Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

TOT KNEE ARTHROPLASTY

Facility

$24,330.17

Service Code	HCPCS 27447
Hospital Charge Code	16000270
Hospital Revenue Code	360
Min. Negotiated Rate	$690.98
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,325.84
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,649.53
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$768.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$690.98

TOT KNEE ARTHROPLASTY

Facility

$24,330.17

Service Code	HCPCS 27447
Hospital Charge Code	16000270
Hospital Revenue Code	360
Min. Negotiated Rate	$3,649.53
Max. Negotiated Rate	$3,649.53
Rate for Payer: Qualcare PPO/HMO/WC	$3,649.53

TOT KNEE ARTHROPLASTY

Facility

$24,330.17

Service Code	HCPCS 27447
Hospital Charge Code	1600000372
Hospital Revenue Code	360
Min. Negotiated Rate	$690.98
Max. Negotiated Rate	$55,329.13
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,329.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
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	$55,329.13
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,325.84
Rate for Payer: Oxford Commercial	$14,968.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,649.53
Rate for Payer: UnitedHealthcare Commercial	$16,639.00
Rate for Payer: UnitedHealthcare Community & State	$768.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$690.98

TOURNIQUET VASCULAR KIT

Facility

$33.35

Hospital Charge Code	270686313
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$16.68
Rate for Payer: Aetna Commercial	$12.67
Rate for Payer: Aetna Medicare Advantage	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.50
Rate for Payer: Cigna Commercial	$16.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.67
Rate for Payer: Oxford Commercial	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$5.00
Rate for Payer: UnitedHealthcare Commercial	$6.67
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

TOURNIQUET VASCULAR KIT

Facility

$33.35

Hospital Charge Code	270686313
Hospital Revenue Code	272
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.00

TOWEL ABSORBENT

Facility

$1.03

Hospital Charge Code	270654107
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

TOWEL ABSORBENT

Facility

$1.03

Hospital Charge Code	270654107
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.52
Rate for Payer: Aetna Commercial	$0.39
Rate for Payer: Aetna Medicare Advantage	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.27
Rate for Payer: Oxford Commercial	$0.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.21
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

TOWER

Facility

$3,300.00

Hospital Charge Code	270702853
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

TOWER

Facility

$3,300.00

Hospital Charge Code	270702853
Hospital Revenue Code	278
Min. Negotiated Rate	$93.72
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Community & State	$104.28
Rate for Payer: Wellpoint Medicaid Managed Care	$93.72

TOWER OPEN SHUNT

Facility

$2,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692305
Hospital Revenue Code	278
Min. Negotiated Rate	$72.42
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Community & State	$80.58
Rate for Payer: Wellpoint Medicaid Managed Care	$72.42

TOWER OPEN SHUNT

Facility

$2,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270692305
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

TOWNLEY FEMUR CALIPER 4

Facility

$783.65

Hospital Charge Code	270665868
Hospital Revenue Code	270
Min. Negotiated Rate	$22.26
Max. Negotiated Rate	$391.82
Rate for Payer: Aetna Commercial	$297.79
Rate for Payer: Aetna Medicare Advantage	$235.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.83
Rate for Payer: Cigna Commercial	$391.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.75
Rate for Payer: Oxford Commercial	$156.73
Rate for Payer: Qualcare PPO/HMO/WC	$117.55
Rate for Payer: UnitedHealthcare Commercial	$156.73
Rate for Payer: UnitedHealthcare Community & State	$24.76
Rate for Payer: Wellpoint Medicaid Managed Care	$22.26

TOWNLEY FEMUR CALIPER 4

Facility

$783.65

Hospital Charge Code	270665868
Hospital Revenue Code	270
Min. Negotiated Rate	$117.55
Max. Negotiated Rate	$117.55
Rate for Payer: Qualcare PPO/HMO/WC	$117.55

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,114.57

Service Code	APR-DRG 8161
Min. Negotiated Rate	$6,975.07
Max. Negotiated Rate	$7,114.57
Rate for Payer: UnitedHealthcare Community & State	$6,975.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,114.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6,975.07

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$19,224.56

Service Code	APR-DRG 8164
Min. Negotiated Rate	$18,847.61
Max. Negotiated Rate	$19,224.56
Rate for Payer: UnitedHealthcare Community & State	$18,847.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,224.56
Rate for Payer: Wellpoint Medicaid Managed Care	$18,847.61

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$10,225.30

Service Code	APR-DRG 8163
Min. Negotiated Rate	$10,024.80
Max. Negotiated Rate	$10,225.30
Rate for Payer: UnitedHealthcare Community & State	$10,024.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,225.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10,024.80

TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,704.44

Service Code	APR-DRG 8162
Min. Negotiated Rate	$7,553.37
Max. Negotiated Rate	$7,704.44
Rate for Payer: UnitedHealthcare Community & State	$7,553.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,704.44
Rate for Payer: Wellpoint Medicaid Managed Care	$7,553.37

TOXOPLASMA AB, IGG

Facility

$339.00

Service Code	HCPCS 86777
Hospital Charge Code	38476049
Hospital Revenue Code	302
Min. Negotiated Rate	$50.85
Max. Negotiated Rate	$50.85
Rate for Payer: Qualcare PPO/HMO/WC	$50.85

TOXOPLASMA AB, IGG

Facility

$339.00

Service Code	HCPCS 86777
Hospital Charge Code	38476049
Hospital Revenue Code	302
Min. Negotiated Rate	$9.63
Max. Negotiated Rate	$169.50
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$46.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
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	$52.20
Rate for Payer: Cigna Commercial	$169.50
Rate for Payer: Cigna Medicare Advantage	$14.39
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.14
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Medicare Advantage	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$9.63

TOXOPLASMA AB,IGM

Facility

$311.00

Service Code	HCPCS 86778
Hospital Charge Code	38476050
Hospital Revenue Code	302
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.20
Rate for Payer: Aetna Medicare Advantage	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: Cigna Medicare Advantage	$14.41
Rate for Payer: Clover Medicare Advantage	$13.69
Rate for Payer: EmblemHealth Commercial	$43.23
Rate for Payer: Humana Medicare Advantage	$14.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.86
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.41
Rate for Payer: Wellcare Medicare Advantage	$14.41
Rate for Payer: Wellpoint Medicaid Managed Care	$8.83

TOXOPLASMA AB,IGM

Facility

$311.00

Service Code	HCPCS 86778
Hospital Charge Code	38476050
Hospital Revenue Code	302
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

TOXOPLASMA GONDII AB IGM

Facility

$99.00

Service Code	HCPCS 86778
Hospital Charge Code	39900256
Hospital Revenue Code	302
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

TOXOPLASMA GONDII AB IGM

Facility

$99.00

Service Code	HCPCS 86778
Hospital Charge Code	39900256
Hospital Revenue Code	302
Min. Negotiated Rate	$2.81
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$39.20
Rate for Payer: Aetna Medicare Advantage	$46.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: Cigna Medicare Advantage	$14.41
Rate for Payer: Clover Medicare Advantage	$13.69
Rate for Payer: EmblemHealth Commercial	$43.23
Rate for Payer: Humana Medicare Advantage	$14.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.74
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$11.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.41
Rate for Payer: Wellcare Medicare Advantage	$14.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

TOXOPLASMA GONDII DNA RTPCR

Facility

$151.41

Service Code	HCPCS 87798
Hospital Charge Code	401387798B
Hospital Revenue Code	306
Min. Negotiated Rate	$22.71
Max. Negotiated Rate	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$22.71

TOXOPLASMA GONDII DNA RTPCR

Facility

$151.41

Service Code	HCPCS 87798
Hospital Charge Code	401387798B
Hospital Revenue Code	306
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.29
Rate for Payer: Cigna Commercial	$75.70
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.37
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.71
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4.30

Know your out-of-pocket cost for care.

All Charges