Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

SYNCOPE AND COLLAPSE

Facility

$18,860.87

Service Code	APR-DRG 2044
Min. Negotiated Rate	$18,491.05
Max. Negotiated Rate	$18,860.87
Rate for Payer: UnitedHealthcare Community & State	$18,491.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,860.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18,491.05

SYNCOPE AND COLLAPSE

Facility

$11,375.47

Service Code	APR-DRG 2043
Min. Negotiated Rate	$11,152.42
Max. Negotiated Rate	$11,375.47
Rate for Payer: UnitedHealthcare Community & State	$11,152.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,375.47
Rate for Payer: Wellpoint Medicaid Managed Care	$11,152.42

SYNCOPE AND COLLAPSE

Facility

$47,001.58

Service Code	MSDRG 312
Min. Negotiated Rate	$14,311.38
Max. Negotiated Rate	$47,001.58
Rate for Payer: Aetna Commercial	$35,333.58
Rate for Payer: Aetna Medicare Advantage	$47,001.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,826.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,064.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,826.30
Rate for Payer: Cigna Commercial	$19,430.58
Rate for Payer: Cigna Medicare Advantage	$15,064.61
Rate for Payer: Clover Medicare Advantage	$14,311.38
Rate for Payer: EmblemHealth Commercial	$45,193.83
Rate for Payer: Humana Medicare Advantage	$15,516.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,064.61
Rate for Payer: Oxford Commercial	$15,357.59
Rate for Payer: UnitedHealthcare Commercial	$20,556.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,064.61
Rate for Payer: Wellcare Medicare Advantage	$15,064.61

SYNDESMOSIS REPAIR KIT

Facility

$2,415.00

Hospital Charge Code	270332650
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$584.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

SYNDESMOSIS REPAIR KIT

Facility

$2,415.00

Hospital Charge Code	270332650
Hospital Revenue Code	278
Min. Negotiated Rate	$68.59
Max. Negotiated Rate	$1,207.50
Rate for Payer: Aetna Commercial	$917.70
Rate for Payer: Aetna Medicare Advantage	$724.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$615.83
Rate for Payer: Cigna Commercial	$1,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25
Rate for Payer: UnitedHealthcare Community & State	$76.31
Rate for Payer: Wellpoint Medicaid Managed Care	$68.59

SYNERGY STIMULATION/MEDTRONIC

Facility

$29,765.00

Hospital Charge Code	270335407
Hospital Revenue Code	278
Min. Negotiated Rate	$845.33
Max. Negotiated Rate	$14,882.50
Rate for Payer: Aetna Commercial	$11,310.70
Rate for Payer: Aetna Medicare Advantage	$8,929.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,590.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,590.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,953.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,590.07
Rate for Payer: Cigna Commercial	$14,882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,203.13
Rate for Payer: Qualcare PPO/HMO/WC	$4,464.75
Rate for Payer: UnitedHealthcare Community & State	$940.57
Rate for Payer: Wellpoint Medicaid Managed Care	$845.33

SYNERGY STIMULATION/MEDTRONIC

Facility

$29,765.00

Hospital Charge Code	270335407
Hospital Revenue Code	278
Min. Negotiated Rate	$4,464.75
Max. Negotiated Rate	$7,203.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,953.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,203.13
Rate for Payer: Qualcare PPO/HMO/WC	$4,464.75

SYNOVASURE ALPHA DEFENSIN TEST

Facility

$2,250.00

Service Code	HCPCS 83516
Hospital Charge Code	270694539
Hospital Revenue Code	301
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

SYNOVASURE ALPHA DEFENSIN TEST

Facility

$2,250.00

Service Code	HCPCS 83516
Hospital Charge Code	270694539
Hospital Revenue Code	301
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$31.36
Rate for Payer: Aetna Medicare Advantage	$37.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.83
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: Cigna Medicare Advantage	$11.53
Rate for Payer: Clover Medicare Advantage	$10.95
Rate for Payer: EmblemHealth Commercial	$34.59
Rate for Payer: Humana Medicare Advantage	$11.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.53
Rate for Payer: Wellcare Medicare Advantage	$11.53
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

SYNOVECTOMY TENDN SHTH RADICAL

Facility

$14,854.00

Service Code	HCPCS 26145
Hospital Charge Code	16000325
Hospital Revenue Code	360
Min. Negotiated Rate	$421.85
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,862.04
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$469.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$421.85

SYNOVECTOMY TENDN SHTH RADICAL

Facility

$14,854.00

Service Code	HCPCS 26145
Hospital Charge Code	16000325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,228.10
Max. Negotiated Rate	$2,228.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,228.10

SYNOVIAL FLD DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479056
Hospital Revenue Code	309
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.23
Rate for Payer: Aetna Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.31
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: Cigna Medicare Advantage	$5.60
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.58
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Medicare Advantage	$5.60
Rate for Payer: Wellpoint Medicaid Managed Care	$5.20

SYNOVIAL FLD DIFFERENTIAL

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479056
Hospital Revenue Code	309
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

SYNOVIAL FLUID ANALYSIS

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479054
Hospital Revenue Code	309
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$15.23
Rate for Payer: Aetna Medicare Advantage	$18.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.31
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: Cigna Medicare Advantage	$5.60
Rate for Payer: Clover Medicare Advantage	$5.32
Rate for Payer: EmblemHealth Commercial	$16.80
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.58
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.60
Rate for Payer: Wellcare Medicare Advantage	$5.60
Rate for Payer: Wellpoint Medicaid Managed Care	$5.20

SYNOVIAL FLUID ANALYSIS

Facility

$183.00

Service Code	HCPCS 89051
Hospital Charge Code	38479054
Hospital Revenue Code	309
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

SYNOVIAL PH FLUID

Facility

$116.00

Service Code	HCPCS 86635
Hospital Charge Code	38479480
Hospital Revenue Code	302
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

SYNOVIAL PH FLUID

Facility

$116.00

Service Code	HCPCS 86635
Hospital Charge Code	38479480
Hospital Revenue Code	302
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$37.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.61
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$11.47
Rate for Payer: Clover Medicare Advantage	$10.90
Rate for Payer: EmblemHealth Commercial	$34.41
Rate for Payer: Humana Medicare Advantage	$11.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.47
Rate for Payer: Wellcare Medicare Advantage	$11.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

SYNOVIAL URIC ACID

Facility

$201.00

Service Code	HCPCS 83986
Hospital Charge Code	38479479
Hospital Revenue Code	301
Min. Negotiated Rate	$30.15
Max. Negotiated Rate	$30.15
Rate for Payer: Qualcare PPO/HMO/WC	$30.15

SYNOVIAL URIC ACID

Facility

$201.00

Service Code	HCPCS 83986
Hospital Charge Code	38479478
Hospital Revenue Code	301
Min. Negotiated Rate	$30.15
Max. Negotiated Rate	$30.15
Rate for Payer: Qualcare PPO/HMO/WC	$30.15

SYNOVIAL URIC ACID

Facility

$201.00

Service Code	HCPCS 83986
Hospital Charge Code	38479478
Hospital Revenue Code	301
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$9.74
Rate for Payer: Aetna Medicare Advantage	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.99
Rate for Payer: Cigna Commercial	$100.50
Rate for Payer: Cigna Medicare Advantage	$3.58
Rate for Payer: Clover Medicare Advantage	$3.40
Rate for Payer: EmblemHealth Commercial	$10.74
Rate for Payer: Humana Medicare Advantage	$3.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.58
Rate for Payer: Wellcare Medicare Advantage	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.71

SYNOVIAL URIC ACID

Facility

$201.00

Service Code	HCPCS 83986
Hospital Charge Code	38479479
Hospital Revenue Code	301
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$9.74
Rate for Payer: Aetna Medicare Advantage	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.99
Rate for Payer: Cigna Commercial	$100.50
Rate for Payer: Cigna Medicare Advantage	$3.58
Rate for Payer: Clover Medicare Advantage	$3.40
Rate for Payer: EmblemHealth Commercial	$10.74
Rate for Payer: Humana Medicare Advantage	$3.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.26
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.58
Rate for Payer: Wellcare Medicare Advantage	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.71

SYNTHES 10 HOLT COMDYLAR PLATE

Facility

$2,571.00

Hospital Charge Code	270335949
Hospital Revenue Code	278
Min. Negotiated Rate	$73.02
Max. Negotiated Rate	$1,285.50
Rate for Payer: Aetna Commercial	$976.98
Rate for Payer: Aetna Medicare Advantage	$771.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$655.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$655.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$655.61
Rate for Payer: Cigna Commercial	$1,285.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.18
Rate for Payer: Qualcare PPO/HMO/WC	$385.65
Rate for Payer: UnitedHealthcare Community & State	$81.24
Rate for Payer: Wellpoint Medicaid Managed Care	$73.02

SYNTHES 10 HOLT COMDYLAR PLATE

Facility

$2,571.00

Hospital Charge Code	270335949
Hospital Revenue Code	278
Min. Negotiated Rate	$385.65
Max. Negotiated Rate	$622.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$514.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.18
Rate for Payer: Qualcare PPO/HMO/WC	$385.65

SYNTHES 2.5MM REAMING ROD

Facility

$242.00

Hospital Charge Code	270335921
Hospital Revenue Code	278
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$121.00
Rate for Payer: Aetna Commercial	$91.96
Rate for Payer: Aetna Medicare Advantage	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.71
Rate for Payer: Cigna Commercial	$121.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Qualcare PPO/HMO/WC	$36.30
Rate for Payer: UnitedHealthcare Community & State	$7.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.87

SYNTHES 2.5MM REAMING ROD

Facility

$242.00

Hospital Charge Code	270335921
Hospital Revenue Code	278
Min. Negotiated Rate	$36.30
Max. Negotiated Rate	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Qualcare PPO/HMO/WC	$36.30

Know your out-of-pocket cost for care.

All Charges