Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CARBOXYHEMOGLOBIN

Facility

$182.00

Service Code	HCPCS 82375
Hospital Charge Code	38473085
Hospital Revenue Code	301
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$27.30
Rate for Payer: Qualcare PPO/HMO/WC	$27.30

CARBOXYHEMOGLOBIN

Facility

$84.70

Service Code	HCPCS 82375
Hospital Charge Code	39900054
Hospital Revenue Code	301
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$33.51
Rate for Payer: Aetna Medicare Advantage	$39.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.32
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	$44.69
Rate for Payer: Cigna Commercial	$42.35
Rate for Payer: Cigna Medicare Advantage	$12.32
Rate for Payer: Clover Medicare Advantage	$11.70
Rate for Payer: EmblemHealth Commercial	$36.96
Rate for Payer: Humana Medicare Advantage	$12.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.71
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$9.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.32
Rate for Payer: Wellcare Medicare Advantage	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

CARBOXYHEMOGLOBIN

Facility

$84.70

Service Code	HCPCS 82375
Hospital Charge Code	39900054
Hospital Revenue Code	301
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$12.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.71

CARBOXYHEMOGLOBIN BLOOD

Facility

$390.00

Service Code	HCPCS 82375
Hospital Charge Code	9501263
Hospital Revenue Code	301
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$33.51
Rate for Payer: Aetna Medicare Advantage	$39.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.32
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	$44.69
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.32
Rate for Payer: Clover Medicare Advantage	$11.70
Rate for Payer: EmblemHealth Commercial	$36.96
Rate for Payer: Humana Medicare Advantage	$12.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.32
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	$9.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.32
Rate for Payer: Wellcare Medicare Advantage	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CARBOXYHEMOGLOBIN BLOOD

Facility

$390.00

Service Code	HCPCS 82375
Hospital Charge Code	9501263
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARBOXYMETHYLCELLULOSE 1% OPHT

Facility

$4.00

Service Code	NDC 23455430
Hospital Charge Code	60628095
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CARBOXYMETHYLCELLULOSE 1% OPHT

Facility

$4.00

Service Code	NDC 23455430
Hospital Charge Code	60628095
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

CARCINOEMBRYONIC ANTIGEN - CEA

Facility

$624.00

Service Code	HCPCS 82378
Hospital Charge Code	38472167
Hospital Revenue Code	301
Min. Negotiated Rate	$15.17
Max. Negotiated Rate	$312.00
Rate for Payer: Aetna Commercial	$51.57
Rate for Payer: Aetna Medicare Advantage	$61.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.78
Rate for Payer: Cigna Commercial	$312.00
Rate for Payer: Cigna Medicare Advantage	$18.96
Rate for Payer: Clover Medicare Advantage	$18.01
Rate for Payer: EmblemHealth Commercial	$56.88
Rate for Payer: Humana Medicare Advantage	$19.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.96
Rate for Payer: Wellcare Medicare Advantage	$18.96
Rate for Payer: Wellpoint Medicaid Managed Care	$17.72

CARCINOEMBRYONIC ANTIGEN - CEA

Facility

$624.00

Service Code	HCPCS 82378
Hospital Charge Code	38472167
Hospital Revenue Code	301
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$93.60
Rate for Payer: Qualcare PPO/HMO/WC	$93.60

CARDEC DM DROPS (1ML)

Facility

$4.00

Service Code	NDC 52083005501
Hospital Charge Code	60635796
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

CARDEC DM DROPS (1ML)

Facility

$4.00

Service Code	NDC 52083005501
Hospital Charge Code	60635796
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CARDENE 20MG/200ML PREMIX

Facility

$817.27

Service Code	NDC 10122031410
Hospital Charge Code	60635698
Hospital Revenue Code	250
Min. Negotiated Rate	$122.59
Max. Negotiated Rate	$122.59
Rate for Payer: Qualcare PPO/HMO/WC	$122.59

CARDENE 20MG/200ML PREMIX

Facility

$817.27

Service Code	NDC 10122031410
Hospital Charge Code	60635698
Hospital Revenue Code	250
Min. Negotiated Rate	$23.21
Max. Negotiated Rate	$408.63
Rate for Payer: Aetna Commercial	$310.56
Rate for Payer: Aetna Medicare Advantage	$245.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.40
Rate for Payer: Cigna Commercial	$408.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.49
Rate for Payer: Oxford Commercial	$163.45
Rate for Payer: Qualcare PPO/HMO/WC	$122.59
Rate for Payer: UnitedHealthcare Commercial	$163.45
Rate for Payer: UnitedHealthcare Community & State	$25.83
Rate for Payer: Wellpoint Medicaid Managed Care	$23.21

CARDIAC ARREST AND SHOCK

Facility

$5,481.33

Service Code	APR-DRG 1961
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

CARDIAC ARREST AND SHOCK

Facility

$7,666.51

Service Code	APR-DRG 1962
Min. Negotiated Rate	$7,516.19
Max. Negotiated Rate	$7,666.51
Rate for Payer: UnitedHealthcare Community & State	$7,516.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,666.51
Rate for Payer: Wellpoint Medicaid Managed Care	$7,516.19

CARDIAC ARREST AND SHOCK

Facility

$22,258.04

Service Code	APR-DRG 1964
Min. Negotiated Rate	$21,821.61
Max. Negotiated Rate	$22,258.04
Rate for Payer: UnitedHealthcare Community & State	$21,821.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,258.04
Rate for Payer: Wellpoint Medicaid Managed Care	$21,821.61

CARDIAC ARREST AND SHOCK

Facility

$12,115.59

Service Code	APR-DRG 1963
Min. Negotiated Rate	$11,878.03
Max. Negotiated Rate	$12,115.59
Rate for Payer: UnitedHealthcare Community & State	$11,878.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,115.59
Rate for Payer: Wellpoint Medicaid Managed Care	$11,878.03

CARDIAC ARREST, UNEXPLAINED WITH CC

Facility

$39,494.96

Service Code	MSDRG 297
Min. Negotiated Rate	$10,986.07
Max. Negotiated Rate	$39,494.96
Rate for Payer: Aetna Commercial	$29,987.24
Rate for Payer: Aetna Medicare Advantage	$39,494.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,224.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,224.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,658.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,224.65
Rate for Payer: Cigna Commercial	$13,899.69
Rate for Payer: Cigna Medicare Advantage	$12,658.64
Rate for Payer: Clover Medicare Advantage	$12,025.71
Rate for Payer: EmblemHealth Commercial	$37,975.92
Rate for Payer: Humana Medicare Advantage	$13,038.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,658.64
Rate for Payer: Oxford Commercial	$10,986.07
Rate for Payer: UnitedHealthcare Commercial	$14,705.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,658.64
Rate for Payer: Wellcare Medicare Advantage	$12,658.64

CARDIAC ARREST, UNEXPLAINED WITH MCC

Facility

$68,810.57

Service Code	MSDRG 296
Min. Negotiated Rate	$20,951.94
Max. Negotiated Rate	$68,810.57
Rate for Payer: Aetna Commercial	$50,866.17
Rate for Payer: Aetna Medicare Advantage	$68,810.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,328.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,328.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,054.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,328.00
Rate for Payer: Cigna Commercial	$34,819.44
Rate for Payer: Cigna Medicare Advantage	$22,054.67
Rate for Payer: Clover Medicare Advantage	$20,951.94
Rate for Payer: EmblemHealth Commercial	$66,164.01
Rate for Payer: Humana Medicare Advantage	$22,716.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,054.67
Rate for Payer: Oxford Commercial	$27,520.68
Rate for Payer: UnitedHealthcare Commercial	$36,837.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,054.67
Rate for Payer: Wellcare Medicare Advantage	$22,054.67

CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

Facility

$33,842.89

Service Code	MSDRG 298
Min. Negotiated Rate	$8,018.86
Max. Negotiated Rate	$33,842.89
Rate for Payer: Aetna Commercial	$25,961.80
Rate for Payer: Aetna Medicare Advantage	$33,842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,190.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,190.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,847.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,190.20
Rate for Payer: Cigna Commercial	$10,145.54
Rate for Payer: Cigna Medicare Advantage	$10,847.08
Rate for Payer: Clover Medicare Advantage	$10,304.73
Rate for Payer: EmblemHealth Commercial	$32,541.24
Rate for Payer: Humana Medicare Advantage	$11,172.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,847.08
Rate for Payer: Oxford Commercial	$8,018.86
Rate for Payer: UnitedHealthcare Commercial	$10,733.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,847.08
Rate for Payer: Wellcare Medicare Advantage	$10,847.08

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$6,078.18

Service Code	APR-DRG 2011
Min. Negotiated Rate	$5,959.00
Max. Negotiated Rate	$6,078.18
Rate for Payer: UnitedHealthcare Community & State	$5,959.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,078.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5,959.00

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$11,954.13

Service Code	APR-DRG 2013
Min. Negotiated Rate	$11,719.74
Max. Negotiated Rate	$11,954.13
Rate for Payer: UnitedHealthcare Community & State	$11,719.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,954.13
Rate for Payer: Wellpoint Medicaid Managed Care	$11,719.74

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$7,853.31

Service Code	APR-DRG 2012
Min. Negotiated Rate	$7,699.32
Max. Negotiated Rate	$7,853.31
Rate for Payer: UnitedHealthcare Community & State	$7,699.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,853.31
Rate for Payer: Wellpoint Medicaid Managed Care	$7,699.32

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$21,784.80

Service Code	APR-DRG 2014
Min. Negotiated Rate	$21,357.65
Max. Negotiated Rate	$21,784.80
Rate for Payer: UnitedHealthcare Community & State	$21,357.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,784.80
Rate for Payer: Wellpoint Medicaid Managed Care	$21,357.65

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility

$42,708.06

Service Code	MSDRG 309
Min. Negotiated Rate	$12,963.03
Max. Negotiated Rate	$42,708.06
Rate for Payer: Aetna Commercial	$32,275.66
Rate for Payer: Aetna Medicare Advantage	$42,708.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,501.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,501.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,688.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,501.70
Rate for Payer: Cigna Commercial	$16,400.96
Rate for Payer: Cigna Medicare Advantage	$13,688.48
Rate for Payer: Clover Medicare Advantage	$13,004.06
Rate for Payer: EmblemHealth Commercial	$41,065.44
Rate for Payer: Humana Medicare Advantage	$14,099.13
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,688.48
Rate for Payer: Oxford Commercial	$12,963.03
Rate for Payer: UnitedHealthcare Commercial	$17,351.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,688.48
Rate for Payer: Wellcare Medicare Advantage	$13,688.48

Know your out-of-pocket cost for care.

All Charges