Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility

$57,503.32

Service Code	MSDRG 308
Min. Negotiated Rate	$17,509.02
Max. Negotiated Rate	$57,503.32
Rate for Payer: Aetna Commercial	$42,813.01
Rate for Payer: Aetna Medicare Advantage	$57,503.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,430.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,246.00
Rate for Payer: Cigna Commercial	$26,840.77
Rate for Payer: Cigna Medicare Advantage	$18,430.55
Rate for Payer: Clover Medicare Advantage	$17,509.02
Rate for Payer: EmblemHealth Commercial	$55,291.65
Rate for Payer: Humana Medicare Advantage	$18,983.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,430.55
Rate for Payer: Oxford Commercial	$21,214.48
Rate for Payer: UnitedHealthcare Commercial	$28,396.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,430.55
Rate for Payer: Wellcare Medicare Advantage	$18,430.55

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility

$37,349.77

Service Code	MSDRG 310
Min. Negotiated Rate	$9,974.68
Max. Negotiated Rate	$37,349.77
Rate for Payer: Aetna Commercial	$28,459.44
Rate for Payer: Aetna Medicare Advantage	$37,349.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,237.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,237.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,971.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,237.75
Rate for Payer: Cigna Commercial	$12,620.07
Rate for Payer: Cigna Medicare Advantage	$11,971.08
Rate for Payer: Clover Medicare Advantage	$11,372.53
Rate for Payer: EmblemHealth Commercial	$35,913.24
Rate for Payer: Humana Medicare Advantage	$12,330.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,971.08
Rate for Payer: Oxford Commercial	$9,974.68
Rate for Payer: UnitedHealthcare Commercial	$13,351.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,971.08
Rate for Payer: Wellcare Medicare Advantage	$11,971.08

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$19,179.64

Service Code	APR-DRG 1913
Min. Negotiated Rate	$18,803.57
Max. Negotiated Rate	$19,179.64
Rate for Payer: UnitedHealthcare Community & State	$18,803.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,179.64
Rate for Payer: Wellpoint Medicaid Managed Care	$18,803.57

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$31,709.52

Service Code	APR-DRG 1914
Min. Negotiated Rate	$31,087.76
Max. Negotiated Rate	$31,709.52
Rate for Payer: UnitedHealthcare Community & State	$31,087.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,709.52
Rate for Payer: Wellpoint Medicaid Managed Care	$31,087.76

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$12,656.32

Service Code	APR-DRG 1911
Min. Negotiated Rate	$12,408.16
Max. Negotiated Rate	$12,656.32
Rate for Payer: UnitedHealthcare Community & State	$12,408.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,656.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12,408.16

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$14,734.80

Service Code	APR-DRG 1912
Min. Negotiated Rate	$14,445.88
Max. Negotiated Rate	$14,734.80
Rate for Payer: UnitedHealthcare Community & State	$14,445.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,734.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14,445.88

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$23,686.31

Service Code	APR-DRG 1923
Min. Negotiated Rate	$23,221.87
Max. Negotiated Rate	$23,686.31
Rate for Payer: UnitedHealthcare Community & State	$23,221.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,686.31
Rate for Payer: Wellpoint Medicaid Managed Care	$23,221.87

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$41,086.60

Service Code	APR-DRG 1924
Min. Negotiated Rate	$40,280.98
Max. Negotiated Rate	$41,086.60
Rate for Payer: UnitedHealthcare Community & State	$40,280.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,086.60
Rate for Payer: Wellpoint Medicaid Managed Care	$40,280.98

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$16,733.19

Service Code	APR-DRG 1922
Min. Negotiated Rate	$16,405.09
Max. Negotiated Rate	$16,733.19
Rate for Payer: UnitedHealthcare Community & State	$16,405.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,733.19
Rate for Payer: Wellpoint Medicaid Managed Care	$16,405.09

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$13,507.30

Service Code	APR-DRG 1921
Min. Negotiated Rate	$13,242.45
Max. Negotiated Rate	$13,507.30
Rate for Payer: UnitedHealthcare Community & State	$13,242.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,507.30
Rate for Payer: Wellpoint Medicaid Managed Care	$13,242.45

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$69,249.80

Service Code	MSDRG 306
Min. Negotiated Rate	$21,085.68
Max. Negotiated Rate	$69,249.80
Rate for Payer: Aetna Commercial	$51,179.01
Rate for Payer: Aetna Medicare Advantage	$69,249.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,665.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,665.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,195.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,665.70
Rate for Payer: Cigna Commercial	$35,129.31
Rate for Payer: Cigna Medicare Advantage	$22,195.45
Rate for Payer: Clover Medicare Advantage	$21,085.68
Rate for Payer: EmblemHealth Commercial	$66,586.35
Rate for Payer: Humana Medicare Advantage	$22,861.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,195.45
Rate for Payer: Oxford Commercial	$27,765.60
Rate for Payer: UnitedHealthcare Commercial	$37,165.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,195.45
Rate for Payer: Wellcare Medicare Advantage	$22,195.45

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$48,315.85

Service Code	MSDRG 307
Min. Negotiated Rate	$14,711.56
Max. Negotiated Rate	$48,315.85
Rate for Payer: Aetna Commercial	$36,269.60
Rate for Payer: Aetna Medicare Advantage	$48,315.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,042.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,042.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,485.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,042.70
Rate for Payer: Cigna Commercial	$20,357.97
Rate for Payer: Cigna Medicare Advantage	$15,485.85
Rate for Payer: Clover Medicare Advantage	$14,711.56
Rate for Payer: EmblemHealth Commercial	$46,457.55
Rate for Payer: Humana Medicare Advantage	$15,950.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,485.85
Rate for Payer: Oxford Commercial	$16,090.58
Rate for Payer: UnitedHealthcare Commercial	$21,537.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,485.85
Rate for Payer: Wellcare Medicare Advantage	$15,485.85

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$244,739.38

Service Code	MSDRG 275
Min. Negotiated Rate	$74,520.00
Max. Negotiated Rate	$244,739.38
Rate for Payer: Aetna Commercial	$176,164.71
Rate for Payer: Aetna Medicare Advantage	$244,739.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$78,442.11
Rate for Payer: Cigna Commercial	$158,958.01
Rate for Payer: Cigna Medicare Advantage	$78,442.11
Rate for Payer: Clover Medicare Advantage	$74,520.00
Rate for Payer: EmblemHealth Commercial	$235,326.33
Rate for Payer: Humana Medicare Advantage	$80,795.37
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$78,442.11
Rate for Payer: Oxford Commercial	$125,637.65
Rate for Payer: UnitedHealthcare Commercial	$168,170.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$78,442.11
Rate for Payer: Wellcare Medicare Advantage	$78,442.11

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$209,234.59

Service Code	MSDRG 276
Min. Negotiated Rate	$63,709.25
Max. Negotiated Rate	$209,234.59
Rate for Payer: Aetna Commercial	$150,877.79
Rate for Payer: Aetna Medicare Advantage	$209,234.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67,062.37
Rate for Payer: Cigna Commercial	$133,905.13
Rate for Payer: Cigna Medicare Advantage	$67,062.37
Rate for Payer: Clover Medicare Advantage	$63,709.25
Rate for Payer: EmblemHealth Commercial	$201,187.11
Rate for Payer: Humana Medicare Advantage	$69,074.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$67,062.37
Rate for Payer: Oxford Commercial	$105,836.29
Rate for Payer: UnitedHealthcare Commercial	$141,665.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$67,062.37
Rate for Payer: Wellcare Medicare Advantage	$67,062.37

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$165,379.53

Service Code	MSDRG 277
Min. Negotiated Rate	$50,355.95
Max. Negotiated Rate	$165,379.53
Rate for Payer: Aetna Commercial	$119,643.73
Rate for Payer: Aetna Medicare Advantage	$165,379.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$53,006.26
Rate for Payer: Cigna Commercial	$102,960.22
Rate for Payer: Cigna Medicare Advantage	$53,006.26
Rate for Payer: Clover Medicare Advantage	$50,355.95
Rate for Payer: EmblemHealth Commercial	$159,018.78
Rate for Payer: Humana Medicare Advantage	$54,596.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$53,006.26
Rate for Payer: Oxford Commercial	$81,377.97
Rate for Payer: UnitedHealthcare Commercial	$108,927.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$53,006.26
Rate for Payer: Wellcare Medicare Advantage	$53,006.26

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$655.50
Max. Negotiated Rate	$655.50
Rate for Payer: Qualcare PPO/HMO/WC	$655.50

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$124.11
Max. Negotiated Rate	$4,213.00
Rate for Payer: Aetna Commercial	$1,660.60
Rate for Payer: Aetna Medicare Advantage	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,114.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,114.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,114.35
Rate for Payer: Cigna Commercial	$2,185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,136.20
Rate for Payer: Qualcare PPO/HMO/WC	$655.50
Rate for Payer: UnitedHealthcare Community & State	$138.09
Rate for Payer: Wellpoint Medicaid Managed Care	$124.11

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$710.00
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$9,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00
Rate for Payer: UnitedHealthcare Community & State	$790.00
Rate for Payer: Wellpoint Medicaid Managed Care	$710.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$710.00
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$9,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00
Rate for Payer: UnitedHealthcare Community & State	$790.00
Rate for Payer: Wellpoint Medicaid Managed Care	$710.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$23,245.30

Service Code	APR-DRG 1772
Min. Negotiated Rate	$22,789.51
Max. Negotiated Rate	$23,245.30
Rate for Payer: UnitedHealthcare Community & State	$22,789.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,245.30
Rate for Payer: Wellpoint Medicaid Managed Care	$22,789.51

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$16,193.92

Service Code	APR-DRG 1771
Min. Negotiated Rate	$15,876.39
Max. Negotiated Rate	$16,193.92
Rate for Payer: UnitedHealthcare Community & State	$15,876.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,193.92
Rate for Payer: Wellpoint Medicaid Managed Care	$15,876.39

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$44,606.00

Service Code	APR-DRG 1774
Min. Negotiated Rate	$43,731.37
Max. Negotiated Rate	$44,606.00
Rate for Payer: UnitedHealthcare Community & State	$43,731.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,606.00
Rate for Payer: Wellpoint Medicaid Managed Care	$43,731.37

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$32,017.09

Service Code	APR-DRG 1773
Min. Negotiated Rate	$31,389.30
Max. Negotiated Rate	$32,017.09
Rate for Payer: UnitedHealthcare Community & State	$31,389.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,017.09
Rate for Payer: Wellpoint Medicaid Managed Care	$31,389.30

Know your out-of-pocket cost for care.

All Charges