Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

BUR NEURO PRECISION 3x3.8MM

Facility

$621.00

Hospital Charge Code	270672681
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.46
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$19.62
Rate for Payer: Wellpoint Medicaid Managed Care	$17.64

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$16,248.66

Service Code	APR-DRG 8421
Min. Negotiated Rate	$15,930.06
Max. Negotiated Rate	$16,248.66
Rate for Payer: UnitedHealthcare Community & State	$15,930.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,248.66
Rate for Payer: Wellpoint Medicaid Managed Care	$15,930.06

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$25,260.59

Service Code	APR-DRG 8422
Min. Negotiated Rate	$24,765.28
Max. Negotiated Rate	$25,260.59
Rate for Payer: UnitedHealthcare Community & State	$24,765.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,260.59
Rate for Payer: Wellpoint Medicaid Managed Care	$24,765.28

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$46,921.77

Service Code	APR-DRG 8423
Min. Negotiated Rate	$46,001.74
Max. Negotiated Rate	$46,921.77
Rate for Payer: UnitedHealthcare Community & State	$46,001.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,921.77
Rate for Payer: Wellpoint Medicaid Managed Care	$46,001.74

BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$131,475.33

Service Code	APR-DRG 8424
Min. Negotiated Rate	$128,897.38
Max. Negotiated Rate	$131,475.33
Rate for Payer: UnitedHealthcare Community & State	$128,897.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$131,475.33
Rate for Payer: Wellpoint Medicaid Managed Care	$128,897.38

BUR PEAR STD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658045
Hospital Revenue Code	278
Min. Negotiated Rate	$44.12
Max. Negotiated Rate	$776.75
Rate for Payer: Aetna Commercial	$590.33
Rate for Payer: Aetna Medicare Advantage	$466.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.14
Rate for Payer: Cigna Commercial	$776.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: Qualcare PPO/HMO/WC	$233.03
Rate for Payer: UnitedHealthcare Community & State	$49.09
Rate for Payer: Wellpoint Medicaid Managed Care	$44.12

BUR PEAR STD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658045
Hospital Revenue Code	278
Min. Negotiated Rate	$233.03
Max. Negotiated Rate	$375.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: Qualcare PPO/HMO/WC	$233.03

BUR PRECISION TWO FLUTE 4.0MM

Facility

$1,125.00

Hospital Charge Code	270673205
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 4.0MM

Facility

$1,125.00

Hospital Charge Code	270673205
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

BUR PRECISION TWO FLUTE 5.0MM

Facility

$1,125.00

Hospital Charge Code	270673206
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

BUR PRECISION TWO FLUTE 5.0MM

Facility

$1,125.00

Hospital Charge Code	270673206
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 6MM

Facility

$1,125.00

Hospital Charge Code	270675219
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BUR PRECISION TWO FLUTE 6MM

Facility

$1,125.00

Hospital Charge Code	270675219
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

BUR PRECISION TWO FLUTE 7.5MM

Facility

$1,125.00

Hospital Charge Code	270675303
Hospital Revenue Code	272
Min. Negotiated Rate	$31.95
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$31.95

BUR PRECISION TWO FLUTE 7.5MM

Facility

$1,125.00

Hospital Charge Code	270675303
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

BURR

Facility

$1,802.50

Hospital Charge Code	270705521
Hospital Revenue Code	279
Min. Negotiated Rate	$51.19
Max. Negotiated Rate	$901.25
Rate for Payer: Aetna Commercial	$684.95
Rate for Payer: Aetna Medicare Advantage	$540.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.64
Rate for Payer: Cigna Commercial	$901.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.65
Rate for Payer: Oxford Commercial	$360.50
Rate for Payer: Qualcare PPO/HMO/WC	$270.38
Rate for Payer: UnitedHealthcare Commercial	$360.50
Rate for Payer: UnitedHealthcare Community & State	$56.96
Rate for Payer: Wellpoint Medicaid Managed Care	$51.19

BURR

Facility

$1,802.50

Hospital Charge Code	270705521
Hospital Revenue Code	279
Min. Negotiated Rate	$270.38
Max. Negotiated Rate	$270.38
Rate for Payer: Qualcare PPO/HMO/WC	$270.38

BURR 2.0MM HEAD

Facility

$607.55

Hospital Charge Code	270688301
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$303.77
Rate for Payer: Aetna Commercial	$230.87
Rate for Payer: Aetna Medicare Advantage	$182.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.93
Rate for Payer: Cigna Commercial	$303.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.96
Rate for Payer: Oxford Commercial	$121.51
Rate for Payer: Qualcare PPO/HMO/WC	$91.13
Rate for Payer: UnitedHealthcare Commercial	$121.51
Rate for Payer: UnitedHealthcare Community & State	$19.20
Rate for Payer: Wellpoint Medicaid Managed Care	$17.25

BURR 2.0MM HEAD

Facility

$607.55

Hospital Charge Code	270688301
Hospital Revenue Code	272
Min. Negotiated Rate	$91.13
Max. Negotiated Rate	$91.13
Rate for Payer: Qualcare PPO/HMO/WC	$91.13

BURR 2.2 MM HEAD

Facility

$1,250.00

Hospital Charge Code	270688289
Hospital Revenue Code	272
Min. Negotiated Rate	$35.50
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$39.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.50

BURR 2.2 MM HEAD

Facility

$1,250.00

Hospital Charge Code	270688289
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BURR 2X12MM

Facility

$3,553.50

Hospital Charge Code	270702615
Hospital Revenue Code	272
Min. Negotiated Rate	$100.92
Max. Negotiated Rate	$1,776.75
Rate for Payer: Aetna Commercial	$1,350.33
Rate for Payer: Aetna Medicare Advantage	$1,066.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$906.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$906.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$906.14
Rate for Payer: Cigna Commercial	$1,776.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$923.91
Rate for Payer: Oxford Commercial	$710.70
Rate for Payer: Qualcare PPO/HMO/WC	$533.02
Rate for Payer: UnitedHealthcare Commercial	$710.70
Rate for Payer: UnitedHealthcare Community & State	$112.29
Rate for Payer: Wellpoint Medicaid Managed Care	$100.92

BURR 2X12MM

Facility

$3,553.50

Hospital Charge Code	270702615
Hospital Revenue Code	272
Min. Negotiated Rate	$533.02
Max. Negotiated Rate	$533.02
Rate for Payer: Qualcare PPO/HMO/WC	$533.02

BURR 4.0 AGRESS

Facility

$392.85

Hospital Charge Code	270703073
Hospital Revenue Code	270
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$58.93
Rate for Payer: Qualcare PPO/HMO/WC	$58.93

BURR 4.0 AGRESS

Facility

$392.85

Hospital Charge Code	270703073
Hospital Revenue Code	270
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$196.43
Rate for Payer: Aetna Commercial	$149.28
Rate for Payer: Aetna Medicare Advantage	$117.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.18
Rate for Payer: Cigna Commercial	$196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.14
Rate for Payer: Oxford Commercial	$78.57
Rate for Payer: Qualcare PPO/HMO/WC	$58.93
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11.16

Know your out-of-pocket cost for care.

All Charges