Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CHROMOSOME IN SITU AMNIOTIC FL

Facility

$1,170.00

Service Code	HCPCS 88269
Hospital Charge Code	38477214
Hospital Revenue Code	311
Min. Negotiated Rate	$33.23
Max. Negotiated Rate	$629.95
Rate for Payer: Aetna Commercial	$472.36
Rate for Payer: Aetna Medicare Advantage	$562.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$173.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.95
Rate for Payer: Cigna Commercial	$585.00
Rate for Payer: Cigna Medicare Advantage	$173.66
Rate for Payer: Clover Medicare Advantage	$164.98
Rate for Payer: EmblemHealth Commercial	$520.98
Rate for Payer: Humana Medicare Advantage	$178.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$173.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$175.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$36.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.66
Rate for Payer: Wellcare Medicare Advantage	$173.66
Rate for Payer: Wellpoint Medicaid Managed Care	$33.23

CHROMOSOMES, BLOOD I

Facility

$800.70

Service Code	HCPCS 88230
Hospital Charge Code	39990122A
Hospital Revenue Code	311
Min. Negotiated Rate	$120.11
Max. Negotiated Rate	$120.11
Rate for Payer: Qualcare PPO/HMO/WC	$120.11

CHROMOSOMES, BLOOD I

Facility

$800.70

Service Code	HCPCS 88230
Hospital Charge Code	39990122A
Hospital Revenue Code	311
Min. Negotiated Rate	$22.74
Max. Negotiated Rate	$422.57
Rate for Payer: Aetna Commercial	$316.85
Rate for Payer: Aetna Medicare Advantage	$377.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$116.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.57
Rate for Payer: Cigna Commercial	$400.35
Rate for Payer: Cigna Medicare Advantage	$116.49
Rate for Payer: Clover Medicare Advantage	$110.67
Rate for Payer: EmblemHealth Commercial	$349.47
Rate for Payer: Humana Medicare Advantage	$119.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$116.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.18
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.11
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$93.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$116.49
Rate for Payer: Wellcare Medicare Advantage	$116.49
Rate for Payer: Wellpoint Medicaid Managed Care	$22.74

CHROMOSOMES, BLOOD II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990122B
Hospital Revenue Code	311
Min. Negotiated Rate	$128.50
Max. Negotiated Rate	$128.50
Rate for Payer: Qualcare PPO/HMO/WC	$128.50

CHROMOSOMES, BLOOD II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990122B
Hospital Revenue Code	311
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$455.21
Rate for Payer: Aetna Commercial	$341.33
Rate for Payer: Aetna Medicare Advantage	$406.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.21
Rate for Payer: Cigna Commercial	$428.32
Rate for Payer: Cigna Medicare Advantage	$125.49
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$125.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.73
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$100.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Medicare Advantage	$125.49
Rate for Payer: Wellpoint Medicaid Managed Care	$24.33

CHROMOSOMES,TISSUE I

Facility

$967.20

Service Code	HCPCS 88233
Hospital Charge Code	39990123A
Hospital Revenue Code	311
Min. Negotiated Rate	$145.08
Max. Negotiated Rate	$145.08
Rate for Payer: Qualcare PPO/HMO/WC	$145.08

CHROMOSOMES,TISSUE I

Facility

$967.20

Service Code	HCPCS 88233
Hospital Charge Code	39990123A
Hospital Revenue Code	311
Min. Negotiated Rate	$27.47
Max. Negotiated Rate	$510.50
Rate for Payer: Aetna Commercial	$382.79
Rate for Payer: Aetna Medicare Advantage	$455.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.50
Rate for Payer: Cigna Commercial	$483.60
Rate for Payer: Cigna Medicare Advantage	$140.73
Rate for Payer: Clover Medicare Advantage	$133.69
Rate for Payer: EmblemHealth Commercial	$422.19
Rate for Payer: Humana Medicare Advantage	$144.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$140.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.47
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$145.08
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$112.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$140.73
Rate for Payer: Wellcare Medicare Advantage	$140.73
Rate for Payer: Wellpoint Medicaid Managed Care	$27.47

CHROMOSOMES,TISSUE II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990123B
Hospital Revenue Code	311
Min. Negotiated Rate	$24.33
Max. Negotiated Rate	$455.21
Rate for Payer: Aetna Commercial	$341.33
Rate for Payer: Aetna Medicare Advantage	$406.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$125.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.21
Rate for Payer: Cigna Commercial	$428.32
Rate for Payer: Cigna Medicare Advantage	$125.49
Rate for Payer: Clover Medicare Advantage	$119.22
Rate for Payer: EmblemHealth Commercial	$376.47
Rate for Payer: Humana Medicare Advantage	$129.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$125.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.73
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.50
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$100.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$125.49
Rate for Payer: Wellcare Medicare Advantage	$125.49
Rate for Payer: Wellpoint Medicaid Managed Care	$24.33

CHROMOSOMES,TISSUE II

Facility

$856.65

Service Code	HCPCS 88262
Hospital Charge Code	39990123B
Hospital Revenue Code	311
Min. Negotiated Rate	$128.50
Max. Negotiated Rate	$128.50
Rate for Payer: Qualcare PPO/HMO/WC	$128.50

CHRONIC KIDNEY DISEASE

Facility

$11,831.91

Service Code	APR-DRG 4703
Min. Negotiated Rate	$11,599.91
Max. Negotiated Rate	$11,831.91
Rate for Payer: UnitedHealthcare Community & State	$11,599.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,831.91
Rate for Payer: Wellpoint Medicaid Managed Care	$11,599.91

CHRONIC KIDNEY DISEASE

Facility

$22,592.25

Service Code	APR-DRG 4704
Min. Negotiated Rate	$22,149.26
Max. Negotiated Rate	$22,592.25
Rate for Payer: UnitedHealthcare Community & State	$22,149.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,592.25
Rate for Payer: Wellpoint Medicaid Managed Care	$22,149.26

CHRONIC KIDNEY DISEASE

Facility

$6,885.70

Service Code	APR-DRG 4702
Min. Negotiated Rate	$6,750.69
Max. Negotiated Rate	$6,885.70
Rate for Payer: UnitedHealthcare Community & State	$6,750.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,885.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6,750.69

CHRONIC KIDNEY DISEASE

Facility

$5,354.88

Service Code	APR-DRG 4701
Min. Negotiated Rate	$5,249.88
Max. Negotiated Rate	$5,354.88
Rate for Payer: UnitedHealthcare Community & State	$5,249.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,354.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,249.88

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$11,111.44

Service Code	APR-DRG 1403
Min. Negotiated Rate	$10,893.57
Max. Negotiated Rate	$11,111.44
Rate for Payer: UnitedHealthcare Community & State	$10,893.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,111.44
Rate for Payer: Wellpoint Medicaid Managed Care	$10,893.57

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$8,955.73

Service Code	APR-DRG 1402
Min. Negotiated Rate	$8,780.13
Max. Negotiated Rate	$8,955.73
Rate for Payer: UnitedHealthcare Community & State	$8,780.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,955.73
Rate for Payer: Wellpoint Medicaid Managed Care	$8,780.13

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$20,383.18

Service Code	APR-DRG 1404
Min. Negotiated Rate	$19,983.51
Max. Negotiated Rate	$20,383.18
Rate for Payer: UnitedHealthcare Community & State	$19,983.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,383.18
Rate for Payer: Wellpoint Medicaid Managed Care	$19,983.51

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$7,266.29

Service Code	APR-DRG 1401
Min. Negotiated Rate	$7,123.81
Max. Negotiated Rate	$7,266.29
Rate for Payer: UnitedHealthcare Community & State	$7,123.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,266.29
Rate for Payer: Wellpoint Medicaid Managed Care	$7,123.81

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

Facility

$46,098.00

Service Code	MSDRG 191
Min. Negotiated Rate	$14,036.25
Max. Negotiated Rate	$46,098.00
Rate for Payer: Aetna Commercial	$34,690.04
Rate for Payer: Aetna Medicare Advantage	$46,098.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,549.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,549.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,549.25
Rate for Payer: Cigna Commercial	$18,793.00
Rate for Payer: Cigna Medicare Advantage	$14,775.00
Rate for Payer: Clover Medicare Advantage	$14,036.25
Rate for Payer: EmblemHealth Commercial	$44,325.00
Rate for Payer: Humana Medicare Advantage	$15,218.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,775.00
Rate for Payer: Oxford Commercial	$14,853.66
Rate for Payer: UnitedHealthcare Commercial	$19,882.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,775.00
Rate for Payer: Wellcare Medicare Advantage	$14,775.00

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

Facility

$54,460.82

Service Code	MSDRG 190
Min. Negotiated Rate	$16,582.62
Max. Negotiated Rate	$54,460.82
Rate for Payer: Aetna Commercial	$40,646.11
Rate for Payer: Aetna Medicare Advantage	$54,460.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,455.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,475.50
Rate for Payer: Cigna Commercial	$24,693.96
Rate for Payer: Cigna Medicare Advantage	$17,455.39
Rate for Payer: Clover Medicare Advantage	$16,582.62
Rate for Payer: EmblemHealth Commercial	$52,366.17
Rate for Payer: Humana Medicare Advantage	$17,979.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,455.39
Rate for Payer: Oxford Commercial	$19,517.67
Rate for Payer: UnitedHealthcare Commercial	$26,125.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,455.39
Rate for Payer: Wellcare Medicare Advantage	$17,455.39

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Facility

$39,747.68

Service Code	MSDRG 192
Min. Negotiated Rate	$11,312.04
Max. Negotiated Rate	$39,747.68
Rate for Payer: Aetna Commercial	$30,167.27
Rate for Payer: Aetna Medicare Advantage	$39,747.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,739.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,731.20
Rate for Payer: Cigna Commercial	$14,312.11
Rate for Payer: Cigna Medicare Advantage	$12,739.64
Rate for Payer: Clover Medicare Advantage	$12,102.66
Rate for Payer: EmblemHealth Commercial	$38,218.92
Rate for Payer: Humana Medicare Advantage	$13,121.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,739.64
Rate for Payer: Oxford Commercial	$11,312.04
Rate for Payer: UnitedHealthcare Commercial	$15,141.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,739.64
Rate for Payer: Wellcare Medicare Advantage	$12,739.64

Chronic Uticaria panel A

Facility

$390.00

Service Code	HCPCS 84443
Hospital Charge Code	39708021A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Chronic Uticaria panel A

Facility

$390.00

Service Code	HCPCS 84443
Hospital Charge Code	39708021A
Hospital Revenue Code	301
Min. Negotiated Rate	$11.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
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	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Chronic Uticaria panel B

Facility

$390.00

Service Code	HCPCS 86343
Hospital Charge Code	39708021B
Hospital Revenue Code	302
Min. Negotiated Rate	$9.97
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$33.89
Rate for Payer: Aetna Medicare Advantage	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.20
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.46
Rate for Payer: Clover Medicare Advantage	$11.84
Rate for Payer: EmblemHealth Commercial	$37.38
Rate for Payer: Humana Medicare Advantage	$12.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.46
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	$9.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.46
Rate for Payer: Wellcare Medicare Advantage	$12.46
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

Chronic Uticaria panel B

Facility

$390.00

Service Code	HCPCS 86343
Hospital Charge Code	39708021B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Chronic Uticaria panel C

Facility

$390.00

Service Code	HCPCS 86376
Hospital Charge Code	39708021C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges