Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CAR OUTP MEAS DRG CATH CHD

Facility

$6,070.00

Service Code	HCPCS 93598
Hospital Charge Code	411093598
Hospital Revenue Code	481
Min. Negotiated Rate	$172.39
Max. Negotiated Rate	$4,213.00
Rate for Payer: Aetna Commercial	$2,306.60
Rate for Payer: Aetna Medicare Advantage	$1,821.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,547.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,547.85
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	$1,547.85
Rate for Payer: Cigna Commercial	$3,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,578.20
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$191.81
Rate for Payer: Wellpoint Medicaid Managed Care	$172.39

CAR OUTP MEAS DRG CATH CHD

Facility

$6,070.00

Service Code	HCPCS 93598
Hospital Charge Code	411093598
Hospital Revenue Code	481
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

CARPAL TUNNEL KNIFE INTEGRA

Facility

$1,097.25

Hospital Charge Code	270690828
Hospital Revenue Code	272
Min. Negotiated Rate	$164.59
Max. Negotiated Rate	$164.59
Rate for Payer: Qualcare PPO/HMO/WC	$164.59

CARPAL TUNNEL KNIFE INTEGRA

Facility

$1,097.25

Hospital Charge Code	270690828
Hospital Revenue Code	272
Min. Negotiated Rate	$31.16
Max. Negotiated Rate	$548.62
Rate for Payer: Aetna Commercial	$416.95
Rate for Payer: Aetna Medicare Advantage	$329.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.80
Rate for Payer: Cigna Commercial	$548.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.29
Rate for Payer: Oxford Commercial	$219.45
Rate for Payer: Qualcare PPO/HMO/WC	$164.59
Rate for Payer: UnitedHealthcare Commercial	$219.45
Rate for Payer: UnitedHealthcare Community & State	$34.67
Rate for Payer: Wellpoint Medicaid Managed Care	$31.16

CARPAL TUNNEL TX IN LT

Facility

$2,401.70

Service Code	HCPCS 20526
Hospital Charge Code	16000793
Hospital Revenue Code	360
Min. Negotiated Rate	$360.25
Max. Negotiated Rate	$360.25
Rate for Payer: Qualcare PPO/HMO/WC	$360.25

CARPAL TUNNEL TX IN LT

Facility

$2,401.70

Service Code	HCPCS 20526
Hospital Charge Code	16000793
Hospital Revenue Code	360
Min. Negotiated Rate	$68.21
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$991.90
Rate for Payer: Aetna Medicare Advantage	$1,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$364.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,322.84
Rate for Payer: Cigna Commercial	$730.97
Rate for Payer: Cigna Medicare Advantage	$364.67
Rate for Payer: Clover Medicare Advantage	$346.44
Rate for Payer: EmblemHealth Commercial	$1,094.01
Rate for Payer: Humana Medicare Advantage	$375.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$364.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.44
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.25
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$75.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$364.67
Rate for Payer: Wellcare Medicare Advantage	$364.67
Rate for Payer: Wellpoint Medicaid Managed Care	$68.21

CARPECTOMY;ALL BONES PROXIMAL

Facility

$25,274.60

Service Code	HCPCS 25215
Hospital Charge Code	16000831
Hospital Revenue Code	360
Min. Negotiated Rate	$3,791.19
Max. Negotiated Rate	$3,791.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,791.19

CARPECTOMY;ALL BONES PROXIMAL

Facility

$25,274.60

Service Code	HCPCS 25215
Hospital Charge Code	16000831
Hospital Revenue Code	360
Min. Negotiated Rate	$798.68
Max. Negotiated Rate	$100,622.27
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,100.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,100.89
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,571.40
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,791.19
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$798.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$100,622.27
Rate for Payer: Wellpoint Medicaid Managed Care	$98,649.28

CARRIER SKIN GRAFT DERM 3.0X1

Facility

$170.45

Service Code	HCPCS C1762
Hospital Charge Code	270600395
Hospital Revenue Code	278
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$85.22
Rate for Payer: Aetna Commercial	$64.77
Rate for Payer: Aetna Medicare Advantage	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$85.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Community & State	$5.39
Rate for Payer: Wellpoint Medicaid Managed Care	$4.84

CARRIER SKIN GRAFT DERM 3.0X1

Facility

$170.45

Service Code	HCPCS C1762
Hospital Charge Code	270600395
Hospital Revenue Code	278
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$25.57

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	74203099
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	74203099
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GP
Hospital Charge Code	84201126
Hospital Revenue Code	429
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GP
Hospital Charge Code	84201126
Hospital Revenue Code	429
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GP
Hospital Charge Code	84202030
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	84201144
Hospital Revenue Code	439
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	84201144
Hospital Revenue Code	439
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	9109136
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GO
Hospital Charge Code	9109136
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8984GP
Hospital Charge Code	84202030
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS CH

Facility

$0.01

Service Code	HCPCS G8984GPCH
Hospital Charge Code	84202030CH
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS CH

Facility

$0.01

Service Code	HCPCS G8984GOCH
Hospital Charge Code	74203099CH
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CARRY CURRENT STATUS CH

Facility

$0.01

Service Code	HCPCS G8984GPCH
Hospital Charge Code	84202030CH
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS CH

Facility

$0.01

Service Code	HCPCS G8984GOCH
Hospital Charge Code	74203099CH
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$933.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CARRY CURRENT STATUS CI

Facility

$0.01

Service Code	HCPCS G8984GOCI
Hospital Charge Code	74203099CI
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Know your out-of-pocket cost for care.

All Charges