Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

RESPIRATORY MALIGNANCY

Facility

$16,445.28

Service Code	APR-DRG 1363
Min. Negotiated Rate	$16,122.82
Max. Negotiated Rate	$16,445.28
Rate for Payer: UnitedHealthcare Community & State	$16,122.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,445.28
Rate for Payer: Wellpoint Medicaid Managed Care	$16,122.82

RESPIRATORY NEOPLASMS WITH CC

Facility

$53,301.39

Service Code	MSDRG 181
Min. Negotiated Rate	$16,229.59
Max. Negotiated Rate	$53,301.39
Rate for Payer: Aetna Commercial	$39,820.36
Rate for Payer: Aetna Medicare Advantage	$53,301.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,083.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,475.50
Rate for Payer: Cigna Commercial	$23,875.80
Rate for Payer: Cigna Medicare Advantage	$17,083.78
Rate for Payer: Clover Medicare Advantage	$16,229.59
Rate for Payer: EmblemHealth Commercial	$51,251.34
Rate for Payer: Humana Medicare Advantage	$17,596.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,083.78
Rate for Payer: Oxford Commercial	$18,871.02
Rate for Payer: UnitedHealthcare Commercial	$25,259.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,083.78
Rate for Payer: Wellcare Medicare Advantage	$17,083.78

RESPIRATORY NEOPLASMS WITH MCC

Facility

$75,258.89

Service Code	MSDRG 180
Min. Negotiated Rate	$22,915.37
Max. Negotiated Rate	$75,258.89
Rate for Payer: Aetna Commercial	$55,458.75
Rate for Payer: Aetna Medicare Advantage	$75,258.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,121.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,206.70
Rate for Payer: Cigna Commercial	$39,369.44
Rate for Payer: Cigna Medicare Advantage	$24,121.44
Rate for Payer: Clover Medicare Advantage	$22,915.37
Rate for Payer: EmblemHealth Commercial	$72,364.32
Rate for Payer: Humana Medicare Advantage	$24,845.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,121.44
Rate for Payer: Oxford Commercial	$31,116.92
Rate for Payer: UnitedHealthcare Commercial	$41,651.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,121.44
Rate for Payer: Wellcare Medicare Advantage	$24,121.44

RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Facility

$43,279.86

Service Code	MSDRG 182
Min. Negotiated Rate	$13,109.28
Max. Negotiated Rate	$43,279.86
Rate for Payer: Aetna Commercial	$32,682.94
Rate for Payer: Aetna Medicare Advantage	$43,279.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,871.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,164.00
Rate for Payer: Cigna Commercial	$16,585.99
Rate for Payer: Cigna Medicare Advantage	$13,871.75
Rate for Payer: Clover Medicare Advantage	$13,178.16
Rate for Payer: EmblemHealth Commercial	$41,615.25
Rate for Payer: Humana Medicare Advantage	$14,287.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,871.75
Rate for Payer: Oxford Commercial	$13,109.28
Rate for Payer: UnitedHealthcare Commercial	$17,547.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,871.75
Rate for Payer: Wellcare Medicare Advantage	$13,871.75

RESPIRATORY SIGNS AND SYMPTOMS

Facility

$44,973.36

Service Code	MSDRG 204
Min. Negotiated Rate	$13,693.81
Max. Negotiated Rate	$44,973.36
Rate for Payer: Aetna Commercial	$33,889.04
Rate for Payer: Aetna Medicare Advantage	$44,973.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,718.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,718.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,414.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,718.10
Rate for Payer: Cigna Commercial	$17,999.37
Rate for Payer: Cigna Medicare Advantage	$14,414.54
Rate for Payer: Clover Medicare Advantage	$13,693.81
Rate for Payer: EmblemHealth Commercial	$43,243.62
Rate for Payer: Humana Medicare Advantage	$14,846.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,414.54
Rate for Payer: Oxford Commercial	$14,226.39
Rate for Payer: UnitedHealthcare Commercial	$19,042.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,414.54
Rate for Payer: Wellcare Medicare Advantage	$14,414.54

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$8,794.28

Service Code	APR-DRG 1442
Min. Negotiated Rate	$8,621.84
Max. Negotiated Rate	$8,794.28
Rate for Payer: UnitedHealthcare Community & State	$8,621.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,794.28
Rate for Payer: Wellpoint Medicaid Managed Care	$8,621.84

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$22,220.12

Service Code	APR-DRG 1444
Min. Negotiated Rate	$21,784.43
Max. Negotiated Rate	$22,220.12
Rate for Payer: UnitedHealthcare Community & State	$21,784.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,220.12
Rate for Payer: Wellpoint Medicaid Managed Care	$21,784.43

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$6,739.60

Service Code	APR-DRG 1441
Min. Negotiated Rate	$6,607.45
Max. Negotiated Rate	$6,739.60
Rate for Payer: UnitedHealthcare Community & State	$6,607.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,739.60
Rate for Payer: Wellpoint Medicaid Managed Care	$6,607.45

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$13,136.55

Service Code	APR-DRG 1443
Min. Negotiated Rate	$12,878.97
Max. Negotiated Rate	$13,136.55
Rate for Payer: UnitedHealthcare Community & State	$12,878.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,136.55
Rate for Payer: Wellpoint Medicaid Managed Care	$12,878.97

RESPIRATORY SYNCYTIAL VIRUS AN

Facility

$180.00

Service Code	HCPCS 86756
Hospital Charge Code	38476182
Hospital Revenue Code	302
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$43.22
Rate for Payer: Aetna Medicare Advantage	$51.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.64
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: Cigna Medicare Advantage	$15.89
Rate for Payer: Clover Medicare Advantage	$15.10
Rate for Payer: EmblemHealth Commercial	$47.67
Rate for Payer: Humana Medicare Advantage	$16.37
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.89
Rate for Payer: Wellcare Medicare Advantage	$15.89
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

RESPIRATORY SYNCYTIAL VIRUS AN

Facility

$180.00

Service Code	HCPCS 86756
Hospital Charge Code	38476182
Hospital Revenue Code	302
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS

Facility

$106,305.86

Service Code	MSDRG 208
Min. Negotiated Rate	$32,368.77
Max. Negotiated Rate	$106,305.86
Rate for Payer: Aetna Commercial	$77,570.77
Rate for Payer: Aetna Medicare Advantage	$106,305.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74,803.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74,803.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,072.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74,803.50
Rate for Payer: Cigna Commercial	$61,276.77
Rate for Payer: Cigna Medicare Advantage	$34,072.39
Rate for Payer: Clover Medicare Advantage	$32,368.77
Rate for Payer: EmblemHealth Commercial	$102,217.17
Rate for Payer: Humana Medicare Advantage	$35,094.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34,072.39
Rate for Payer: Oxford Commercial	$48,432.09
Rate for Payer: UnitedHealthcare Commercial	$64,828.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,072.39
Rate for Payer: Wellcare Medicare Advantage	$34,072.39

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$41,264.95

Service Code	APR-DRG 1301
Min. Negotiated Rate	$40,455.83
Max. Negotiated Rate	$41,264.95
Rate for Payer: UnitedHealthcare Community & State	$40,455.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,264.95
Rate for Payer: Wellpoint Medicaid Managed Care	$40,455.83

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$72,421.14

Service Code	APR-DRG 1304
Min. Negotiated Rate	$71,001.12
Max. Negotiated Rate	$72,421.14
Rate for Payer: UnitedHealthcare Community & State	$71,001.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,421.14
Rate for Payer: Wellpoint Medicaid Managed Care	$71,001.12

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$55,398.66

Service Code	APR-DRG 1303
Min. Negotiated Rate	$54,312.41
Max. Negotiated Rate	$55,398.66
Rate for Payer: UnitedHealthcare Community & State	$54,312.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,398.66
Rate for Payer: Wellpoint Medicaid Managed Care	$54,312.41

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$46,671.79

Service Code	APR-DRG 1302
Min. Negotiated Rate	$45,756.66
Max. Negotiated Rate	$46,671.79
Rate for Payer: UnitedHealthcare Community & State	$45,756.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,671.79
Rate for Payer: Wellpoint Medicaid Managed Care	$45,756.66

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

Facility

$222,759.76

Service Code	MSDRG 207
Min. Negotiated Rate	$67,827.49
Max. Negotiated Rate	$222,759.76
Rate for Payer: Aetna Commercial	$160,510.57
Rate for Payer: Aetna Medicare Advantage	$222,759.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191,441.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191,441.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$71,397.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191,441.55
Rate for Payer: Cigna Commercial	$143,448.77
Rate for Payer: Cigna Medicare Advantage	$71,397.36
Rate for Payer: Clover Medicare Advantage	$67,827.49
Rate for Payer: EmblemHealth Commercial	$214,192.08
Rate for Payer: Humana Medicare Advantage	$73,539.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$71,397.36
Rate for Payer: Oxford Commercial	$113,379.41
Rate for Payer: UnitedHealthcare Commercial	$151,762.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$71,397.36
Rate for Payer: Wellcare Medicare Advantage	$71,397.36

RESPIRATORY VIRUS PCR PANEL 1

Facility

$1,090.30

Service Code	HCPCS 87632
Hospital Charge Code	401387632
Hospital Revenue Code	306
Min. Negotiated Rate	$30.96
Max. Negotiated Rate	$791.01
Rate for Payer: Aetna Commercial	$593.12
Rate for Payer: Aetna Medicare Advantage	$706.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$791.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$791.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$464.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$791.01
Rate for Payer: Cigna Commercial	$545.15
Rate for Payer: Cigna Medicare Advantage	$218.06
Rate for Payer: Clover Medicare Advantage	$207.16
Rate for Payer: EmblemHealth Commercial	$654.18
Rate for Payer: Humana Medicare Advantage	$224.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$218.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.48
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.54
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$174.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$218.06
Rate for Payer: Wellcare Medicare Advantage	$218.06
Rate for Payer: Wellpoint Medicaid Managed Care	$30.96

RESPIRATORY VIRUS PCR PANEL 1

Facility

$1,090.30

Service Code	HCPCS 87632
Hospital Charge Code	401387632
Hospital Revenue Code	306
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Qualcare PPO/HMO/WC	$163.54

RESP MAXIMUM BREATHING CAP-MVV

Facility

$6,100.00

Service Code	HCPCS 94200
Hospital Charge Code	9507015
Hospital Revenue Code	460
Min. Negotiated Rate	$66.58
Max. Negotiated Rate	$2,770.00
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	$70.40
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	$1,586.00
Rate for Payer: Oxford Commercial	$2,184.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$192.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.08
Rate for Payer: Wellcare Medicare Advantage	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$173.24

RESP MAXIMUM BREATHING CAP-MVV

Facility

$6,100.00

Service Code	HCPCS 94200
Hospital Charge Code	9507015
Hospital Revenue Code	460
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Qualcare PPO/HMO/WC	$915.00

RESP PATH PROF PCR (BIOFIRE)

Facility

$2,083.90

Service Code	HCPCS 0099U
Hospital Charge Code	4013099U
Hospital Revenue Code	306
Min. Negotiated Rate	$59.18
Max. Negotiated Rate	$1,041.95
Rate for Payer: Aetna Commercial	$791.88
Rate for Payer: Aetna Medicare Advantage	$625.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.39
Rate for Payer: Cigna Commercial	$1,041.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$541.81
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.58
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$65.85
Rate for Payer: Wellpoint Medicaid Managed Care	$59.18

RESP PATH PROF PCR (BIOFIRE)

Facility

$2,083.90

Service Code	HCPCS 0099U
Hospital Charge Code	4013099U
Hospital Revenue Code	306
Min. Negotiated Rate	$312.58
Max. Negotiated Rate	$312.58
Rate for Payer: Qualcare PPO/HMO/WC	$312.58

RESP PLETHYSMOGRAPHY

Facility

$460.00

Service Code	HCPCS 94726
Hospital Charge Code	9507010
Hospital Revenue Code	460
Min. Negotiated Rate	$13.06
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$1,205.83
Rate for Payer: Aetna Medicare Advantage	$1,436.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,608.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$443.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,608.14
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: Cigna Medicare Advantage	$443.32
Rate for Payer: Clover Medicare Advantage	$421.15
Rate for Payer: EmblemHealth Commercial	$1,329.96
Rate for Payer: Humana Medicare Advantage	$456.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$443.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Oxford Commercial	$2,184.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$14.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$443.32
Rate for Payer: Wellcare Medicare Advantage	$443.32
Rate for Payer: Wellpoint Medicaid Managed Care	$13.06

RESP PLETHYSMOGRAPHY

Facility

$460.00

Service Code	HCPCS 94726
Hospital Charge Code	9507010
Hospital Revenue Code	460
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

Know your out-of-pocket cost for care.

All Charges