Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

THYROID DISORDERS

Facility

$27,632.58

Service Code	APR-DRG 4274
Min. Negotiated Rate	$27,090.76
Max. Negotiated Rate	$27,632.58
Rate for Payer: UnitedHealthcare Community & State	$27,090.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,632.58
Rate for Payer: Wellpoint Medicaid Managed Care	$27,090.76

THYROID DISORDERS

Facility

$13,656.17

Service Code	APR-DRG 4273
Min. Negotiated Rate	$13,388.40
Max. Negotiated Rate	$13,656.17
Rate for Payer: UnitedHealthcare Community & State	$13,388.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,656.17
Rate for Payer: Wellpoint Medicaid Managed Care	$13,388.40

THYROID DISORDERS

Facility

$6,215.76

Service Code	APR-DRG 4271
Min. Negotiated Rate	$6,093.88
Max. Negotiated Rate	$6,215.76
Rate for Payer: UnitedHealthcare Community & State	$6,093.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,215.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6,093.88

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$16.62
Rate for Payer: Aetna Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.16
Rate for Payer: Cigna Commercial	$21.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.38
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.56
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$6.56
Rate for Payer: Qualcare PPO/HMO/WC	$6.56

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$18.69
Rate for Payer: Aetna Medicare Advantage	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.92
Rate for Payer: Cigna Commercial	$23.60
Rate for Payer: Cigna Medicare Advantage	$6.87
Rate for Payer: Clover Medicare Advantage	$6.53
Rate for Payer: EmblemHealth Commercial	$20.61
Rate for Payer: Humana Medicare Advantage	$7.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.27
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.08
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$7.08

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.47
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.56
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Medicare Advantage	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$30,897.77

Service Code	APR-DRG 4043
Min. Negotiated Rate	$30,291.93
Max. Negotiated Rate	$30,897.77
Rate for Payer: UnitedHealthcare Community & State	$30,291.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,897.77
Rate for Payer: Wellpoint Medicaid Managed Care	$30,291.93

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$18,831.31

Service Code	APR-DRG 4042
Min. Negotiated Rate	$18,462.07
Max. Negotiated Rate	$18,831.31
Rate for Payer: UnitedHealthcare Community & State	$18,462.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,831.31
Rate for Payer: Wellpoint Medicaid Managed Care	$18,462.07

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$58,888.51

Service Code	APR-DRG 4044
Min. Negotiated Rate	$57,733.83
Max. Negotiated Rate	$58,888.51
Rate for Payer: UnitedHealthcare Community & State	$57,733.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,888.51
Rate for Payer: Wellpoint Medicaid Managed Care	$57,733.83

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$12,958.20

Service Code	APR-DRG 4041
Min. Negotiated Rate	$12,704.12
Max. Negotiated Rate	$12,958.20
Rate for Payer: UnitedHealthcare Community & State	$12,704.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,958.20
Rate for Payer: Wellpoint Medicaid Managed Care	$12,704.12

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

Facility

$66,835.98

Service Code	MSDRG 626
Min. Negotiated Rate	$20,350.70
Max. Negotiated Rate	$66,835.98
Rate for Payer: Aetna Commercial	$49,459.86
Rate for Payer: Aetna Medicare Advantage	$66,835.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,280.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,421.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,280.45
Rate for Payer: Cigna Commercial	$33,426.12
Rate for Payer: Cigna Medicare Advantage	$21,421.79
Rate for Payer: Clover Medicare Advantage	$20,350.70
Rate for Payer: EmblemHealth Commercial	$64,265.37
Rate for Payer: Humana Medicare Advantage	$22,064.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,421.79
Rate for Payer: Oxford Commercial	$26,419.43
Rate for Payer: UnitedHealthcare Commercial	$35,363.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,421.79
Rate for Payer: Wellcare Medicare Advantage	$21,421.79

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

Facility

$114,880.40

Service Code	MSDRG 625
Min. Negotiated Rate	$34,979.61
Max. Negotiated Rate	$114,880.40
Rate for Payer: Aetna Commercial	$83,677.63
Rate for Payer: Aetna Medicare Advantage	$114,880.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,898.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,898.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,820.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,898.60
Rate for Payer: Cigna Commercial	$67,327.09
Rate for Payer: Cigna Medicare Advantage	$36,820.64
Rate for Payer: Clover Medicare Advantage	$34,979.61
Rate for Payer: EmblemHealth Commercial	$110,461.92
Rate for Payer: Humana Medicare Advantage	$37,925.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$36,820.64
Rate for Payer: Oxford Commercial	$53,214.16
Rate for Payer: UnitedHealthcare Commercial	$71,229.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,820.64
Rate for Payer: Wellcare Medicare Advantage	$36,820.64

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

Facility

$61,430.37

Service Code	MSDRG 627
Min. Negotiated Rate	$18,704.76
Max. Negotiated Rate	$61,430.37
Rate for Payer: Aetna Commercial	$45,609.91
Rate for Payer: Aetna Medicare Advantage	$61,430.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,354.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,689.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,354.20
Rate for Payer: Cigna Commercial	$29,611.79
Rate for Payer: Cigna Medicare Advantage	$19,689.22
Rate for Payer: Clover Medicare Advantage	$18,704.76
Rate for Payer: EmblemHealth Commercial	$59,067.66
Rate for Payer: Humana Medicare Advantage	$20,279.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,689.22
Rate for Payer: Oxford Commercial	$23,404.65
Rate for Payer: UnitedHealthcare Commercial	$31,327.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,689.22
Rate for Payer: Wellcare Medicare Advantage	$19,689.22

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$10.89
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$39.58
Rate for Payer: Aetna Medicare Advantage	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$14.55
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Medicare Advantage	$14.55
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

THYROID STIMULATING HORMONE

Facility

$880.60

Service Code	HCPCS 84443
Hospital Charge Code	38472644
Hospital Revenue Code	301
Min. Negotiated Rate	$13.44
Max. Negotiated Rate	$440.30
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.94
Rate for Payer: Cigna Commercial	$440.30
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.96
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.09
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$25.01

THYROID STIMULATING HORMONE

Facility

$1,507.69

Service Code	HCPCS 84443
Hospital Charge Code	3002581
Hospital Revenue Code	301
Min. Negotiated Rate	$13.44
Max. Negotiated Rate	$753.85
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.94
Rate for Payer: Cigna Commercial	$753.85
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$392.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$226.15
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$42.82

THYROID STIMULATING HORMONE

Facility

$1,507.69

Service Code	HCPCS 84443
Hospital Charge Code	3002581
Hospital Revenue Code	301
Min. Negotiated Rate	$226.15
Max. Negotiated Rate	$226.15
Rate for Payer: Qualcare PPO/HMO/WC	$226.15

THYROID STIMULATING HORMONE

Facility

$880.60

Service Code	HCPCS 84443
Hospital Charge Code	38472644
Hospital Revenue Code	301
Min. Negotiated Rate	$132.09
Max. Negotiated Rate	$132.09
Rate for Payer: Qualcare PPO/HMO/WC	$132.09

THYROID STIMULATING IMMUNOGLOB

Facility

$1,428.00

Service Code	HCPCS 84445
Hospital Charge Code	38473120
Hospital Revenue Code	301
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

Know your out-of-pocket cost for care.

All Charges