Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

VAG DELIVERY

Facility

$10,100.00

Hospital Charge Code	73190161
Hospital Revenue Code	720
Min. Negotiated Rate	$286.84
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.00
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$319.16
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

VAG DELIVERY

Facility

$10,100.00

Hospital Charge Code	73190161
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

Facility

$74,345.86

Service Code	MSDRG 746
Min. Negotiated Rate	$22,637.36
Max. Negotiated Rate	$74,345.86
Rate for Payer: Aetna Commercial	$54,808.49
Rate for Payer: Aetna Medicare Advantage	$74,345.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,544.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,544.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,828.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,544.40
Rate for Payer: Cigna Commercial	$38,725.17
Rate for Payer: Cigna Medicare Advantage	$23,828.80
Rate for Payer: Clover Medicare Advantage	$22,637.36
Rate for Payer: EmblemHealth Commercial	$71,486.40
Rate for Payer: Humana Medicare Advantage	$24,543.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,828.80
Rate for Payer: Oxford Commercial	$30,607.70
Rate for Payer: UnitedHealthcare Commercial	$40,969.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,828.80
Rate for Payer: Wellcare Medicare Advantage	$23,828.80

VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

Facility

$46,625.59

Service Code	MSDRG 747
Min. Negotiated Rate	$14,196.90
Max. Negotiated Rate	$46,625.59
Rate for Payer: Aetna Commercial	$35,065.77
Rate for Payer: Aetna Medicare Advantage	$46,625.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,657.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,657.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,944.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,657.45
Rate for Payer: Cigna Commercial	$18,714.97
Rate for Payer: Cigna Medicare Advantage	$14,944.10
Rate for Payer: Clover Medicare Advantage	$14,196.90
Rate for Payer: EmblemHealth Commercial	$44,832.30
Rate for Payer: Humana Medicare Advantage	$15,392.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,944.10
Rate for Payer: Oxford Commercial	$14,791.99
Rate for Payer: UnitedHealthcare Commercial	$19,799.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,944.10
Rate for Payer: Wellcare Medicare Advantage	$14,944.10

VAGINAL DEL AFTER C SECTION

Facility

$4,127.00

Service Code	HCPCS 59614
Hospital Charge Code	73190049
Hospital Revenue Code	720
Min. Negotiated Rate	$117.21
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$1,568.26
Rate for Payer: Aetna Medicare Advantage	$1,238.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,052.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,052.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,052.38
Rate for Payer: Cigna Commercial	$2,063.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,073.02
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$619.05
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$130.41
Rate for Payer: Wellpoint Medicaid Managed Care	$117.21

VAGINAL DEL AFTER C SECTION

Facility

$4,127.00

Service Code	HCPCS 59614
Hospital Charge Code	73190049
Hospital Revenue Code	720
Min. Negotiated Rate	$619.05
Max. Negotiated Rate	$619.05
Rate for Payer: Qualcare PPO/HMO/WC	$619.05

VAGINAL DELIVERY

Facility

$12,074.90

Service Code	APR-DRG 5604
Min. Negotiated Rate	$11,838.14
Max. Negotiated Rate	$12,074.90
Rate for Payer: UnitedHealthcare Community & State	$11,838.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,074.90
Rate for Payer: Wellpoint Medicaid Managed Care	$11,838.14

VAGINAL DELIVERY

Facility

$5,481.33

Service Code	APR-DRG 5602
Min. Negotiated Rate	$5,373.85
Max. Negotiated Rate	$5,481.33
Rate for Payer: UnitedHealthcare Community & State	$5,373.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,481.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5,373.85

VAGINAL DELIVERY

Facility

$4,797.33

Service Code	APR-DRG 5601
Min. Negotiated Rate	$4,703.26
Max. Negotiated Rate	$4,797.33
Rate for Payer: UnitedHealthcare Community & State	$4,703.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,797.33
Rate for Payer: Wellpoint Medicaid Managed Care	$4,703.26

VAGINAL DELIVERY

Facility

$7,156.73

Service Code	APR-DRG 5603
Min. Negotiated Rate	$7,016.40
Max. Negotiated Rate	$7,156.73
Rate for Payer: UnitedHealthcare Community & State	$7,016.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,156.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7,016.40

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$26,982.37

Service Code	APR-DRG 5424
Min. Negotiated Rate	$26,453.30
Max. Negotiated Rate	$26,982.37
Rate for Payer: UnitedHealthcare Community & State	$26,453.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,982.37
Rate for Payer: Wellpoint Medicaid Managed Care	$26,453.30

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$9,365.79

Service Code	APR-DRG 5423
Min. Negotiated Rate	$9,182.15
Max. Negotiated Rate	$9,365.79
Rate for Payer: UnitedHealthcare Community & State	$9,182.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,365.79
Rate for Payer: Wellpoint Medicaid Managed Care	$9,182.15

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$5,544.52

Service Code	APR-DRG 5421
Min. Negotiated Rate	$5,435.80
Max. Negotiated Rate	$5,544.52
Rate for Payer: UnitedHealthcare Community & State	$5,435.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,544.52
Rate for Payer: Wellpoint Medicaid Managed Care	$5,435.80

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$6,305.67

Service Code	APR-DRG 5422
Min. Negotiated Rate	$6,182.03
Max. Negotiated Rate	$6,305.67
Rate for Payer: UnitedHealthcare Community & State	$6,182.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,305.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6,182.03

VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility

$53,320.30

Service Code	MSDRG 768
Min. Negotiated Rate	$3,246.00
Max. Negotiated Rate	$53,320.30
Rate for Payer: Aetna Commercial	$39,833.84
Rate for Payer: Aetna Medicare Advantage	$53,320.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,800.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,800.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,089.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,800.10
Rate for Payer: Cigna Commercial	$23,889.18
Rate for Payer: Cigna Medicare Advantage	$17,089.84
Rate for Payer: Clover Medicare Advantage	$16,235.35
Rate for Payer: EmblemHealth Commercial	$51,269.52
Rate for Payer: Humana Medicare Advantage	$17,602.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,089.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,246.00
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,089.84
Rate for Payer: Wellcare Medicare Advantage	$17,089.84

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility

$43,286.19

Service Code	MSDRG 806
Min. Negotiated Rate	$13,180.09
Max. Negotiated Rate	$43,286.19
Rate for Payer: Aetna Commercial	$32,687.42
Rate for Payer: Aetna Medicare Advantage	$43,286.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,778.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,873.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,778.75
Rate for Payer: Cigna Commercial	$16,808.92
Rate for Payer: Cigna Medicare Advantage	$13,873.78
Rate for Payer: Clover Medicare Advantage	$13,180.09
Rate for Payer: EmblemHealth Commercial	$41,621.34
Rate for Payer: Humana Medicare Advantage	$14,289.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,873.78
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,873.78
Rate for Payer: Wellcare Medicare Advantage	$13,873.78

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility

$53,560.48

Service Code	MSDRG 805
Min. Negotiated Rate	$6,546.00
Max. Negotiated Rate	$53,560.48
Rate for Payer: Aetna Commercial	$40,004.87
Rate for Payer: Aetna Medicare Advantage	$53,560.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,982.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,166.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,982.05
Rate for Payer: Cigna Commercial	$24,058.61
Rate for Payer: Cigna Medicare Advantage	$17,166.82
Rate for Payer: Clover Medicare Advantage	$16,308.48
Rate for Payer: EmblemHealth Commercial	$51,500.46
Rate for Payer: Humana Medicare Advantage	$17,681.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,166.82
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,166.82
Rate for Payer: Wellcare Medicare Advantage	$17,166.82

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

Facility

$40,765.05

Service Code	MSDRG 807
Min. Negotiated Rate	$6,546.00
Max. Negotiated Rate	$40,765.05
Rate for Payer: Aetna Commercial	$30,891.82
Rate for Payer: Aetna Medicare Advantage	$40,765.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,008.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,008.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,065.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,008.25
Rate for Payer: Cigna Commercial	$15,029.94
Rate for Payer: Cigna Medicare Advantage	$13,065.72
Rate for Payer: Clover Medicare Advantage	$12,412.43
Rate for Payer: EmblemHealth Commercial	$39,197.16
Rate for Payer: Humana Medicare Advantage	$13,457.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,065.72
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,065.72
Rate for Payer: Wellcare Medicare Advantage	$13,065.72

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$8,416.46

Service Code	APR-DRG 5411
Min. Negotiated Rate	$8,251.43
Max. Negotiated Rate	$8,416.46
Rate for Payer: UnitedHealthcare Community & State	$8,251.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,416.46
Rate for Payer: Wellpoint Medicaid Managed Care	$8,251.43

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$11,091.79

Service Code	APR-DRG 5413
Min. Negotiated Rate	$10,874.30
Max. Negotiated Rate	$11,091.79
Rate for Payer: UnitedHealthcare Community & State	$10,874.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,091.79
Rate for Payer: Wellpoint Medicaid Managed Care	$10,874.30

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$8,822.30

Service Code	APR-DRG 5412
Min. Negotiated Rate	$8,649.31
Max. Negotiated Rate	$8,822.30
Rate for Payer: UnitedHealthcare Community & State	$8,649.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,822.30
Rate for Payer: Wellpoint Medicaid Managed Care	$8,649.31

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$16,824.47

Service Code	APR-DRG 5414
Min. Negotiated Rate	$16,494.58
Max. Negotiated Rate	$16,824.47
Rate for Payer: UnitedHealthcare Community & State	$16,494.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,824.47
Rate for Payer: Wellpoint Medicaid Managed Care	$16,494.58

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

Facility

$51,070.84

Service Code	MSDRG 797
Min. Negotiated Rate	$15,550.42
Max. Negotiated Rate	$51,070.84
Rate for Payer: Aetna Commercial	$38,231.75
Rate for Payer: Aetna Medicare Advantage	$51,070.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,368.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,705.00
Rate for Payer: Cigna Commercial	$22,301.92
Rate for Payer: Cigna Medicare Advantage	$16,368.86
Rate for Payer: Clover Medicare Advantage	$15,550.42
Rate for Payer: EmblemHealth Commercial	$49,106.58
Rate for Payer: Humana Medicare Advantage	$16,859.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,368.86
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,368.86
Rate for Payer: Wellcare Medicare Advantage	$16,368.86

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

Facility

$56,334.35

Service Code	MSDRG 796
Min. Negotiated Rate	$17,153.09
Max. Negotiated Rate	$56,334.35
Rate for Payer: Aetna Commercial	$41,980.48
Rate for Payer: Aetna Medicare Advantage	$56,334.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,341.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,055.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,341.10
Rate for Payer: Cigna Commercial	$26,015.93
Rate for Payer: Cigna Medicare Advantage	$18,055.88
Rate for Payer: Clover Medicare Advantage	$17,153.09
Rate for Payer: EmblemHealth Commercial	$54,167.64
Rate for Payer: Humana Medicare Advantage	$18,597.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,055.88
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,055.88
Rate for Payer: Wellcare Medicare Advantage	$18,055.88

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

Facility

$49,702.85

Service Code	MSDRG 798
Min. Negotiated Rate	$15,133.88
Max. Negotiated Rate	$49,702.85
Rate for Payer: Aetna Commercial	$37,257.44
Rate for Payer: Aetna Medicare Advantage	$49,702.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,272.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,272.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,930.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,272.20
Rate for Payer: Cigna Commercial	$21,336.63
Rate for Payer: Cigna Medicare Advantage	$15,930.40
Rate for Payer: Clover Medicare Advantage	$15,133.88
Rate for Payer: EmblemHealth Commercial	$47,791.20
Rate for Payer: Humana Medicare Advantage	$16,408.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,930.40
Rate for Payer: Oxford Commercial	$23,386.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,930.40
Rate for Payer: Wellcare Medicare Advantage	$15,930.40

Know your out-of-pocket cost for care.

All Charges