Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

Facility

$118,734.78

Service Code	MSDRG 258
Min. Negotiated Rate	$36,153.22
Max. Negotiated Rate	$118,734.78
Rate for Payer: Aetna Commercial	$86,422.80
Rate for Payer: Aetna Medicare Advantage	$118,734.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,080.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,080.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,056.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,080.55
Rate for Payer: Cigna Commercial	$70,046.84
Rate for Payer: Cigna Medicare Advantage	$38,056.02
Rate for Payer: Clover Medicare Advantage	$36,153.22
Rate for Payer: EmblemHealth Commercial	$114,168.06
Rate for Payer: Humana Medicare Advantage	$39,197.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$38,056.02
Rate for Payer: Oxford Commercial	$55,363.80
Rate for Payer: UnitedHealthcare Commercial	$74,106.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,056.02
Rate for Payer: Wellcare Medicare Advantage	$38,056.02

CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

Facility

$83,349.99

Service Code	MSDRG 259
Min. Negotiated Rate	$25,379.00
Max. Negotiated Rate	$83,349.99
Rate for Payer: Aetna Commercial	$61,221.31
Rate for Payer: Aetna Medicare Advantage	$83,349.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,714.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,808.35
Rate for Payer: Cigna Commercial	$45,078.68
Rate for Payer: Cigna Medicare Advantage	$26,714.74
Rate for Payer: Clover Medicare Advantage	$25,379.00
Rate for Payer: EmblemHealth Commercial	$80,144.22
Rate for Payer: Humana Medicare Advantage	$27,516.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,714.74
Rate for Payer: Oxford Commercial	$35,629.40
Rate for Payer: UnitedHealthcare Commercial	$47,691.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,714.74
Rate for Payer: Wellcare Medicare Advantage	$26,714.74

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

Facility

$79,192.31

Service Code	MSDRG 261
Min. Negotiated Rate	$24,113.04
Max. Negotiated Rate	$79,192.31
Rate for Payer: Aetna Commercial	$58,260.18
Rate for Payer: Aetna Medicare Advantage	$79,192.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52,085.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52,085.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,382.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52,085.40
Rate for Payer: Cigna Commercial	$42,144.92
Rate for Payer: Cigna Medicare Advantage	$25,382.15
Rate for Payer: Clover Medicare Advantage	$24,113.04
Rate for Payer: EmblemHealth Commercial	$76,146.45
Rate for Payer: Humana Medicare Advantage	$26,143.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,382.15
Rate for Payer: Oxford Commercial	$33,310.61
Rate for Payer: UnitedHealthcare Commercial	$44,587.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,382.15
Rate for Payer: Wellcare Medicare Advantage	$25,382.15

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

Facility

$122,232.21

Service Code	MSDRG 260
Min. Negotiated Rate	$37,218.14
Max. Negotiated Rate	$122,232.21
Rate for Payer: Aetna Commercial	$88,913.69
Rate for Payer: Aetna Medicare Advantage	$122,232.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91,980.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91,980.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,176.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91,980.60
Rate for Payer: Cigna Commercial	$72,514.67
Rate for Payer: Cigna Medicare Advantage	$39,176.99
Rate for Payer: Clover Medicare Advantage	$37,218.14
Rate for Payer: EmblemHealth Commercial	$117,530.97
Rate for Payer: Humana Medicare Advantage	$40,352.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,176.99
Rate for Payer: Oxford Commercial	$57,314.34
Rate for Payer: UnitedHealthcare Commercial	$76,717.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,176.99
Rate for Payer: Wellcare Medicare Advantage	$39,176.99

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

Facility

$70,958.97

Service Code	MSDRG 262
Min. Negotiated Rate	$21,606.10
Max. Negotiated Rate	$70,958.97
Rate for Payer: Aetna Commercial	$52,396.29
Rate for Payer: Aetna Medicare Advantage	$70,958.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,713.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,743.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,713.25
Rate for Payer: Cigna Commercial	$36,335.36
Rate for Payer: Cigna Medicare Advantage	$22,743.26
Rate for Payer: Clover Medicare Advantage	$21,606.10
Rate for Payer: EmblemHealth Commercial	$68,229.78
Rate for Payer: Humana Medicare Advantage	$23,425.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,743.26
Rate for Payer: Oxford Commercial	$28,718.84
Rate for Payer: UnitedHealthcare Commercial	$38,441.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,743.26
Rate for Payer: Wellcare Medicare Advantage	$22,743.26

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$8,746.52

Service Code	APR-DRG 2002
Min. Negotiated Rate	$8,575.02
Max. Negotiated Rate	$8,746.52
Rate for Payer: UnitedHealthcare Community & State	$8,575.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,746.52
Rate for Payer: Wellpoint Medicaid Managed Care	$8,575.02

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$12,815.01

Service Code	APR-DRG 2003
Min. Negotiated Rate	$12,563.74
Max. Negotiated Rate	$12,815.01
Rate for Payer: UnitedHealthcare Community & State	$12,563.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,815.01
Rate for Payer: Wellpoint Medicaid Managed Care	$12,563.74

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$6,198.95

Service Code	APR-DRG 2001
Min. Negotiated Rate	$6,077.40
Max. Negotiated Rate	$6,198.95
Rate for Payer: UnitedHealthcare Community & State	$6,077.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,198.95
Rate for Payer: Wellpoint Medicaid Managed Care	$6,077.40

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$22,739.74

Service Code	APR-DRG 2004
Min. Negotiated Rate	$22,293.86
Max. Negotiated Rate	$22,739.74
Rate for Payer: UnitedHealthcare Community & State	$22,293.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,739.74
Rate for Payer: Wellpoint Medicaid Managed Care	$22,293.86

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility

$227,201.77

Service Code	MSDRG 217
Min. Negotiated Rate	$69,180.03
Max. Negotiated Rate	$227,201.77
Rate for Payer: Aetna Commercial	$163,674.23
Rate for Payer: Aetna Medicare Advantage	$227,201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176,480.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176,480.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$72,821.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176,480.85
Rate for Payer: Cigna Commercial	$146,583.16
Rate for Payer: Cigna Medicare Advantage	$72,821.08
Rate for Payer: Clover Medicare Advantage	$69,180.03
Rate for Payer: EmblemHealth Commercial	$218,463.24
Rate for Payer: Humana Medicare Advantage	$75,005.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$72,821.08
Rate for Payer: Oxford Commercial	$115,856.79
Rate for Payer: UnitedHealthcare Commercial	$155,078.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$72,821.08
Rate for Payer: Wellcare Medicare Advantage	$72,821.08

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$328,538.12

Service Code	MSDRG 216
Min. Negotiated Rate	$100,035.65
Max. Negotiated Rate	$328,538.12
Rate for Payer: Aetna Commercial	$235,847.15
Rate for Payer: Aetna Medicare Advantage	$328,538.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269,015.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269,015.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$105,300.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269,015.55
Rate for Payer: Cigna Commercial	$218,087.96
Rate for Payer: Cigna Medicare Advantage	$105,300.68
Rate for Payer: Clover Medicare Advantage	$100,035.65
Rate for Payer: EmblemHealth Commercial	$315,902.04
Rate for Payer: Humana Medicare Advantage	$108,459.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$105,300.68
Rate for Payer: Oxford Commercial	$172,372.94
Rate for Payer: UnitedHealthcare Commercial	$230,727.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$105,300.68
Rate for Payer: Wellcare Medicare Advantage	$105,300.68

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$227,201.77

Service Code	MSDRG 218
Min. Negotiated Rate	$69,180.03
Max. Negotiated Rate	$227,201.77
Rate for Payer: Aetna Commercial	$163,674.23
Rate for Payer: Aetna Medicare Advantage	$227,201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157,918.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157,918.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$72,821.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157,918.50
Rate for Payer: Cigna Commercial	$146,583.16
Rate for Payer: Cigna Medicare Advantage	$72,821.08
Rate for Payer: Clover Medicare Advantage	$69,180.03
Rate for Payer: EmblemHealth Commercial	$218,463.24
Rate for Payer: Humana Medicare Advantage	$75,005.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$72,821.08
Rate for Payer: Oxford Commercial	$115,856.79
Rate for Payer: UnitedHealthcare Commercial	$155,078.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$72,821.08
Rate for Payer: Wellcare Medicare Advantage	$72,821.08

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility

$187,946.80

Service Code	MSDRG 220
Min. Negotiated Rate	$57,227.39
Max. Negotiated Rate	$187,946.80
Rate for Payer: Aetna Commercial	$135,716.39
Rate for Payer: Aetna Medicare Advantage	$187,946.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145,174.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145,174.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$60,239.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145,174.20
Rate for Payer: Cigna Commercial	$118,884.11
Rate for Payer: Cigna Medicare Advantage	$60,239.36
Rate for Payer: Clover Medicare Advantage	$57,227.39
Rate for Payer: EmblemHealth Commercial	$180,718.08
Rate for Payer: Humana Medicare Advantage	$62,046.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$60,239.36
Rate for Payer: Oxford Commercial	$93,963.94
Rate for Payer: UnitedHealthcare Commercial	$125,774.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$60,239.36
Rate for Payer: Wellcare Medicare Advantage	$60,239.36

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$262,049.49

Service Code	MSDRG 219
Min. Negotiated Rate	$79,790.71
Max. Negotiated Rate	$262,049.49
Rate for Payer: Aetna Commercial	$188,493.18
Rate for Payer: Aetna Medicare Advantage	$262,049.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213,605.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213,605.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$83,990.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213,605.55
Rate for Payer: Cigna Commercial	$171,172.34
Rate for Payer: Cigna Medicare Advantage	$83,990.22
Rate for Payer: Clover Medicare Advantage	$79,790.71
Rate for Payer: EmblemHealth Commercial	$251,970.66
Rate for Payer: Humana Medicare Advantage	$86,509.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$83,990.22
Rate for Payer: Oxford Commercial	$135,291.65
Rate for Payer: UnitedHealthcare Commercial	$181,092.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$83,990.22
Rate for Payer: Wellcare Medicare Advantage	$83,990.22

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$178,702.49

Service Code	MSDRG 221
Min. Negotiated Rate	$54,412.62
Max. Negotiated Rate	$178,702.49
Rate for Payer: Aetna Commercial	$129,132.49
Rate for Payer: Aetna Medicare Advantage	$178,702.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128,828.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128,828.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$57,276.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128,828.25
Rate for Payer: Cigna Commercial	$112,361.18
Rate for Payer: Cigna Medicare Advantage	$57,276.44
Rate for Payer: Clover Medicare Advantage	$54,412.62
Rate for Payer: EmblemHealth Commercial	$171,829.32
Rate for Payer: Humana Medicare Advantage	$58,994.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$57,276.44
Rate for Payer: Oxford Commercial	$88,808.32
Rate for Payer: UnitedHealthcare Commercial	$118,873.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$57,276.44
Rate for Payer: Wellcare Medicare Advantage	$57,276.44

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$88,574.29

Service Code	APR-DRG 1623
Min. Negotiated Rate	$86,837.54
Max. Negotiated Rate	$88,574.29
Rate for Payer: UnitedHealthcare Community & State	$86,837.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$88,574.29
Rate for Payer: Wellpoint Medicaid Managed Care	$86,837.54

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$69,203.71

Service Code	APR-DRG 1622
Min. Negotiated Rate	$67,846.77
Max. Negotiated Rate	$69,203.71
Rate for Payer: UnitedHealthcare Community & State	$67,846.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$69,203.71
Rate for Payer: Wellpoint Medicaid Managed Care	$67,846.77

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$60,093.49

Service Code	APR-DRG 1621
Min. Negotiated Rate	$58,915.19
Max. Negotiated Rate	$60,093.49
Rate for Payer: UnitedHealthcare Community & State	$58,915.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,093.49
Rate for Payer: Wellpoint Medicaid Managed Care	$58,915.19

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$130,774.60

Service Code	APR-DRG 1624
Min. Negotiated Rate	$128,210.39
Max. Negotiated Rate	$130,774.60
Rate for Payer: UnitedHealthcare Community & State	$128,210.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$130,774.60
Rate for Payer: Wellpoint Medicaid Managed Care	$128,210.39

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$58,123.13

Service Code	APR-DRG 1632
Min. Negotiated Rate	$56,983.46
Max. Negotiated Rate	$58,123.13
Rate for Payer: UnitedHealthcare Community & State	$56,983.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,123.13
Rate for Payer: Wellpoint Medicaid Managed Care	$56,983.46

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$110,645.61

Service Code	APR-DRG 1634
Min. Negotiated Rate	$108,476.09
Max. Negotiated Rate	$110,645.61
Rate for Payer: UnitedHealthcare Community & State	$108,476.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$110,645.61
Rate for Payer: Wellpoint Medicaid Managed Care	$108,476.09

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$72,887.40

Service Code	APR-DRG 1633
Min. Negotiated Rate	$71,458.24
Max. Negotiated Rate	$72,887.40
Rate for Payer: UnitedHealthcare Community & State	$71,458.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,887.40
Rate for Payer: Wellpoint Medicaid Managed Care	$71,458.24

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$52,025.29

Service Code	APR-DRG 1631
Min. Negotiated Rate	$51,005.19
Max. Negotiated Rate	$52,025.29
Rate for Payer: UnitedHealthcare Community & State	$51,005.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,025.29
Rate for Payer: Wellpoint Medicaid Managed Care	$51,005.19

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$37.24
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: Oxford Commercial	$19.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$19.60
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

Know your out-of-pocket cost for care.

All Charges