Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ROOM & BOARD ICU-4N

Facility

$20,000.00

Hospital Charge Code	100819
Hospital Revenue Code	200
Min. Negotiated Rate	$2,607.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,607.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU-MEDICAL

Facility

$20,000.00

Hospital Charge Code	100817
Hospital Revenue Code	202
Min. Negotiated Rate	$2,607.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,607.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD L&D

Facility

$25,000.00

Hospital Charge Code	100929
Hospital Revenue Code	122
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

ROOM & BOARD-MED SURG

Facility

$18,000.00

Hospital Charge Code	100998
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-MED SURG

Facility

$18,000.00

Hospital Charge Code	100999
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-MED SURG

Facility

$18,000.00

Hospital Charge Code	100096
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-MED SURG

Facility

$18,000.00

Hospital Charge Code	100996
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-MED SURG

Facility

$18,000.00

Hospital Charge Code	100997
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-MED SURG PRIVATE

Facility

$18,000.00

Hospital Charge Code	100969
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD M/S

Facility

$18,000.00

Hospital Charge Code	100015
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-M/S SEMIPRIVATE

Facility

$18,000.00

Hospital Charge Code	100970
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD NURSERY LEVEL 1

Facility

$18,000.00

Hospital Charge Code	100814
Hospital Revenue Code	171
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD OB

Facility

$25,000.00

Hospital Charge Code	100816
Hospital Revenue Code	122
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

ROOM & BOARD-TCU

Facility

$18,000.00

Hospital Charge Code	101000
Hospital Revenue Code	120
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: Wellpoint Medicaid Managed Care	$900.00

ROOM & BOARD TCU PRIVATE

Facility

$18,000.00

Hospital Charge Code	100821
Hospital Revenue Code	120
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: Wellpoint Medicaid Managed Care	$900.00

ROOM & BOARD TCU SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100822
Hospital Revenue Code	120
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: Wellpoint Medicaid Managed Care	$900.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100988
Hospital Revenue Code	122
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100993
Hospital Revenue Code	124
Min. Negotiated Rate	$1,854.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$25,000.00

Hospital Charge Code	100979
Hospital Revenue Code	122
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100983
Hospital Revenue Code	124
Min. Negotiated Rate	$1,854.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100992
Hospital Revenue Code	169
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100987
Hospital Revenue Code	123
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100972
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100994
Hospital Revenue Code	128
Min. Negotiated Rate	$1,000.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Oxford Commercial	$3,586.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: UnitedHealthcare Commercial	$4,070.00
Rate for Payer: Wellpoint Medicaid Managed Care	$1,000.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100973
Hospital Revenue Code	121
Min. Negotiated Rate	$2,085.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

Know your out-of-pocket cost for care.

All Charges