotiated Rate	$160.05
Max. Negotiated Rate	$160.05
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

RED BLOOD CELL DEGLY LEUKO IRR

Facility

$1,769.00

Hospital Charge Code	38471214
Hospital Revenue Code	390
Min. Negotiated Rate	$265.35
Max. Negotiated Rate	$265.35
Rate for Payer: Qualcare PPO/HMO/WC	$265.35

RED BLOOD CELL DEGLY LEUKO IRR

Facility

$1,769.00

Hospital Charge Code	38471214
Hospital Revenue Code	390
Min. Negotiated Rate	$50.24
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$672.22
Rate for Payer: Aetna Medicare Advantage	$530.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$451.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$451.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$451.10
Rate for Payer: Cigna Commercial	$884.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.94
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$265.35
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$55.90
Rate for Payer: Wellpoint Medicaid Managed Care	$50.24

RED BLOOD CELL DISORDERS WITH MCC

Facility

$63,831.52

Service Code	MSDRG 811
Min. Negotiated Rate	$19,435.88
Max. Negotiated Rate	$63,831.52
Rate for Payer: Aetna Commercial	$47,320.03
Rate for Payer: Aetna Medicare Advantage	$63,831.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,787.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,787.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,458.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,787.00
Rate for Payer: Cigna Commercial	$31,306.06
Rate for Payer: Cigna Medicare Advantage	$20,458.82
Rate for Payer: Clover Medicare Advantage	$19,435.88
Rate for Payer: EmblemHealth Commercial	$61,376.46
Rate for Payer: Humana Medicare Advantage	$21,072.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,458.82
Rate for Payer: Oxford Commercial	$24,743.77
Rate for Payer: UnitedHealthcare Commercial	$33,120.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,458.82
Rate for Payer: Wellcare Medicare Advantage	$20,458.82

RED BLOOD CELL DISORDERS WITHOUT MCC

Facility

$48,473.82

Service Code	MSDRG 812
Min. Negotiated Rate	$14,759.66
Max. Negotiated Rate	$48,473.82
Rate for Payer: Aetna Commercial	$36,382.12
Rate for Payer: Aetna Medicare Advantage	$48,473.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,934.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,934.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,536.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,934.50
Rate for Payer: Cigna Commercial	$20,469.43
Rate for Payer: Cigna Medicare Advantage	$15,536.48
Rate for Payer: Clover Medicare Advantage	$14,759.66
Rate for Payer: EmblemHealth Commercial	$46,609.44
Rate for Payer: Humana Medicare Advantage	$16,002.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,536.48
Rate for Payer: Oxford Commercial	$16,178.68
Rate for Payer: UnitedHealthcare Commercial	$21,655.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,536.48
Rate for Payer: Wellcare Medicare Advantage	$15,536.48

RED BLOOD CELL IRAD LEUKORED

Facility

$1,471.00

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$41.78
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$558.98
Rate for Payer: Aetna Medicare Advantage	$441.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.11
Rate for Payer: Cigna Commercial	$735.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.46
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$220.65
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$46.48
Rate for Payer: Wellpoint Medicaid Managed Care	$41.78

RED BLOOD CELL IRAD LEUKORED

Facility

$1,471.00

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$220.65
Max. Negotiated Rate	$220.65
Rate for Payer: Qualcare PPO/HMO/WC	$220.65

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$26.01
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$348.08
Rate for Payer: Aetna Medicare Advantage	$274.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.58
Rate for Payer: Cigna Commercial	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.16
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.40
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$28.95
Rate for Payer: Wellpoint Medicaid Managed Care	$26.01

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$137.40
Max. Negotiated Rate	$137.40
Rate for Payer: Qualcare PPO/HMO/WC	$137.40

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$505.78
Rate for Payer: Aetna Medicare Advantage	$399.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.40
Rate for Payer: Cigna Commercial	$665.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: Oxford Commercial	$1,028.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.65
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$42.06
Rate for Payer: Wellpoint Medicaid Managed Care	$37.80

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$199.65
Max. Negotiated Rate	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$199.65

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$1,063.04
Rate for Payer: Aetna Commercial	$797.10
Rate for Payer: Aetna Medicare Advantage	$949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$293.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,063.04
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: Cigna Medicare Advantage	$293.05
Rate for Payer: Clover Medicare Advantage	$278.40
Rate for Payer: EmblemHealth Commercial	$879.15
Rate for Payer: Humana Medicare Advantage	$301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.70
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$293.05
Rate for Payer: Wellcare Medicare Advantage	$293.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18.32

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$515.77
Max. Negotiated Rate	$10,269.00
Rate for Payer: Aetna Commercial	$6,901.18
Rate for Payer: Aetna Medicare Advantage	$5,448.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,631.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,631.06
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	$4,631.06
Rate for Payer: Cigna Commercial	$9,080.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,721.86
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$573.89
Rate for Payer: Wellpoint Medicaid Managed Care	$515.77

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,724.15
Max. Negotiated Rate	$2,724.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15

REDUCTION EXT RELINE

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691363
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

Know your out-of-pocket cost for care.

All Charges